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ElderCareCosts
SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Avantara Watertown

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

6058868431

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1366008427. Look this up in the CMS NPPES registry (opens in a new tab)

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About Avantara Watertown

Avantara Watertown is a nursing home in Watertown, South Dakota, in Codington County. Public records list 51 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Legacy Healthcare. We hold 32 inspection citations for this listing, the most recent dated 29 April 2026. CMS also lists 1 fine or payment denial action against it. Reported staffing works out to 3.57 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.

Public record

CMS Care Compare · Source data August 2026

CMS designation

Special Focus Facility candidate (CMS)

CMS lists this nursing home on the monthly Special Focus Facility candidate list. Candidate status means the facility qualifies for possible selection into the Special Focus Facility program based on CMS criteria. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.

Source: CMS Provider Information.GOV

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

3.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

13

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

3.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

30

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

3.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

31

Inspection history (32)

Records from July 2022 to April 2026.

  • April 29, 2026 · D

    Citation F0552

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2026-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · D

    Citation F0554

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2026-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · D

    Citation F0759

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2026-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · K

    Citation F0689

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0689 (CMS scope/severity K: pattern, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · E

    Citation F0550

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · D

    Citation F0755

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · D

    Citation F0761

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · D

    Citation F0806

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0806 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. The deficiency was recorded as corrected on 2026-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · F

    Citation F0835

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0835 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · E

    Citation F0609

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0609 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · E

    Citation F0657

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2026-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · E

    Citation F0655

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0655 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · D

    Citation F0644

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2026-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · G

    Citation F0760

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0760 (CMS scope/severity G: isolated, actual harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2026-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · E

    Citation F0585

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · E

    Citation F0695

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0695 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2026-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · F

    Citation F0837

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0837 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · E

    Citation F0700

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0700 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

  • April 29, 2026 · J

    Citation F0600

    Federal surveyors cited this nursing home on 2026-04-29 under CMS tag F0600 (CMS scope/severity J: isolated, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2026-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-29.GOV

Penalties (1)

Total fines on file: $6,368

  • March 6, 2025 · Fine

    Citation FINE-100281

    CMS recorded a civil money penalty of $6,368 against this nursing home on 2025-03-06 (Fine ID: 100281). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-06.GOV

Staffing

Latest: 3.57 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q43.46 hrs/resident/day
  2. 2026-06-013.46 hrs/resident/day
  3. 2026-07-013.57 hrs/resident/day
  4. 2026-08-013.57 hrs/resident/day
  5. 2026Q13.57 hrs/resident/day

Most recent period is higher than 2025Q4 (+0.10 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

CMS Care Compare chain: Legacy Healthcare

Chain ID 306 · 89 facilities in chain (CMS)

  • Chain average overall rating: 2.9
  • Chain average health inspection rating: 2.8
  • Chain average staffing rating: 2.5
  • Chain average quality measure rating: 3.3

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. Parent organization: Legacy Healthcare Financial Services LLC

    parent · PAC 5799046132

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  5. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical SD range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · SD$9,444/mo
See full SD cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Watertown, with their own public records.

Compare side by side

A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.

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

Check availability and pricing at Avantara Watertown

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.