Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
AVANTARA LAKE NORDEN
LAKE NORDEN, SD · 50 certified beds · Last Life Safety survey July 9, 2026
CMS Certification Number 435059 · first certified May 1991
Ownership
Operated by LEGACY HEALTHCARE · For profit - Limited Liability company
- Ownership changed July 1, 2019 (change of ownership)from LAKE NORDEN CARE AND REHABILITATION CENTER LLC
Position within SD
5 citations — more than 66% 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 on file averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens September 2027 — about 10 months from now. This facility’s last Life Safety survey was July 2026. Facilities in SD are typically surveyed 14–16 months after the last one (median 16), measured over 152 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 about three years in Virginia. How the window is measured
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Physical environment (health survey)
1 physical-environment citation 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 5 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 | 5 |
| Median facility in SD | 3 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| November 16, 2023 | 1 |
| March 20, 2025 | 2 |
| July 9, 2026 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2025-03-20 |
| 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 | 2026-07-09 |
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | 1 | 2023-11-16 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2025-03-20 |
| K-0293 | Have properly located and lighted "Exit" signs. | 1 | 2026-07-09 |
What the citations cover
- Smoke Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 1
- Egress Deficiencies 1
- Miscellaneous Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
| Egress Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 9, 2026 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (August 23, 2026) |
| 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 (August 23, 2026) |
March 20, 2025 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (September 18, 2025) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (April 30, 2025) |
November 16, 2023 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | Deficient, Provider has plan of correction (December 31, 2023) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.