Nursing HomeInspections

Avantara Watertown

Nursing home in Watertown, SD

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
415 Fourth Ave Ne, Watertown, SD 57201
Phone
(605) 886-8431
Listed under
For-profit
Medicare CCN
435068
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
51
Average residents per day
46
Ownership
For-profit, limited Liability company
Legal business name
Watertown Sd Skilled Nursing Facility, LLC
Chain
Legacy Healthcare (96 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 1, 1993
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 435068. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Dec 5, 2024. CMS lists 8 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 20, 2022 to Jun 17, 2026): 4 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 17, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 6, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		G
Actual harm, isolated
Dec 5, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		E
Potential for more than minimal harm, pattern
Dec 5, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Dec 5, 2024Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Mar 19, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Sep 28, 2023Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jul 20, 2022Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $71,591 in the last three years.

Apr 29, 2026Fine: $27,378
Apr 29, 2026Fine: $37,845
Mar 6, 2025Fine: $6,368

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.63 hours
Registered nurse (RN) time per resident per day
1.04 hours
Nurse aide time per resident per day
2.14 hours
Total nurse staffing on weekends
3.14 hours
Nursing staff turnover (yearly)
54%
RN turnover (yearly)
57%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Watertown

Jenkin's Living Center215 South Maple Street · Watertown, SD 57201 · (605) 886-5777 · Nonprofit27 health citations in 3 inspection cycles · last standard inspection May 21, 2026 · $43,771 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

All 2 in Watertown →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error