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Complaint Investigation

Avantara Norton

December 30, 2025 · Sioux Falls, SD · 3600 South Norton Avenue
Citations 2
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 December 30, 2025.

Found 2 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.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Review of the provider's elopement drills that were first initiated on 7/31/25 through 11/27/25 and the 9/16/25 -9/17/25 Staff In-Service Sheets revealed that all staff were educated on the provider's elopement policy, the binders, and the residents who were currently at risk for elopement.

Review of the provider's elopement policy that was last revised on 5/14/25 revealed:*Policy-The facility must take steps to keep the resident safe and assess residents to identify those who are at risk for elopement.

Facility personnel must investigate all reports of missing residents.

Elopement drills should be conducted monthly. *Procedures-1.

Each resident will be evaluated upon admission to ascertain elopement risk.

Care plan interventions will be initiated based on results.

Elopement evaluations will be completed upon admission, readmission, significant change, and quarterly.

Additionally, the evaluation will be completed should a resident have an elopement.-2. It is the responsibility of all personnel to report any resident attempting to leave the premises or suspected of going missing to the charge nurse immediately. A resident who has been evaluated as safe for leave of absence (LOA) should have a physician's order and sign out before leaving the facility.- .4.

Upon return of the resident to the facility, the Director of Nursing or charge nurse should:--a.

Examine the resident for injuries.--b.

Contact the attending physician and report what happened.--c.

Contact the resident's representative and inform him/her of the incident.--d.

Complete an incident report in the Risk Management section of PointClickCare (PCC).--e.

Make appropriate notations in the resident's medical record and update the care plan.--f.

Complete the Elopement Risk Evaluation UDA.

  • The provider's 7/31/25 implemented actions to ensure the deficient practice does not reoccur was
  • confirmed on 12/30/25 after record review revealed the facility had followed their quality assurance process, education was provided to all staff regarding resident elopements, all staff were educated on elopements, interviews revealed staff understood the education provided regarding those topics, observations revealed that staff are present at the front entrance when residents are present to ensure safety, and review of the provider's weekly and monthly elopement drills, and follow up elopement risk assessments revealed substantial compliance.

Based on the above information, noncompliance at F-F689 occurred on 7/26/25 and 9/12/25, and the provider's 7/31/25 and 9/12/25 and implemented corrective actions for the deficient practice confirmed on 12/30/25.

The noncompliance is considered past noncompliance.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/30/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Avantara Norton

3600 South Norton Avenue Sioux Falls, SD 57105

SUMMARY STATEMENT OF DEFICIENCIES

Review of the provider's 11/18/25 Hot Liquid Safety policy revealed that staff should serve the hot beverages between 140 and 155 degrees.

Hot liquid temperatures should be taken and recorded at every meal and/or when prepared to ensure the temperature is within the above parameters before being served.15.

The provider's 12/19/25 implemented actions to ensure the deficient practice does not reoccur was confirmed on 12/30/25 after record review revealed the facility had followed their quality assurance process, education was provided to dietary staff regarding acceptable serving temperatures, all staff were educated on hot liquid safety, interviews revealed staff understood the education provided regarding those topics, observations revealed that the dietary staff appropriately adjusted the temperature of the food to ensure safety, and a review of the provider's follow-up monitoring process revealed substantial compliance.Based on the above information, noncompliance at F-F804 occurred on 12/19/25, and the provider's 12/19/25 implemented corrective actions for the deficient practice confirmed on 12/30/25, the noncompliance is considered past noncompliance.

Facility ID:

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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