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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeSouth DakotaAvantara Watertown

Avantara Watertown

415 Fourth Ave Ne, Watertown, SD 572016058868431
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
4/5
Quality
2/5
Beds
51
certified
1 fine(s) totaling $8,278

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 51 certified beds with an average of 45.7 residents per day (90% occupancy)

• Last health inspection found 4 deficiencies (inspected Dec 5, 2024)

• Has been fined a total of $8,278 across 1 fine(s)

• Total nursing staff: 3.61 hours per resident per day

• Staff turnover rate: 38.8%

• Part of the Legacy Healthcare chain (90 facilities)

Avantara Watertown is a 3-star Medicare and Medicaid certified nursing home in Watertown, South Dakota with 51 certified beds. It has been operating since 1993. The facility scored at average compared to South Dakota facilities.

Beds
51
Avg Residents/Day
45.7
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
Dec 5, 2024
Deficiencies (Cycle 1)
4
Weighted Score
37.0
Infection Citations
0

Deficiency Citations (7)

F0760Actual Harm

Ensure that residents are free from significant medication errors.

Survey: Mar 6, 2025Corrected: 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: Dec 5, 2024Corrected: 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: Dec 5, 2024Corrected: 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: Dec 5, 2024Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Mar 19, 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: Sep 28, 2023Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Jul 20, 2022Corrected: NoCycle: 3
Total Fines
$8,278
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMar 6, 2025
$8,278

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

Nurse Aide2.18 hrs
National avg: 2.35 hrs
LPN0.27 hrs
National avg: 0.86 hrs
RN1.16 hrs
National avg: 0.68 hrs
Total Nursing3.61 hrs
National avg: 3.89 hrs
Weekend Total3.02 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
38.8%
RN Turnover
16.7%
Administrators Left
0

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (10)

NameRoleTypeOwnership %Since
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
GPN FAM TR UA 042820085% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
OAKWAY OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization15%Jul 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
TRUIST BANK5% OR GREATER SECURITY INTERESTOrganizationN/AApr 1, 2022
WATERTOWN SD PROPERTY HOLDINGS, LLC5% OR GREATER SECURITY INTERESTOrganizationN/AJul 1, 2019

Nearby Nursing Homes

All South Dakota facilities

Jenkin's Living Center

Watertown, SD · 110 beds

Non profit$53,086 in fines
Health
Staffing
Quality
3636 ft

Frequently Asked Questions

What is the CMS rating for Avantara Watertown?▾
Avantara Watertown has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 4/5, and quality measures rating of 2/5. This facility is rated average.
Has Avantara Watertown had any health inspection violations?▾
Avantara Watertown had 4 deficiency citations in its most recent health inspection (Dec 5, 2024). The facility has been fined a total of $8,278 across 1 fine(s).
What are the staffing levels at Avantara Watertown?▾
Avantara Watertown provides 3.61 total nursing staff hours per resident per day, including 1.16 RN hours, 0.27 LPN hours, and 2.18 nurse aide hours. The total staff turnover rate is 38.8%.
How many beds does Avantara Watertown have?▾
Avantara Watertown has 51 certified beds with an average of 45.7 residents per day, resulting in approximately 90% 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, there are 1 other nursing home in Watertown, South Dakota with an average rating of 2/5. You can compare all facilities on the Watertown nursing homes page.

Part of Legacy Healthcare

This chain operates 90 facilities. View all →