Avantara Groton
Groton, Brown County, South Dakota · CCN 435048 · For-profit (LLC) · part of Legacy Healthcare (89 facilities, chain average 2.9 stars)
CMS rates Avantara Groton 2 of 5 overall as of August 2026. 37 certified beds, 41 residents a day on average. 22 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $6,168.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★☆☆☆☆ 1 of 5 |
| Quality: long-stay / short-stay | 1 / 2 of 5 |
Staffing
| Total nurse staffing | 3.72254 hours per resident per day |
|---|---|
| Registered nurses | 0.62243 hours per resident per day |
| Weekend total | 3.26757 hours per resident per day |
| Nursing staff turnover | 37% (registered nurses 33.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-12-11 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-01-25 |
| 2025-12-11 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-25 |
| 2025-12-11 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-25 |
| 2025-12-11 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-25 |
| 2025-12-11 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-25 |
| 2025-12-11 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-25 |
| 2025-12-11 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-25 |
| 2025-12-11 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · tag F0803 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-25 |
| 2025-12-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-25 |
| 2024-11-26 complaint survey |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2024-10-24 |
| 2024-07-31 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-27 |
| 2024-07-31 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-27 |
| 2024-07-31 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-27 |
| 2023-04-14 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-05-29 |
| 2023-04-14 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-05-29 |
| 2023-04-14 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-05-29 |
| 2023-04-14 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-29 |
| 2023-04-14 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · tag F0559 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-29 |
| 2023-04-14 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-29 |
| 2023-04-14 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-29 |
| 2023-04-14 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-29 |
| 2023-04-14 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-29 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-26 | Fine | $6,168 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 Organization | 5% or greater direct ownership interest | 43% | 2019-07-01 |
| Gpn Family Trust U/A/D 4/28/08 Organization | 5% or greater direct ownership interest | 43% | 2019-07-01 |
| Oakway Operations LLC Organization | 5% or greater direct ownership interest | 15% | 2019-07-01 |
| Bokf,Na Organization | 5% or greater security interest | — | 2024-03-04 |
| Groton Sd Property Holdings, LLC Organization | 5% or greater security interest | — | 2019-07-01 |
| Doros Generation Trust U/A/D 1/3/12 Organization | adp of the snf | — | 2019-07-01 |
| Gpn Family Trust U/A/D 4/28/08 Organization | adp of the snf | — | 2019-07-01 |
| Groton Sd Property Holdings, LLC Organization | adp of the snf | — | 2019-07-01 |
| Legacy Healthcare Financial Services LLC Organization | adp of the snf | — | 2025-11-21 |
| Roth & Co, LLP Organization | adp of the snf | — | 2024-01-01 |
| Bokf,Na Organization | operational/managerial control | — | 2024-03-04 |
| Legacy Healthcare Financial Services LLC Organization | operational/managerial control | — | 2019-07-01 |
| Carda, Brenda Individual | adp of the snf | — | 2022-09-16 |
| Shabat, Menachem Individual | adp of the snf | — | 2019-07-01 |
| Steger, Brandon Individual | adp of the snf | — | 2019-07-01 |
| Shabat, Menachem Individual | managing control - governing body | — | 2019-07-01 |
| Carda, Brenda Individual | operational/managerial control | — | 2022-09-16 |
| Shabat, Menachem Individual | operational/managerial control | — | 2019-07-01 |
| Steger, Brandon Individual | operational/managerial control | — | 2019-07-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Avantara Groton.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Brown County.