Avantara Norton: Data Analysis and Ratings
CMS Five Star Rating(1 out of 5):
3600 SOUTH NORTON AVENUE SIOUX FALLS, SD 57105
605-338-9891
Data date: April 01, 2023
Get Monthly Updates for this Facility
CMS has identified this facility as either having actual cases of abuse or has decided that abuse is possible.
The Most Important Data about Avantara Norton
We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)
CMS has identified this facility as either having actual cases of abuse or has decided that abuse is possible.
CMS 5-Star Overall Rating:
(1 out of 5):
(The national average overall star rating is 3 stars.)
Current Trend: Worsening
Total Nursing Hours Spent Per Resident Per Day: 3.64
(The national average is 3.74 )
According to our analysis, Avantara Norton is ranked #15 out of 16 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Avantara Norton.
What is this page all about?
Below is everything shred of information that we can find about Avantara Norton, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.
General Data Card
These are the basic data points for the facility.
Data date: April 01, 2023
Address: 3600 SOUTH NORTON AVENUE
SIOUX FALLS, SD 57105
Phone: 605-338-9891
Ranking: Avantara Norton is ranked #8 out of 8 facilities within a 10 mile radius and #15 out of 16 facilities within a 25 mile radius.
Medicare Provider Number: 435039
Participating in Medicare Since: April 01, 1989
No. of Certified Beds: 102
No. of Residents: 84
Occupancy: 82.35 % (as of 05/21/2023 )
Amount fined in recent period: $86,480.55
Complaints filed: 9
Ratings History for Avantara Norton
Review of Avantara Norton Ratings and Inspection Scores
CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.
Ratings
Overall Rating | 1: |
Health Inspection Rating | 1: |
Quality Rating | 2: |
Staffing Rating | 2: |
Inspection Scores
Cycle 1 Score (as of October 04, 2022) | 314 |
Cycle 2 Score (as of September 30, 2021) | 162 |
Cycle 3 Score (as of October 17, 2019) | 176 |
Weighted All Cycles Score | 240 |
It has been 5 months since the most recent inspection.
What Goes Into the Nursing Home's 5-Star Rating
CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.
The rating system has five separate ratings including:
- Overall rating
- Health Inspection rating
- Staff rating
- RN Staffing rating
- Quality Measures rating
Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.
Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :
- Begin with the Health Inspection Rating
- Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
- Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
- Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
- Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.
Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)
Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.
Most Recent Nursing Home Inspections
CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for Avantara Norton including health, fire, and inspection control inspections:
Inspection Type | Inspection Date |
---|---|
Fire Safety Standard | September 28, 2022 |
Fire Safety Standard | September 28, 2021 |
Fire Safety Standard | October 16, 2019 |
Health Complaint | October 04, 2022 |
Health Complaint | April 06, 2022 |
Health Complaint | June 30, 2020 |
Health Standard | October 04, 2022 |
Health Standard | September 30, 2021 |
Health Standard | October 17, 2019 |
Infection Control | December 15, 2020 |
Infection Control | November 12, 2020 |
Infection Control | October 13, 2020 |
Infection Control | April 30, 2020 |
Owner and Operator Information for Avantara Norton
Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.
Business Entity Name:
NORTON SD SKILLED NURSING FACILITY LLC
Owners:
Managers and Directors:
- JEREMY KLINKHAMMER (MANAGING EMPLOYEE)
- LEGACY HEALTHCARE FINANCIAL SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL)
- MENACHEM SHABAT (OFFICER)
Analysis of Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Avantara Norton spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing homes spent per resident.
Type | Facility | State / National Avg |
---|---|---|
Registered Nurse (RN) | ||
Hours | 0.63 | 0.79 / 0.65 |
Case Mix | 0.36 | 0.31 / 0.39 |
Adjusted | 0.67 | NA / NA |
Licensed Practical Nurse (LPN) | ||
Hours | 0.52 | 0.46 / 0.88 |
Case Mix | 0.72 | NA / NA |
Adjusted | 0.54 | NA / NA |
Certified Nursing Assistants (CNA) | ||
Hours | 2.48 | 2.33 / 2.21 |
Case Mix | 1.88 | NA / NA |
Adjusted | 2.69 | NA / NA |
Total Licensed Staff | ||
Hours | 1.15 | 1.25 / 1.53 |
Physical Therapist (PT) | ||
Hours | 0.04 | 0.04 / 0.07 |
Total Nursing Homes Spent per Resident on Average | ||
Hours | 3.64 | 3.58 / 3.74 |
Case Mix | 2.96 | 2.94 / 3.16 |
Adjusted | 3.88 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
Desc. | Perc. | State Avg. / Comparison |
---|---|---|
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) | 12.5% |
17.7% Better |
Percentage of short-stay residents who had an outpatient emergency department visit (qm522) | 7.9% |
12.3% Better |
Number of hospitalizations per 1000 long-stay resident days (qm551) | 2.2% |
1.2% Worse |
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) | 1.2% |
0.9% Worse |
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) | 27.8% |
17.3% Worse |
Percentage of long-stay residents who lose too much weight (qm404) | 1.8% |
5.9% Better |
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) | 44.8% |
51.7% Better |
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) | 4.8% |
2.7% Worse |
Percentage of long-stay residents with a urinary tract infection (qm407) | 3.2% |
3.4% Better |
Percentage of long-stay residents who have depressive symptoms (qm408) | 8.1% |
5.8% Worse |
Percentage of long-stay residents who were physically restrained (qm409) | 0.0% |
0.1% Better |
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) | 8.0% |
5.4% Worse |
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) | 79.0% |
95.4% Worse |
Percentage of long-stay residents who received an antipsychotic medication (qm419) | 9.1% |
20.3% Better |
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) | 74.9% |
85.9% Worse |
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) | 0.5% |
1.8% Better |
Percentage of long-stay residents whose ability to move independently worsened (qm451) | 31.4% |
17.3% Worse |
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) | 12.3% |
14.8% Better |
Percentage of high risk long-stay residents with pressure ulcers (qm453) | 16.9% |
6.9% Worse |
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) | 88.0% |
97.4% Worse |
Percentage of short-stay residents who made improvements in function (qm471) | 56.3% |
82.0% Worse |
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) | 74.6% |
76.9% Worse |
Avantara Norton Violations, Complaints and Fines
These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.
