Avantara Watertown
Nursing Home · Watertown, SD
CMS certification number435068
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
415 Fourth Ave NEWatertown, SD 57201
Codington County
- Phone
- (605) 886-8431
- ZIP code
- 57201 – all care providers
Facility details
- Certified beds
- 51
- Residents per day
- 46.6 (91% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Watertown SD Skilled Nursing Facility, LLC
- Chain
- Legacy Healthcare (89 facilities, avg 2.9★)
- Medicare certified since
- March 1, 1993
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.57 (state 3.79 · U.S. 3.86)
- Registered nurses (RN)
- 1.06 (state 0.80 · U.S. 0.69)
- Licensed practical nurses
- 0.42 (state 0.47 · U.S. 0.86)
- Nurse aides
- 2.09 (state 2.52 · U.S. 2.32)
- Weekend total
- 2.87 (state 3.26 · U.S. 3.42)
- Nursing staff turnover
- 44.2 (state 48.2 · U.S. 45.8)%
- RN turnover
- 27.3 (state 34.7 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- April 29, 2026
- Health deficiencies (last cycle)
- 26.0 (state 6.9 · U.S. 9.3)
- From complaints
- 8
- Citations on record (3 years)
- 32 health · 8 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-08-01 |
| 2026-04-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2026-06-02 |
| 2026-04-29 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2026-06-02 |
| 2026-04-29 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
G Actual harm |
Corrected 2026-06-02 |
| 2026-04-29 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | 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. F0837 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | 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. F0585 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | 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. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-29 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2025-03-06 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-02-28 |
| 2024-12-05 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-06 |
| 2024-12-05 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-06 |
| 2024-12-05 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-06 |
| 2024-03-19 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2023-09-28 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-06 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $6,368 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-03-06 | Fine | $6,368 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 (organization) | 5%+ Direct Ownership Interest · 43% | |
| GPN Family Trust U/A/D 4/28/08 (organization) | 5%+ Direct Ownership Interest · 43% | |
| Oakway Operations LLC (organization) | 5%+ Direct Ownership Interest · 15% | |
| Truist Bank (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Watertown SD Property Holdings, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Doros Generation Trust U/A/D 1/3/12 (organization) | Administrator · NOT APPLICABLE | |
| GPN Family Trust U/A/D 4/28/08 (organization) | Administrator · NOT APPLICABLE | |
| Legacy Healthcare Financial Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Administrator · NOT APPLICABLE | |
| RSM US LLP (organization) | Administrator · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Administrator · NOT APPLICABLE | |
| Shives, Aaron (individual) | Administrator · NOT APPLICABLE | |
| Speier, Lynna (individual) | Administrator · NOT APPLICABLE | |
| Watertown SD Property Holdings, LLC (organization) | Administrator · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shives, Aaron (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Speier, Lynna (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Truist Bank (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Avantara Watertown?
Avantara Watertown has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in South Dakota.
How many beds does Avantara Watertown have?
It has 51 certified beds and cares for about 47 residents per day.
Has Avantara Watertown been fined?
Yes. CMS lists 1 penalty totaling $6,368 in the last three years.
Who owns Avantara Watertown?
It is part of Legacy Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Avantara Watertown?
(605) 886-8431. The facility is located at 415 Fourth Ave NE, Watertown, SD 57201.
Other nursing homes in Watertown
-
Jenkin's Living Center
Nursing Home · Watertown, SD · 110 beds
★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.