Nursing Homes · Medicare certified
Avantara Watertown
415 Fourth Ave NE · Watertown, SD 57201 · 51 certified beds
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About Avantara Watertown
Avantara Watertown is a nursing home in Watertown, South Dakota. Its capacity is 51 beds, above the South Dakota median of 50 for nursing homes. It is run by a for-profit operator and is part of Legacy Healthcare. It is Medicare certified. Its public inspection record shows 32 citations, the most recent on April 29, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.63 hours per resident per day. It is one of 2 nursing homes listed in Watertown. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
3.0Staffing
2.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (32)
Records from July 2022 to April 2026.
April 29, 2026
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.
April 29, 2026
Tag F0554Allow residents to self-administer drugs if determined clinically appropriate.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.
April 29, 2026
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.
April 29, 2026
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.
April 29, 2026
Tag F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.
April 29, 2026
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.
April 29, 2026
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.
April 29, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity K: pattern, immediate jeopardy.
April 29, 2026
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm.
April 29, 2026
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm.
April 29, 2026
Tag F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity F: widespread, no actual harm, potential for more than minimal harm.
April 29, 2026
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity E: pattern, no actual harm, potential for more than minimal harm.
April 29, 2026
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm.
April 29, 2026
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity E: pattern, no actual harm, potential for more than minimal harm.
April 29, 2026
Tag F0760Ensure that residents are free from significant medication errors.
Severity G: isolated, actual harm. Corrected June 2, 2026.
April 29, 2026
Tag F0585Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.
April 29, 2026
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.
April 29, 2026
Tag F0837Establish 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.
April 29, 2026
Tag F0700Try 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.
April 29, 2026
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity J: isolated, immediate jeopardy. Corrected June 2, 2026.
Penalties (3)
Total fines: $6,368
April 29, 2026 · Fine
CMS recorded a civil money penalty of $37,845 against this nursing home on April 29, 2026.
April 29, 2026 · Fine
CMS recorded a civil money penalty of $27,378 against this nursing home on April 29, 2026.
March 6, 2025 · Fine
CMS recorded a civil money penalty of $6,368 against this nursing home on March 6, 2025.
Staffing
3.63 nurse hours per resident per day in Q2 2026, up from 3.46 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Legacy Healthcare, a chain of 96 nursing homes.
Average CMS star ratings across the chain: 3.0 overall, 2.8 for health inspections, 2.7 for staffing, 3.5 for quality measures.
- Parent company: Legacy Healthcare Financial Services LLC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in South Dakota.
Nearby alternatives
Other licensed providers in Watertown.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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