C
Estelline Nursing and Care Center
59/100 score
0.45 hrs RN staffing
0 deficiencies
AVANTARA LAKE NORDEN
803 PARK STREET, LAKE NORDEN, SD 57248
Operator
DOROS GENERATION TRUST UAD 1312 · 73 facilities
- Provider number (CCN)
- 435059
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified beds
- 50
- Phone
- (605) 785-3654
- CMS data as of
- July 1, 2026
B
What the records show
CMS rates AVANTARA LAKE NORDEN 5 out of 5 stars overall, with 4 of 5 for health inspections, 4 of 5 for staffing, 5 of 5 for quality measures. Federal inspectors cited 6 health deficiencies across the last three survey cycles, most recently surveyed in 2025, 2 at actual-harm level or higher, 1 still recorded as uncorrected. CMS lists no fines or payment denials for this facility in the covered period.
Facility Assessment
1 federal violation at this facility remains unresolved. Inspectors recorded 2 citations at the actual-harm level or worse in the last three survey cycles.
Reviews, Ratings and Official Records
This page reviews AVANTARA LAKE NORDEN using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
At or above the 2024 benchmark — above average inspection record.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.78 — At or above the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
6
Outstanding
1
Actual harm or worse (G–L)
2
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★★ (5/5)
Health inspection: ★★★★☆ (4/5)
Quality: ★★★★★ (5/5)
Staffing: ★★★★☆ (4/5)
|
|
NursingHomeGrade Score
|
79/100 |
Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.78 hrs |
|---|---|
| SD median | 0.76 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 12.5% · Total nursing staff turnover: 32.6%
Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: March 20, 2025.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from January 19, 2023 to February 19, 2026.
Source records: CMS Care Compare profile for provider 435059 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
1 immediate jeopardy, 1 actual harm issues found among 6 total deficiencies. 5 corrected. — 1 still outstanding
Most recent inspection (February 19, 2026)
B
No harm — pattern
F0657
Status: Outstanding — Plan Filed
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has plan of correction, corrected April 25, 2025
J
Immediate jeopardy — isolated
F0803
Status: Corrected
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 Deficiencies — Past Non-Compliance, corrected February 11, 2026
E
Potential harm — pattern
F0760
Status: Corrected
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected April 1, 2026
Inspection cycle 2 (November 16, 2023)
E
Potential harm — pattern
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected December 28, 2023
D
Potential harm — isolated
F0658
Status: Corrected
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected December 28, 2023
Inspection cycle 3 (January 19, 2023)
G
Actual harm — isolated
F0686
Status: Corrected
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected February 14, 2023
Fines and Enforcement Actions
CMS lists no fines and no payment denials for AVANTARA LAKE NORDEN in the enforcement records covering the last three years, as published in the file processed July 1, 2026.
Ownership and Contact Information
- Facility name
- AVANTARA LAKE NORDEN
- Legal business name
- LAKE NORDEN SD SKILLED NURSING FACILITY, LLC
- Address
- 803 PARK STREET, LAKE NORDEN, SD 57248
- Phone
- (605) 785-3654
- Provider number (CCN)
- 435059
- Ownership type
- For profit - Limited Liability company
- Operator
- DOROS GENERATION TRUST UAD 1312 · 73 facilities
- Medicare/Medicaid certified since
- May 1, 1991
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- July 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in LAKE NORDEN
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0.59 hrs RN staffing
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Sources and Methodology
- CMS Provider Information (file processed July 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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