Provider Name: AVANTARA LAKE NORDEN
Address: 803 PARK STREET, LAKE NORDEN, SD 57248
Phone: (605) 785-3654
County: Hamlin (280)
Ownership Type: For profit - Limited Liability company
Certified Beds: 48
Average Residents Per Day: 44.1 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: LAKE NORDEN SD SKILLED NURSING FACILITY, LLC
First Approved Date: May 1, 1991
Affiliated Entity: LEGACY HEALTHCARE (306)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 2 ()
Health Inspection Rating: 3 ()
QM Rating: 1 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 1 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.00537, LPN Staff Hours Per Day: 0.3977, RN Staff Hours Per Day: 0.7645, Licensed Staff Hours Per Day: 1.1623
Total Nurse Staff Hours Per Day, per resident: 3.16767
Weekend Nurse Staff Hours: 2.87489, Weekend RN Staff Hours: 0.3776
PT Staff Hours Per Day, per resident: 0.0341
Nurse Staff Turnover: 57.4, Nurse Turnover Note:
RN Turnover: 50.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.8874, Case Mix LPN Hours Per Day: 0.6773, Case Mix RN Hours Per Day: 0.3103
Adjusted Nurse Aide Hours Per Day, per resident: 2.16457, Adjusted LPN Hours Per Day: 0.4333, Adjusted RN Hours Per Day: 0.9282
Total Adjusted Nurse Hours Per Day, per resident: 3.47281
Adjusted Weekend Nurse Hours Per Day, per resident: 3.15183
Health Survey Dates and Scores: Cycle 1: 2023-11-16 (Score: 12), Cycle 2: 2023-01-19 (Score: 20), Cycle 3: 2021-06-16 (Score: 8)
Total Weighted Health Score: 14.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 10647.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 803 PARK STREET,LAKE NORDEN,SD,57248 (44.5832, -97.212)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-12-28
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-12-28
Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-02-14
Type: Health, Deficiency: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-05
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0916, Version: New
Description: Have a battery powered remote alarm panel in a location accessible by operating personnel.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2023-12-31
Type: Fire Safety, Tag: 0211, Version: New
Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-02-03
Type: Fire Safety, Tag: 0522, Version: New
Description: Have an externally vented heating system.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-01-19
Type: Fire Safety, Tag: 0712, Version: New
Description: Have simulated fire drills held at unexpected times.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-02-06
Type: Fire Safety, Tag: 0211, Version: New
Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-09