01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-03-20 | 3 | 2025-03-20 | 2 |
| Cycle 2 | 2023-11-16 | 2 | 2023-11-16 | 1 |
| Cycle 3 | 2023-01-19 | 1 | 2023-01-19 | 3 |
CMS CCN 4350592026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avantara Lake Norden
803 Park Street · Lake Norden, SD 57248 · Hamlin County
Certified beds50CMS provider file
Recent citation rows12current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
12 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-19 · HEALTHF0760Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2026-04-01 · complaint2026-02-19 · HEALTHF0803Severity J · isolated immediate jeopardy
Nutrition and Dietary Deficiencies
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.
Correction field: Past Non-Compliance · 2026-02-11 · complaint2025-03-20 · HEALTHF0657Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has plan of correction · 2025-04-252025-03-20 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-09-182025-03-20 · FIREK0712Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-04-302023-11-16 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2023-12-282023-11-16 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-12-282023-11-16 · FIREK0916Severity C · widespread; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Correction field: Deficient, Provider has plan of correction · 2023-12-312023-01-19 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2023-02-142023-01-19 · FIREK0211Severity C · widespread; potential for minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2023-02-032023-01-19 · FIREK0522Severity C · widespread; potential for minimal harm
Services Deficiencies
Have an externally vented heating system.
Correction field: Deficient, Provider has date of correction · 2023-01-192023-01-19 · FIREK0712Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2023-02-0603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DOROS GENERATION TRUST U/A/D 1/3/12Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST43% · since 07/01/2019
- GPN FAMILY TRUST U/A/D 4/28/08Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST43% · since 07/01/2019
- OAKWAY OPERATIONS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST15% · since 07/01/2019
- LAKE NORDEN SD PROPERTY HOLDINGS, LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 07/01/2019
- TRUIST BANKOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 04/01/2022
- RAJCHENBACH, CHAIMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2019
- SHABAT, MENACHEMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2019
- TRUIST BANKOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2022
- DEVINE, WILLIAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2019
- GRIMM, MARGARETIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2019
- RAJCHENBACH, CHAIMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2019
- SHABAT, MENACHEMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2019
- DOROS GENERATION TRUST U/A/D 1/3/12Organization · ADP OF THE SNFNOT APPLICABLE · since 07/01/2019
- GPN FAMILY TRUST U/A/D 4/28/08Organization · ADP OF THE SNFNOT APPLICABLE · since 07/01/2019
- LAKE NORDEN SD PROPERTY HOLDINGS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/01/2019
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/01/2019
- RSM US LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2024
- DEVINE, WILLIAMIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/01/2019
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.23per resident day
RN hours0.78per resident day
Weekend nurse hours2.91per resident day
Staff turnover32.6%CMS reported field
06 / LOCAL RECORDS
Open the South Dakota ledger →Other published facilities nearby
No second facility in the same city met the directory rule.