Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
AVANTARA GROTON
GROTON, SD · 37 certified beds · Last Life Safety survey December 11, 2025
CMS Certification Number 435048 · first certified January 1991
Ownership
Operated by LEGACY HEALTHCARE · For profit - Limited Liability company
- Ownership changed July 1, 2019 (change of ownership)from GROTON CARE AND REHABILITATION CENTER LLC
Position within SD
6 citations — more than 73% of the 96 certified nursing homes in SD. Compared within SD rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 2 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens February 2027 — about 5 months from now. This facility’s last Life Safety survey was December 2025. Facilities in SD are typically surveyed 15–16 months after the last one (median 16), measured over 136 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
Get an email about AVANTARA GROTON
One email when it happens. No account; stop it any time with one click.
Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in SD, and nationally. Surveyors differ markedly between states, so the SD figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 6 |
| Median facility in SD | 3 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| April 14, 2023 | 2 |
| July 31, 2024 | 2 |
| December 11, 2025 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | 2 | 2025-12-11 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2024-07-31 |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 1 | 2024-07-31 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2025-12-11 |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 1 | 2023-04-14 |
What the citations cover
- Smoke Deficiencies 3
- Egress Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 3 |
| Egress Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
December 11, 2025 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Deficient, Provider has date of correction (January 29, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (January 29, 2026) |
July 31, 2024 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (August 1, 2024) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (August 27, 2024) |
April 14, 2023 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Deficient, Provider has date of correction (May 23, 2023) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (April 15, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.