17 1st St Sw, Watertown, SD 57201
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Avantara Watertown
Watertown, South DakotaMedicare inspection record
About Avantara Watertown
AVANTARA WATERTOWN brings skilled nursing and rehabilitation services to South Dakota families who want expert medical care combined with genuine personal attention. Our team focuses on helping residents regain strength and independence through compassionate, specialized treatment.
Community at a glance
Capacity
51 residents
Location
Watertown, SD
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
415 FOURTH AVE NE, Watertown, South Dakota 57201
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Avantara Watertown is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.
- Medicare flags Avantara Watertown for a citation related to abuse of residents in its recent inspections.
At its most recent standard inspection, on April 29, 2026, state inspectors cited 26 health deficiencies (the South Dakota average is 6.7).
Nurses and nurse aides spend 3 hours 34 minutes with each resident a day, below the South Dakota average of 3 hours 47 minutes.
Medicare fined Avantara Watertown 3 times in the last three years, $71,591 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 34 minutesBelow the South Dakota average |
| Registered nurse time per resident, per day | 1 hour 4 minutesAbove the South Dakota average |
| Nursing staff who left in the past year | 44%Below the South Dakota average |
1 administrator has left the home in the past year.
Inspections
31 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 17, 2026 · Complaint investigation · 1 citation
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jul 15, 2026
April 29, 2026 · Standard inspection · 23 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Jun 2, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 2, 2026Ensure that residents are free from significant medication errors.
Residents were harmed, a few residents (level G)Pharmacy ServiceCorrected Jun 2, 2026Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Jun 2, 2026Establish 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.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Jun 2, 2026Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Jun 2, 2026Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Jun 2, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 2, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 2, 2026Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jun 2, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 2, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jun 2, 2026Try 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.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jun 2, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 2, 2026Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 2, 2026Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 2, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 2, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 2, 2026Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 2, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 2, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 2, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 2, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 2, 2026
April 29, 2026 · Complaint investigation · 2 citations+
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jun 2, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 2, 2026
March 6, 2025 · Complaint investigation · 1 citation+
Ensure that residents are free from significant medication errors.
Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintAlready fixed by Feb 28, 2025
December 5, 2024 · Standard inspection · 3 citations+
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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jan 6, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jan 6, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jan 6, 2025
March 19, 2024 · Complaint investigation · 1 citation+
Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Apr 24, 2024
Fines and payment denials
3 fines totaling $71,591 in the last three years.
- April 29, 2026Fine: $37,845
- April 29, 2026Fine: $27,378
- March 6, 2025Fine: $6,368
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Watertown Sd Skilled Nursing Facility, LLC
- Medicare-certified beds
- 51
- Average residents per day
- 47
- Accepts
- Medicare and Medicaid
- First certified
- March 1, 1993
- Part of a chain
- Legacy Healthcare, 95 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 435068
Location
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415 FOURTH AVE NEWatertown, SD 57201
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220 S Maple, Watertown, SD 57201
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
Call for pricing
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Questions about Avantara Watertown
How did Avantara Watertown do on its last inspection?+
State inspectors visited on April 29, 2026 and cited 26 health deficiencies, 8 of them from complaint investigations. The South Dakota average is 6.7.
How much nursing care does each resident get at Avantara Watertown?+
Nurses and aides spend 3 hours 34 minutes with each resident per day, including 1 hour 4 minutes from registered nurses. 44% of nursing staff left over the past year.
Has Avantara Watertown been fined by Medicare?+
Yes. Medicare fined Avantara Watertown 3 times in the last three years, totaling $71,591.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.