CCN 435039 · Minnehaha County, South Dakota
Avantara Norton
3600 South Norton Avenue, Sioux Falls, SD 57105
Avantara Norton is a 110-bed for-profit nursing home in Sioux Falls, South Dakota, first certified for Medicare or Medicaid in 1989. CMS publishes no overall star rating for it in its September 2026 data. It averaged 97.8 residents a day, about 89% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 110
- Average residents per day
- 97.8 (88.9% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Norton Sd Skilled Nursing Facility LLC
- Certified since
- Apr 1, 1989
- Chain or affiliated group
- Legacy Healthcare (95 facilities, chain average 2.9 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | South Dakota median | US median |
|---|---|---|---|
| Overall rating | not rated | State spread: 19 at 1, 22 at 2, 18 at 3, 16 at 4, 19 at 5 | |
| Health inspections | not rated | ||
| Quality measures | not rated | ||
| Staffing | not rated | ||
| Total nurse hours per resident per day | 3.86 | 3.62 | 3.68 |
| RN hours per resident per day | 0.77 | 0.76 | 0.58 |
| Weekend nurse hours per resident per day | 3.45 | ||
| Nursing staff turnover | 55.7% | 46.6% | 44.9% |
| Occupancy (residents / beds) | 88.9% | 90.3% | 85.7% |
| Fines reported by CMS | 8 totaling $312,233 | ||
| Health deficiencies, latest standard survey | 21 (Mar 31, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Avantara Norton does not meet it today: no overall rating, no health inspection rating, the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12Organization | Direct Ownership Interest | 43% | 10/02/2019 |
| Gpn Family Trust U/a/D 4/28/08Organization | Direct Ownership Interest | 43% | 10/02/2019 |
| Oakway Operations LLCOrganization | Direct Ownership Interest | 15% | 10/02/2019 |
| Bokf,naOrganization | Security Interest | n/a | 03/04/2024 |
| Norton Sd Property Holdings, LLCOrganization | Security Interest | n/a | 10/02/2019 |
| Bokf,naOrganization | Operational / Managerial Control | n/a | 03/04/2024 |
| Legacy Healthcare Financial Services LLCOrganization | Operational / Managerial Control | n/a | 10/02/2019 |
| Nickel, AshleyIndividual | Operational / Managerial Control | n/a | 08/28/2022 |
| Rees, JosephIndividual | Operational / Managerial Control | n/a | 10/02/2019 |
| Shabat, MenachemIndividual | Operational / Managerial Control | n/a | 10/02/2019 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Oct 2, 2019 | Norton Sd Skilled Nursing Facility LLC | Health Quest Inc |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.