Tuff Memorial Home
Scout 96Hills, MN · 48 beds
One of Hills's top-rated skilled nursing communities.
3600 South Norton Avenue, Sioux Falls, SD 57105 · Minnehaha County
Experience quality, personalized medical care at Avantara Norton. Our dedicated staff ensures exceptional service and VA contract acceptance.


Photos via google places, facility website.
Typically 90% full (99 of 110 beds occupied on an average day).
If this community is on your shortlist, checking current openings sooner rather than later genuinely matters here.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
Avantara Norton is a for-profit skilled nursing facility in Sioux Falls, SD, with 110 certified beds and an average of about 99 residents per day. It operates as part of the Legacy Healthcare network.
This community does not yet carry a Medicare overall star rating — often the case for newer facilities or those with a recent ownership change. We recommend requesting its most recent state survey directly.
Staff provide about 3.73 total nurse hours per resident each day (0.64 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 58.7%, higher than the ~52% national average. On the safety record, CMS notes 25 health deficiencies at its most recent standard survey, and 6 federal fines totaling $153,638 in the recent record. Note: CMS has flagged this facility with an abuse icon. We strongly recommend reviewing the full inspection report and discussing it on any tour. This facility is in the CMS Special Focus Facility program, which targets homes with a history of serious quality problems.
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $8,570–$10,510/mo (median $9,290) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local Sioux Falls prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
More nursing time per resident — and lower turnover — generally means more attentive care.
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
The most recent findings from federal health inspections (75 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide safe, appropriate pain management for a resident who requires such services.
Ensure that residents are free from significant medication errors.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure each resident receives an accurate assessment.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2025-03-05 | Fine | $51,376 |
| 2024-09-26 | Fine | $12,035 |
| 2024-07-17 | Fine | $12,035 |
| 2024-06-20 | Fine | $12,035 |
| 2024-03-13 | Fine | $37,557 |
| 2023-10-04 | Fine | $28,600 |
3600 South Norton Avenue, Sioux Falls, SD
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
No verified family reviews yet for Avantara Norton.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityAvantara Norton does not publish exact rates. Comparable skilled nursing in the Sioux Falls, SD area typically runs $8,570–$10,510 per month (median $9,290, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
Staff provide about 3.73 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 58.7% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
Avantara Norton has 75 health citations on its recent federal inspection record (last standard survey: 2026-03-31). The full citation-by-citation detail, with severity levels, is published on this page.
Typically 90% full (99 of 110 beds occupied on an average day). Availability changes weekly — a Haven advisor can confirm current openings at no cost.
Avantara Norton in Sioux Falls, SD offers skilled nursing and is licensed for 110 beds.
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
Hills, MN · 48 beds
One of Hills's top-rated skilled nursing communities.
Luverne, MN · 85 beds
One of Luverne's top-rated skilled nursing communities.
Sioux Falls, SD · 52 beds
One of Sioux Falls's top-rated skilled nursing communities.