Amount fined in recent period: $86,480.55, Complaints filed: 9
Deficiency | Deficiency Date / Date Corrected |
---|---|
Have stairways and smokeproof enclosures used as exits that meet safety requirements. (Fire Safety) | 10-16-2019 / 11-14-2019 |
Have exits that are accessible at all times. (Fire Safety) | 10-16-2019 / 11-14-2019 |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (Fire Safety) | 10-16-2019 / 11-14-2019 |
Install an approved automatic sprinkler system. (Fire Safety) | 10-16-2019 / 11-14-2019 |
Install corridor and hallway doors that block smoke. (Fire Safety) | 10-16-2019 / 11-14-2019 |
Meet requirements for the installation and maintenance of electrical systems. (Fire Safety) | 10-16-2019 / 11-14-2019 |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Health) | 10-17-2019 / 11-14-2019 |
Honor the resident's right to organize and participate in resident/family groups in the facility. (Health) | 10-17-2019 / 11-14-2019 |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Health) | 10-17-2019 / 11-14-2019 |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Health) | 10-17-2019 / 11-14-2019 |
Respond appropriately to all alleged violations. (Health) | 10-17-2019 / 11-14-2019 |
Ensure each resident receives an accurate assessment. (Health) | 10-17-2019 / 11-14-2019 |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Health) | 10-17-2019 / 11-14-2019 |
Ensure services provided by the nursing facility meet professional standards of quality. (Health) | 10-17-2019 / 11-14-2019 |
Provide activities to meet all resident's needs. (Health) | 10-17-2019 / 11-14-2019 |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 10-17-2019 / 11-14-2019 |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 10-17-2019 / 11-14-2019 |
Provide safe, appropriate dialysis care/services for a resident who requires such services. (Health) | 10-17-2019 / 11-14-2019 |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Health) | 10-17-2019 / 11-14-2019 |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Health) | 10-17-2019 / 11-14-2019 |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Health) | 10-17-2019 / 11-14-2019 |
Provide and implement an infection prevention and control program. (Health) | 10-17-2019 / 11-14-2019 |
Ensure services provided by the nursing facility meet professional standards of quality. (Health) | 06-30-2020 / 07-22-2020 |
Ensure that residents are free from significant medication errors. (Health) | 06-30-2020 / 07-22-2020 |
Keep aisles, corridors, and exits free of obstruction in case of emergency. (Fire Safety) | 09-28-2021 / 02-28-2022 |
Have properly located and lighted "Exit" signs. (Fire Safety) | 09-28-2021 / 10-29-2021 |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (Fire Safety) | 09-28-2021 / 02-28-2022 |
Install corridor and hallway doors that block smoke. (Fire Safety) | 09-28-2021 / 10-29-2021 |
Have generator or other power source capable of supplying service within 10 seconds. (Fire Safety) | 09-28-2021 / 10-02-2021 |
Reasonably accommodate the needs and preferences of each resident. (Health) | 09-30-2021 / 10-29-2021 |
Give residents a notice of rights, rules, services and charges. (Health) | 09-30-2021 / 10-29-2021 |
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. (Health) | 09-30-2021 / 10-29-2021 |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Health) | 09-30-2021 / 10-29-2021 |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 09-30-2021 / 10-29-2021 |
Ensure services provided by the nursing facility meet professional standards of quality. (Health) | 09-30-2021 / 10-29-2021 |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 09-30-2021 / 12-14-2021 |
Provide enough food/fluids to maintain a resident's health. (Health) | 09-30-2021 / 12-14-2021 |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. (Health) | 09-30-2021 / 10-29-2021 |
Post nurse staffing information every day. (Health) | 09-30-2021 / 10-29-2021 |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Health) | 09-30-2021 / 10-29-2021 |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 09-30-2021 / 10-29-2021 |
Provide and implement an infection prevention and control program. (Health) | 09-30-2021 / 10-29-2021 |
Establish an Emergency Preparedness Program (EP). (Fire Safety) | 09-30-2021 / 10-29-2021 |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 04-06-2022 / 05-05-2022 |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Health) | 04-06-2022 / 05-05-2022 |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (Fire Safety) | 09-28-2022 / 11-02-2022 |
