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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 F0865

    Have a plan that describes the process for conducting QAPI and QAA activities.

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

  • April 29, 2026

    Tag F0605

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

  • April 29, 2026

    Tag F0628

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

  • April 29, 2026

    Tag F0583

    Keep residents' personal and medical records private and confidential.

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

  • April 29, 2026

    Tag F0641

    Ensure each resident receives an accurate assessment.

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

  • March 6, 2025

    Tag F0760

    Ensure that residents are free from significant medication errors.

    Severity G: isolated, actual harm. Corrected February 28, 2025.

  • December 5, 2024

    Tag F0755

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 6, 2025.

  • December 5, 2024

    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. Corrected January 6, 2025.

  • December 5, 2024

    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 E: pattern, no actual harm, potential for more than minimal harm. Corrected January 6, 2025.

  • March 19, 2024

    Tag F0677

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 24, 2024.

  • September 28, 2023

    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 E: pattern, no actual harm, potential for more than minimal harm. Corrected November 6, 2023.

  • July 20, 2022

    Tag F0584

    Honor 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 19, 2022.

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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