NursingHomes.us
StatesRankingsCompare
NursingHomes.us

Independent nursing-home comparison using official CMS data. Not affiliated with the U.S. government.

Browse

  • All States
  • Rankings
  • Compare
  • Guides

Data

  • Nursing Home Chains
  • Inspection Codes
  • Data Sources

About

  • About Us
  • Contact
  • Privacy Policy
  • Terms of Use
© 2026 NursingHomes.us. All data from CMS.gov.
HomeSouth DakotaAvantara Watertown

Avantara Watertown

415 Fourth Ave Ne, Watertown, SD 572016058868431WebsiteGoogle Maps
4.5on Google(10 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
3/5
Quality
2/5
Beds
51
certified
This facility has been flagged for abuse.
Special Focus Facility: SFF Candidate
1 fine(s) totaling $6,368

How Avantara Watertown Compares in South Dakota

Facility results compared with averages for CMS-certified nursing homes in South Dakota. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
SD average
2.9/5
Below state average
Health inspection rating
1/5
SD average
2.8/5
Below state average
Staffing rating
3/5
SD average
3.6/5
Below state average
Nursing hours per resident
3.57 hrs/day
SD average
3.81 hrs/day
Below state average
RN hours per resident
1.06 hrs/day
SD average
0.80 hrs/day
Above state average
Staff turnover
44.2%
SD average
48.2%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the South Dakota average of 2.9/5.
Its 1/5 health inspection rating is below the South Dakota average of 2.8/5.
Reported RN time is 1.06 hours per resident per day, above the state average of 0.80.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
5
deficiency citations
Inspected Dec 5, 2024
Most recent cycle
25
deficiency citations
Inspected Apr 29, 2026
The most recent cycle recorded 20 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,122/mo
South Dakota median
Private Room
$9,429/mo
South Dakota median
Codington County 65+
5,229
18.4% of county
County Population
28,402
Codington County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Avantara Watertown is a 1-star Medicare and Medicaid certified nursing home in Watertown, South Dakota with 51 certified beds. It has been operating since 1993. Its overall CMS rating is 1 out of 5.

Beds
51
Avg Residents/Day
46.6
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 1, 1993
Sprinklers
Yes
Council
Resident
County
Codington
Last Inspection
Apr 29, 2026
Deficiencies (Cycle 1)
25
Weighted Score
301.0
Infection Citations
0

Deficiency Citations (31)

F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0760Actual Harm

Ensure that residents are free from significant medication errors.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0835Potential for Harm

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0837Potential for Harm

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.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0585Potential for Harm

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.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0700Potential for Harm

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.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Apr 29, 2026Corrected: NoCycle: 1
F0760Actual Harm

Ensure that residents are free from significant medication errors.

Survey: Mar 6, 2025Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Dec 5, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 5, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Dec 5, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Mar 19, 2024Corrected: NoCycle: 3

+ 1 more deficiencies

Total Fines
$6,368
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMar 6, 2025
$6,368

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.09 hrs
National avg: 2.32 hrs
LPN0.42 hrs
National avg: 0.86 hrs
RN1.06 hrs
National avg: 0.69 hrs
Total Nursing3.57 hrs
National avg: 3.86 hrs
Weekend Total2.87 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
44.2%
RN Turnover
27.3%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (21)

NameRoleTypeOwnership %Since
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
GPN FAMILY TRUST U/A/D 4/28/085% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
OAKWAY OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization15%Jul 1, 2019
TRUIST BANK5% OR GREATER SECURITY INTERESTOrganizationN/AApr 1, 2022
WATERTOWN SD PROPERTY HOLDINGS, LLC5% OR GREATER SECURITY INTERESTOrganizationN/AJul 1, 2019
RAJCHENBACH, CHAIMMANAGING CONTROL - GOVERNING BODYIndividualN/AJul 1, 2019
SHABAT, MENACHEMMANAGING CONTROL - GOVERNING BODYIndividualN/AJul 1, 2019
TRUIST BANKOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
RAJCHENBACH, CHAIMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2019
SHABAT, MENACHEMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2019
SHIVES, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2019
SPEIER, LYNNAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025
DOROS GENERATION TRUST U/A/D 1/3/12ADP OF THE SNFOrganizationN/AJul 1, 2019
GPN FAMILY TRUST U/A/D 4/28/08ADP OF THE SNFOrganizationN/AJul 1, 2019
LEGACY HEALTHCARE FINANCIAL SERVICES LLCADP OF THE SNFOrganizationN/AJul 1, 2019
RSM US LLPADP OF THE SNFOrganizationN/AJan 1, 2024
WATERTOWN SD PROPERTY HOLDINGS, LLCADP OF THE SNFOrganizationN/AJul 1, 2019
RAJCHENBACH, CHAIMADP OF THE SNFIndividualN/AJul 1, 2019
SHABAT, MENACHEMADP OF THE SNFIndividualN/AJul 1, 2019
SHIVES, AARONADP OF THE SNFIndividualN/AJul 1, 2019
SPEIER, LYNNAADP OF THE SNFIndividualN/AOct 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Avantara Watertown and nearby alternatives.

All South Dakota facilities
Avantara Watertown
Watertown, SDCurrent facilityAbuse flag
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $6,368
Jenkin's Living Center
Watertown, SD3,696 ft
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: $53,086
Estelline Nursing and Care Center
Estelline, SD20.9 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $16,826
Avantara Lake Norden
Lake Norden, SD22.9 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: None
Avantara Clark City
Clark, SD30.9 mi
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: $11,057
Avantara Milbank
Milbank, SD31.1 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $55,361
St William's Care Center
Milbank, SD32.0 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $146,129
FacilityDistanceCMSHealthStaffingRecorded fines
Avantara Watertown
Watertown, SD · Current facility
—1/51/53/5$6,368
Jenkin's Living Center
Watertown, SD
3,696 ft3/53/54/5$53,086
Estelline Nursing and Care Center
Estelline, SD
20.9 mi2/53/51/5$16,826
Avantara Lake Norden
Lake Norden, SD
22.9 mi5/54/54/5None recorded
Avantara Clark City
Clark, SD
30.9 mi4/54/52/5$11,057
Avantara Milbank
Milbank, SD
31.1 mi1/51/52/5$55,361
St William's Care Center
Milbank, SD
32.0 mi2/52/53/5$146,129

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Avantara Watertown?▾
Avantara Watertown has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Avantara Watertown cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in South Dakota is $8,122/month for a semi-private room and $9,429/month for a private room (Genworth/CareScout 2024). Avantara Watertown participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Avantara Watertown had any health inspection violations?▾
Avantara Watertown had 25 deficiency citations in its most recent health inspection (Apr 29, 2026). The current CMS dataset records 1 fine(s) totaling $6,368.
What are the staffing levels at Avantara Watertown?▾
Avantara Watertown provides 3.57 total nursing staff hours per resident per day, including 1.06 RN hours, 0.42 LPN hours, and 2.09 nurse aide hours. The total staff turnover rate is 44.2%.
How many beds does Avantara Watertown have?▾
Avantara Watertown has 51 certified beds with an average of 46.6 residents per day, resulting in approximately 91% occupancy. The facility is For profit - Limited Liability company owned and is part of the Legacy Healthcare chain.
Are there other nursing homes near Avantara Watertown?▾
Yes. This page lists 6 nearby nursing homes in South Dakota, including 1 in Watertown. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Avantara Watertown?▾
On Google Maps, Avantara Watertown has a rating of 4.5 out of 5 based on 10 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Legacy Healthcare

This chain operates 89 facilities. View all →