Have properly located and lighted "Exit" signs. (Fire Safety) | 09-28-2022 / 11-02-2022 |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (Fire Safety) | 09-28-2022 / 11-02-2022 |
Inspect, test, and maintain automatic sprinkler systems. (Fire Safety) | 09-28-2022 / 11-02-2022 |
Have simulated fire drills held at unexpected times. (Fire Safety) | 09-28-2022 / 11-02-2022 |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. (Fire Safety) | 09-28-2022 / 11-02-2022 |
The resident has the right to receive notices in a format and a language he or she understands. (Health) | 10-04-2022 / 11-02-2022 |
Ensure services provided by the nursing facility meet professional standards of quality. (Health) | 10-04-2022 / 11-02-2022 |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Health) | 10-04-2022 / 11-02-2022 |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 10-04-2022 / 11-02-2022 |
Provide and implement an infection prevention and control program. (Health) | 10-04-2022 / 11-02-2022 |
Implement a program that monitors antibiotic use. (Health) | 10-04-2022 / 11-02-2022 |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Health) | 10-04-2022 / 11-02-2022 |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Health) | 10-04-2022 / 11-02-2022 |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 10-04-2022 / 11-02-2022 |
Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 10-04-2022 / 11-02-2022 |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 10-04-2022 / 11-02-2022 |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 10-04-2022 / 11-02-2022 |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 10-04-2022 / 11-02-2022 |
Provide enough food/fluids to maintain a resident's health. (Health) | 10-04-2022 / 11-02-2022 |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Health) | 10-04-2022 / 11-02-2022 |
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. (Health) | 10-04-2022 / 11-02-2022 |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Health) | 10-04-2022 / 11-02-2022 |
Hospitals Near Avantara Norton
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Avantara Norton.
This information is based on the most recent Hospital data. Historical data is not available.
Hospital | 5-Star Overall Rating |
---|---|
AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER 1325 S CLIFF AVE POST OFFICE BOX 5045 SIOUX FALLS, SD 57117 |
5 |
SANFORD USD MEDICAL CENTER 1305 W 18TH ST POST OFFICE BOX 5039 SIOUX FALLS, SD 57117 |
5 |
AVERA HEART HOSPITAL OF SOUTH DAKOTA 4500 W 69TH ST SIOUX FALLS, SD 57108 |
5 |
HEGG MEMORIAL HEALTH CENTER 1202 21ST AVENUE ROCK VALLEY, IA 51247 |
Not Available |
SIOUX FALLS SPECIALTY HOSPITAL 910 EAST 20TH STREET SIOUX FALLS, SD 57105 |
Not Available |
PIONEER MEMORIAL HOSPITAL - CAH 315 N WASHINGTON AVE POST OFFICE BOX 368 VIBORG, SD 57070 |
Not Available |
AVERA DELLS AREA HOSPITAL - CAH 909 N IOWA AVE DELL RAPIDS, SD 57022 |
Not Available |
SANFORD CANTON-INWOOD MEDICAL CENTER - CAH 440 NORTH HIAWATHA DRIVE CANTON, SD 57013 |
Not Available |
LIFESCAPE 2501 W 26TH ST SIOUX FALLS, SD 57105 |
Not Available |
Medical Professionals Associated with Avantara Norton
These are the doctors who are affiliated with Avantara Norton. The data is from the most recent period. Historical data is not available.
- JOSEPH REES ( INTERNAL MEDICINE - AVERA MCKENNAN )
- KERI ORSTAD ( FAMILY PRACTICE - SANFORD CLINIC )
Detailed Analysis Pages:
Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.
CMS Five Star Ratings and Quality Measures for Avantara Norton
Five different rating results plus detailed inspection numbers and quality measures for Avantara Norton.
Covid Infections at Avantara Norton
This report is updated weekly and shows new and historical infection levels.
Nursing Hours Analysis for Avantara Norton
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
Ownership Details for Avantara Norton
A list of all of the registered owners for Avantara Norton. This includes direct and indirect owners and managers.
Noted Deficiencies for Avantara Norton
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Comparison Ranking of Nearby Skilled Nursing Facilities
How does Avantara Norton compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.
Best Nursing Homes in SIOUX FALLS, SD
Homes that you should consider. A list ranking the best skilled nursing facilities in SIOUX FALLS based on their weighted inspection score as of April 01, 2023.
Worst Nursing Homes in SIOUX FALLS, SD
Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in SIOUX FALLS based on their weighted inspection score as of April 01, 2023.
Other Data Periods:
Data on Avantara Norton is available for the following periods: