HomeSouth DakotaBrown CountyAVANTARA GROTON
B
Good

AVANTARA GROTON

1106 NORTH SECOND STREET · GROTON, SD 57445

6053972365 · For profit - Limited Liability company

37 beds38.2 residents56 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AVANTARA GROTON receives an overall staffing grade of B (Good). With 3.8213 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6422 HPRD, below the recommended 0.75. It is 0.07 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.33% compared to weekdays. The facility has low agency staff usage (2.69% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.6422 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (3)

Meets the CMS staffing benchmark (≥ 3.48 HPRD)
No days with zero registered nurse hours this quarter
Low agency staff usage (2.69%) — mostly permanent, familiar staff
Total Nurse HPRD
3.8213hrs/resident/day 0.07
CMS benchmark: 3.48
RN HPRD
0.6422hrs/resident/day 0.04
Recommended: 0.75
Weekend Drop-off
15.33%
3.9943 weekday → 3.3821 weekend
Agency Staff
2.69%
0.55% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.3035hrs/resident/day
Direct care aides
LPN HPRD
0.5621hrs/resident/day
Licensed practical nurses
Consistency
0.4174std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Brown County Average-0.01 HPRD
3.83
03.82 HPRD
vs. South Dakota State Average-0.01 HPRD
3.83
03.82 HPRD
vs. National Average-0.08 HPRD
3.90
03.82 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
AVANTARA GROTON
GROTON · This facility
B
3.82130.6422★★☆☆☆
Bethesda Home of Aberdeen
ABERDEEN
17.7 mi
B
3.68260.7355★★★★
Sun Dial Manor
BRISTOL
18.6 mi
C
3.29230.8619★★☆☆☆
Avera Mother Joseph Manor Retirement Community
ABERDEEN
18.6 mi
B
4.0180.9205★★★☆☆
PRAIRIE HEIGHTS HEALTHCARE
ABERDEEN
19.1 mi
C
3.6790.5076★★★★★
ABERDEEN HEALTH AND REHAB
ABERDEEN
20 mi
B
3.94740.7464★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
22
Total Deficiencies
$24,101
Fines Assessed
Dec 11, 2025Health
9 deficiencies cited
Nov 26, 2024Health
1 deficiency cited· Includes actual harm
Jul 31, 2024Health
3 deficiencies cited
Apr 14, 2023Health
9 deficiencies cited

Penalty History

Nov 26, 2024Fine
$8,018
May 30, 2023Fine
$3,846
May 15, 2023Fine
$3,147
May 8, 2023Fine
$2,797
Apr 17, 2023Fine
$6,293
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.