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Nursing Homes · Medicare certified

Avantara Watertown

415 Fourth Ave NE · Watertown, SD 57201 · 51 certified beds

(605) 886-8431

NPI 1366008427 (opens in a new tab)

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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

3.0

Staffing

2.0

Quality measures

3.0

CMS Care Compare, October 2026.

Inspection history (32)

Records from July 2022 to April 2026.

  • April 29, 2026

    Tag F0552

    Ensure 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 F0554

    Allow 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 F0644

    Coordinate 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 F0658

    Ensure 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 F0806

    Ensure 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 F0759

    Ensure 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 F0761

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.

  • April 29, 2026

    Tag F0689

    Ensure 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 F0550

    Honor 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 F0755

    Provide 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 F0835

    Administer 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 F0609

    Timely 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 F0657

    Develop 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 F0655

    Create 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 F0760

    Ensure that residents are free from significant medication errors.

    Severity G: isolated, actual harm. Corrected June 2, 2026.

  • April 29, 2026

    Tag F0585

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.

  • April 29, 2026

    Tag F0695

    Provide 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 F0837

    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.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.

  • April 29, 2026

    Tag F0700

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 2, 2026.

  • April 29, 2026

    Tag F0600

    Protect 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.

See the source data on data.cms.gov (opens in a new tab)

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.

See the source data on data.cms.gov (opens in a new tab)

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.

Nursing Homes

South Dakota median$9,444/mo

Nearby alternatives

Other licensed providers in Watertown.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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