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Complaint Investigation

Avantara Norton

June 20, 2024 · Sioux Falls, SD · 3600 South Norton Avenue
Citations 4
Beds 110
Provider ID 435039
Healthcare Facility
Avantara Norton
Sioux Falls, SD  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

AVANTARA NORTON in SIOUX FALLS, SD — inspection on June 20, 2024.

Found 4 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise

Based on the above information, non-compliance at F-F550 occurred on 5/27/24 when resident 1's right to refuse a shower was not honored when staff gave her a shower after she verbalized she did not want to take a shower, and her previously care planned preferences for showering and bathing were not followed.

Based on the provider's implemented corrective actions the deficient practice confirmed during the survey from 6/19/24 to 6/20/24, the non-compliance is considered past non-compliance.

435039 06/20/2024

Avantara Norton 3600 South Norton Avenue Sioux Falls, SD 57105

Based on the above information, non-compliance at F-F609 occurred on 5/27/24 when the allegations of abuse were not immediately reported to the administrator or designee, and based on the provider's implemented corrective actions the deficient practice confirmed during the survey from 6/19/24 to 6/20/24, the non-compliance is considered past non-compliance.

Review of the SD DOH FRI submitted on 5/28/24 at 11:22 a.m. revealed:

*A written grievance form was reviewed by the administrator on 5/28/24.

*Resident 1 reported that certified nurse aide (CNA) E was rough with her on the morning of 5/27/24.

*She reported that CNA E forced her to wake up at 7:10AM and demanded she take a shower because she urinated on herself, and grabbed her by the arms and pushed her down into the chair.

2.

Interview on 6/20/24 at 12:29 a.m. with administrator A and DON B regarding the incident between resident 1 and CNA E revealed:

*It was their expectation to have been notified immediately regarding any potential abuse or neglect situations.

*Administrator A was notified of the situation through a grievance form on 5/28/24.

*She immediately suspended the CNA pending the investigation and spoke with resident 1 regarding the incident.

*She spoke with CNA E to obtain her side of the story.

*As part of the investigation, she:

-Interviewed other residents on the rehab unit to learn if there were any other resident concerns.

-Interviewed staff to learn about their involvement.

-Informed the director of therapy of the situation so she could educate therapy staff about what to report, when to report, and who to report to.

-Reeducated staff from all departments about the provider's abuse and neglect policy and expectations for reporting.

435039

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 435039 B.

Wing 06/20/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Avantara Norton 3600 South Norton Avenue Sioux Falls, SD 57105

F-F609 occurred on 5/27/24 when the allegations of abuse were not immediately reported to the administrator or designee, and based on the provider's implemented corrective actions the deficient practice confirmed during the survey from 6/19/24 to 6/20/24, the non-compliance is considered past non-compliance.

435039

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SIOUX FALLS, SD, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AVANTARA NORTON or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.