About Avantara NortonAvantara Norton is located at 3600 South Norton Avenue, Sioux Falls, SD, reachable at (605) 338-9891. This For profit – Limited Liability company facility operates 110.0 certified beds and serves an average of 96 residents per day. It is part of the Legacy Healthcare network (90 facilities nationwide). Medicare and Medicaid services have been provided since 1989-04-01.
#13053 of 14703 nationally – #89 of 97 in South Dakota
Who Is This Facility Best For?
Avantara Norton offers a mid-range care option in Sioux Falls, SD.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
N/A
Health Inspection
N/A
Staffing Rating
N/A
Quality Measures (QM)
N/A
Long-Stay QM Rating
N/A
Short-Stay QM Rating
N/A
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightAvantara Norton currently provides 3 hours 46 minutes of total nurse staffing per resident per day, including 35 minutes of Registered Nurse (RN) coverage. Total nursing staff turnover is high at 57.7%, which can affect care continuity.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 46 minutes
Nurse Aide Hours2 hours 28 minutes
Licensed Practical Nurse (LPN) Hours44 minutes
Registered Nurse (RN) Hours35 minutes
Physical Therapist Hours3 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours3 hours 19 minutes
Weekend Registered Nurse (RN) Hours22 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance Summary⚠️ CMS has flagged Avantara Norton with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 7 fine(s) totaling $191,055. 51 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Nationally, Avantara Norton ranks 13053rd out of 14,703 facilities (composite score: 56.1/100), placing it in the bottom 25% nationwide. Within SD, it ranks 89th out of 97 nursing homes. In Sioux Falls, it ranks 7th out of 7 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #6,590 nationally and RN hours rank #7,093 nationally (#74 in SD).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
SD State Rank
Note
2022
3.13
#10,880 / 14,703
#66 / 97
Below average
2023
3.69
#6,241 / 14,703
#31 / 97
Above average
2024
3.76
#5,955 / 14,703
#27 / 97
Above average
2025
3.68
#7,099 / 14,703
#41 / 97
Above average
2026
3.77
#6,590 / 14,703
#41 / 97
Above average
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
SD State Rank
Note
2022
0.88
#3,034 / 14,703
#31 / 97
Top 25%
2023
0.54
#7,453 / 14,703
#78 / 97
Below average
2024
0.38
#10,896 / 14,703
#87 / 97
Below average
2025
0.41
#10,406 / 14,703
#90 / 97
Below average
2026
0.58
#7,093 / 14,703
#74 / 97
Above average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Avantara Norton is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1989-04-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (605) 338-9891 or your local Medicaid office to verify current eligibility.
Avantara Norton holds an overall CMS (Centers for Medicare & Medicaid Services) rating of N/A out of 5 stars. This is made up of three components: Health Inspection (N/A★), Staffing (N/A★), and Quality of Resident Care (N/A★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 56.1/100, placing it #13053 of 14703 facilities nationally and #89 of 97 in South Dakota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Avantara Norton receives a reported average of 3 hours 46 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 35 minutes; Licensed Practical Nurse (LPN) — 44 minutes; Nurse Aide — 2 hours 28 minutes. On weekends, total nurse staffing is 3 hours 19 minutes per resident per day. The CMS Staffing Rating for this facility is N/A out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 57.7%. Families are encouraged to ask about current staffing schedules during their facility visit.
⚠️ CMS has flagged Avantara Norton with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 7 fine(s) totaling $191,055. 51 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 7 fine(s) totaling $191,055, and 0 Medicare payment denial(s). Total penalties: 7. The Total Weighted Health Survey Score is 265.75 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Avantara Norton ranks 13053rd out of 14,703 facilities (composite score: 56.1/100), placing it in the bottom 25% nationwide. Within SD, it ranks 89th out of 97 nursing homes. In Sioux Falls, it ranks 7th out of 7 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #6,590 nationally and RN hours rank #7,093 nationally (#74 in SD). Our composite quality score of 56.1/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Sioux Falls, visit: https://nursinghomesnearme.org/south_dakota/sioux-falls/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.