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Complaint Investigation

Avantara Norton

April 10, 2025 · Sioux Falls, SD · 3600 South Norton Avenue
Citations 1
Beds 110
Provider ID 435039
Healthcare Facility
Avantara Norton
Sioux Falls, SD  ·  View full profile →
Inspection Summary

AVANTARA NORTON in SIOUX FALLS, SD — inspection on April 10, 2025.

Found 1 citation. 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.

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Inspection Findings

FF602
TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 50915 Some by not having ensured two of two sampled residents (1 and 2) had received their PRN (as needed) controlled affected

Based on record review, interview, and policy review, the provider failed to follow professional standards

(medications with risk for abuse and addiction) pain medications as ordered by the physician.

Findings include:

1.

Review of resident 1's electronic medical record (EMR) revealed his medication administration record (MAR) indicated:

*He had a physician's order for oxycodone (a controlled pain medication), 5 milligram (mg) tablet, Give 2 tablet[s] orally every 4 hours as needed for pain.

*On 2/17/25, he was given two oxycodone tablets by registered nurse (RN) E at 1:16 a.m., and two oxycodone tablets by licensed practical nurse (LPN) G at 2:12 a.m.

-Less than one hour had passed between those administrations.

*On 3/20/25, he was given one oxycodone tablet by certified medication aide (CMA) F at 4:37 p.m., and two oxycodone tablets by LPN H at 7:35 p.m.

-Less than three hours had passed between those administrations.

On 3/21/25, he was given two oxycodone tablets by LPN I at 5:26 p.m., and two oxycodone tablets by RN J by 7:23 p.m.

-Less than two hours had passed between those administration.

*All of those documented administrations were given before four hours had passed between administrations as ordered.

2.

Review of resident 2's EMR revealed her January 2025 MAR indicated:

*She had a physician's order for oxycodone, 5 milligram (mg) tablet.

Give 7.5 mg by mouth every 4 hours as needed for pain.

*On 1/3/25 at 1:28 a.m., RN E documented administering resident 2's PRN oxycodone.

-On 1/3/25 at 1:30 a.m., RN E documented administering her an additional dose of oxycodone.

*On 1/21/25 at 2:01 a.m., RN E documented administering resident 2's PRN oxycodone.

*On 1/21/25 at 5:00 a.m., RN E documented administering her an additional dose of oxycodone.

*All of those documented administrations were given before four hours had passed between administrations as ordered.

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 04/10/2025

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

Avantara Norton 3600 South Norton Avenue Sioux Falls, SD 57105

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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