South Dakota › Codington County › Watertown
Avantara Watertown
415 Fourth Ave Ne, Watertown, SD 57201
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avantara Watertown is a For-profit, limited liability company nursing home in Watertown, South Dakota, certified for 51 beds and caring for about 47 residents a day.
CMS gives it 1 of 5 stars overall, below the South Dakota median of 3; the health inspection rating is 1, staffing 3 and quality measures 2.
Inspectors recorded 32 health deficiencies across the three most recent survey cycles (26, 4, 2 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 62.7 per 100 beds, more than the state median of 23.9.
CMS lists 1 penalty in the period covered: fines totalling $6K.
Reported nurse staffing is 3.6 hours per resident per day (1.1 RN), close to the South Dakota median of 3.6; nursing staff turnover is 44.2%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Codington Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 32 | 32 | 16 | 28.7 |
| Citations per 100 beds | 62.7 | 62.7 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.7 | 3.6 | 3.9 |
| RN hours per resident day | 1.1 | 1.1 | 0.8 | 0.7 |
| Nursing staff turnover | 44.2% | 54.1% | 46.6% | 45.8% |
| Fines listed | $6,368 | $53,086 | $20,183 | — |
County and state figures are medians across facilities (2 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Apr 2026, 5 Dec 2024.
Severity mix: J ×1 K ×1 G ×2 D ×11 E ×13 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 1 Aug 2026 |
| 29 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 2 Jun 2026 |
| 29 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0760 | Ensure that residents are free from significant medication errors. | G | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0583 | Keep residents' personal and medical records private and confidential. | F | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 2 Jun 2026 |
| 29 Apr 2026 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 2 Jun 2026 |
| 29 Apr 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 2 Jun 2026 |
| 29 Apr 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint investigation | 2 Jun 2026 |
| 29 Apr 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 2 Jun 2026 |
| 29 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0700 | 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. | E | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 2 Jun 2026 |
| 29 Apr 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 2 Jun 2026 |
| 29 Apr 2026 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 2 Jun 2026 |
| 6 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 28 Feb 2025 |
| 5 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 6 Jan 2025 |
| 5 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 6 Jan 2025 |
| 5 Dec 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 6 Jan 2025 |
| 19 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 24 Apr 2024 |
| 28 Sep 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 6 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 6 Mar 2025 | Fine | $6,368 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 44.2%, RNs 27.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 31.6% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.7% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.9% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.9% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.5% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.3% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Watertown Sd Skilled Nursing Facility, Llc. Chain: Legacy Healthcare (89 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakway Operations LLC | 5% or greater direct ownership interest | 15% | 07/01/2019 |
| Truist Bank | 5% or greater security interest | NOT APPLICABLE | 04/01/2022 |
| Watertown Sd Property Holdings, LLC | 5% or greater security interest | NOT APPLICABLE | 07/01/2019 |
| Truist Bank | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| Legacy Healthcare Financial Services LLC | Adp of the snf | NOT APPLICABLE | 07/01/2019 |
| Rsm Us LLP | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
| Watertown Sd Property Holdings, LLC | Adp of the snf | NOT APPLICABLE | 07/01/2019 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Codington County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Jenkin'S Living Center | Watertown | 110 | 3 | 3 | 4 | 27 | 24.5 | $53K | 21 May 2026 |
All 2 facilities in Codington County
Questions and answers
How many deficiencies has Avantara Watertown been cited for?
32 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Avantara Watertown been fined?
Yes. CMS lists fines totalling $6K in the period covered.
How does staffing at Avantara Watertown compare?
Reported total nurse staffing is 3.6 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Avantara Watertown?
It is part of the Legacy Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Oakway Operations LLC and Truist Bank. Individual owners and managers are not listed on this site.
When was Avantara Watertown last inspected?
The most recent survey or investigation in the CMS record is dated 17 Jun 2026; the most recent standard health survey was 29 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.