Nursing home report card · Groton, SD
Avantara Groton
1106 North Second Street, Groton, SD 57445
Call this home: (605) 397-2365
View this home on Medicare.gov ↗
Quick summary
Below-average Medicare rating
Overall rating is 2 of 5 stars. Its health-inspection rating is 3 of 5. Read the dated inspection findings and separate staffing and care ratings below.
Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.
How recent is this information?
- Medicare file prepared
- Aug 1, 2026
- Our record last updated
- Oct 15, 2026
- Last routine health inspection
- Dec 11, 2025
These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.
Medicare ratings
One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.
Combines inspection, staffing, and care measures.
Below-average Medicare rating
Based on problems found during health inspections.
About average for U.S. nursing homes
Based on staffing levels and related measures.
About average for U.S. nursing homes
Based on reported health and care results.
Among the lowest Medicare ratings
What do the ratings and warnings mean?
- Medicare ratings
- One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
- Inspection problems
- Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
- Abuse warning
- Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
- Nursing staff time
- Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.
At a glance
These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.
Care, safety, and resident-rights issues on recent inspections
Building, alarms, exits, and related safety citations
Total fine amounts in the imported penalty records
Medicare home ID: 435048
Inspection findings to read first
Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.
Caused actual harm · isolated case
Nov 26, 2024 · Inspection rule 0578
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.
Could have caused harm · widespread case
Dec 11, 2025 · Inspection rule 0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Could have caused harm · isolated case
Dec 11, 2025 · Inspection rule 0578
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.
Nursing staff time
These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.
about 37 minutes per resident per day
about 3 hr 43 min per resident per day
about 23 minutes per resident per day
Latest inspection summary
A summary of the most recent routine inspections. You can open the dated findings below.
We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.
How this home compares
Compared with state and national averages. The numbers may cover different periods.
- Overall CMS rating: 2 stars
- Health inspection rating: 3 stars
- Staffing rating: 3 stars
- Registered nurse time per resident: 0.62 hours/day
- Total nurse time per resident: 3.72 hours/day
See the dates used for these averages
Medicare file dates: this home Aug 1, 2026; South Dakota averages Unavailable; U.S. averages Oct 1, 2026.
Other concerns in the records
These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.
- Overall star rating is 2 or lower
- Recent citations include infection-control problems
- Inspectors have listed an unusually high number of problems
- CMS has fined this home in the recent reporting period
How serious were the problems?
Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.
- Caused actual harm1 citation
- Could have caused harm21 citations
Why inspectors showed up
Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.
- Complaints
- 0
- Routine
- 22
- Fire safety
- 0
- Other
- 0
Who owns it
Names CMS lists as owners or managers · reported as For profit - Limited Liability company.
- We do not have individual owner names for this home.
Other homes in this group: All Legacy Healthcare nursing homes
Inspection history
Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.
December 11, 20259 findings
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0578 · code D
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 Assessment and Care Planning problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0655 · code F
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 problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0641 · code E
Ensure each resident receives an accurate assessment.
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0761 · code E
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.
- Infection Control problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0880 · code E
Provide and implement an infection prevention and control program.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0700 · code D
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 r…
- Nutrition and Dietary problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0803 · code D
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 problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0812 · code D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
November 26, 20241 finding
- Resident Rights problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0578 · code G
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.
July 31, 20243 findings
- Resident Assessment and Care Planning problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0657 · code E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0759 · code E
Ensure medication error rates are not 5 percent or greater.
- Infection Control problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0880 · code E
Provide and implement an infection prevention and control program.
April 14, 20239 findings
- Resident Assessment and Care Planning problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0636 · code E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- Resident Assessment and Care Planning problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0655 · code E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0761 · code E
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.
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0550 · code D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0561 · code D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0559 · code D
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 Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0756 · code D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Infection Control problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0883 · code D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Fines & penalties
These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.
- Fine · Nov 26, 2024$6,168
Other homes in this chain
Legacy Healthcare · other locations in South Dakota
- Avantara Arrowhead · Rapid City1 of 5 · 45 problems
- Avantara Milbank · Milbank1 of 5 · 30 problems
- Avantara Saint Cloud · Rapid City1 of 5 · 17 problems
- Avantara Watertown · Watertown1 of 5 · 32 problems
- Avantara Redfield · Redfield2 of 5 · 17 problems
- Avantara Pierre · Pierre2 of 5 · 36 problems
- Avantara Mountain View · Rapid City2 of 5 · 22 problems
- Avantara Huron · Huron2 of 5 · 22 problems
Related topics
Questions about Avantara Groton
What is Avantara Groton's Medicare star rating?
Has Avantara Groton been fined?
Does Avantara Groton have a Medicare abuse warning?
How does Avantara Groton compare with other nursing homes in South Dakota?
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