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C
Below Standard

AVANTARA LAKE NORDEN

803 PARK STREET · LAKE NORDEN, SD 57248

6057853654 · For profit - Limited Liability company

48 beds46.6 residents87 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AVANTARA LAKE NORDEN receives an overall staffing grade of C (Below Standard). With 3.2152 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.68 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.44% compared to weekdays. The facility uses a moderate level of agency staff (8.66% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2152 HPRD — needs 0.26 more hours per resident per day.

✨ Strengths (3)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.2152hrs/resident/day▼ 0.68
CMS benchmark: 3.48
RN HPRD
0.7784hrs/resident/day▲ 0.10
Recommended: 0.75
Weekend Drop-off
15.44%
3.3619 weekday → 2.8428 weekend
Agency Staff
8.66%
3.47% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1028hrs/resident/day
Direct care aides
LPN HPRD
0.3278hrs/resident/day
Licensed practical nurses
Consistency
0.298std 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. Hamlin County Average-0.00 HPRD
3.22
03.22 HPRD
vs. South Dakota State Average-0.61 HPRD
3.83
03.22 HPRD
vs. National Average-0.68 HPRD
3.90
03.22 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 LAKE NORDEN ★
LAKE NORDEN · This facility
—
C
3.21520.7784★★★★★
Estelline Nursing and Care Center
ESTELLINE
12.7 mi
C
3.21810.7337★★★★☆
GOOD SAMARITAN SOCIETY DE SMET
DE SMET
21.6 mi
B
3.48251.0598★★☆☆☆
JENKIN'S LIVING CENTER
WATERTOWN
22.2 mi
B
3.5490.695★☆☆☆☆
AVANTARA WATERTOWN
WATERTOWN
22.9 mi
B
3.61551.158★★★☆☆
UNITED LIVING COMMUNITY
BROOKINGS
27.5 mi
C
4.67430.454★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
4
Total Deficiencies
$0
Fines Assessed
Mar 20, 2025Health
1 deficiency cited
▼
Nov 16, 2023Health
2 deficiencies cited
▼
Jan 19, 2023Health
1 deficiency cited· Includes actual harm
▼
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.