Quick answers
- Where is Avantara Watertown?
- 415 Fourth Ave NE, Watertown, SD 57201, in Codington County, South Dakota.
- What is the phone number of Avantara Watertown?
- (605) 886-8431, as listed by Medicare (CMS).
- What is the Medicare star rating of Avantara Watertown?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Avantara Watertown been fined?
- Medicare lists 3 fines totaling $71,591.
- What did inspectors find at Avantara Watertown?
- In its last three inspection cycles (July 20, 2022 to June 17, 2026), Medicare lists 8 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (July 20, 2022 to June 17, 2026), Avantara Watertown had 8 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $71,591 in total (3 fines, the latest on April 29, 2026). Nurse staffing is 3.63 hours per resident per day; the South Dakota average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: December 5, 2024 — 4 health citations
Inspections in this cycle: December 5, 2024 (standard health inspection); June 17, 2026 (complaint investigation).
Show 4 citations (levels A to F, no actual harm)
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level E
“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.”
Previous cycle: September 28, 2023 — 2 health citations
Inspections in this cycle: September 28, 2023 (standard health inspection); December 5, 2024 (complaint investigation); March 6, 2025 (complaint investigation).
F0760 Level G
“Ensure that residents are free from significant medication errors.”
actual harm to residents; isolated (a few residents) · Pharmacy Service Deficiencies
Show 1 less serious citation (levels A to F)
F0761 Level E
“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.”
Earlier cycle: July 20, 2022 — 2 health citations
Inspections in this cycle: July 20, 2022 (standard health inspection); March 19, 2024 (complaint investigation).
Show 2 citations (levels A to F, no actual harm)
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0584 Level D
“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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (5)
K0211 Level F
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0754 Level E
“Provide properly sized and located linen or trash receptacles.”
K0131 Level D
“Meet requirements for sections of health care facilities separated by fire resistive construction.”
K0712 Level D
“Have simulated fire drills held at unexpected times.”
K0211 Level F
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
Fines and payment denials
Total fines over about the last three years: $71,591 (3 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| April 29, 2026 | Fine | $27,378 |
| April 29, 2026 | Fine | $37,845 |
| March 6, 2025 | Fine | $6,368 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | South Dakota | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 1.04 | 0.78 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.45 | 0.50 | 0.86 |
| Nurse aide hours per resident per day | 2.14 | 2.58 | 2.35 |
| Total nurse staff hours per resident per day | 3.63 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.14 | 3.28 | 3.43 |
| RN hours per resident per day on the weekend | 0.65 | 0.49 | 0.48 |
| Nursing staff turnover (per year) | 54.2% | 48.6% | 45.3% |
| RN turnover (per year) | 57.1% | 37.5% | 42.5% |
| Administrators who left in the last year | 2.0 | 0.3 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 96 nursing homes: Legacy Healthcare.
Legal business name: Watertown SD Skilled Nursing Facility, LLC.
Owners and managers Medicare lists (4)
| Name | Role | Share | Since |
|---|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 | Direct owner | 43% | July 1, 2019 |
| GPN Family Trust U/A/D 4/28/08 | Direct owner | 43% | July 1, 2019 |
| Oakway Operations LLC | Direct owner | 15% | July 1, 2019 |
| Truist Bank | Management company (operational or managerial control) | NOT APPLICABLE | April 1, 2022 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 51 |
| Average residents per day | 45.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Legacy Healthcare |
| Legal business name | Watertown SD Skilled Nursing Facility, LLC |
| First approved by Medicare/Medicaid | 1993-03-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 415 Fourth Ave NE, Watertown, SD 57201 |
| County | Codington County |
| State | South Dakota |
| Phone | (605) 886‑8431 |
| CMS Certification Number | 435068 |
| Name in Medicare records | AVANTARA WATERTOWN |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Jenkin's Living Center0.7 mi · Watertown, SD · 3 of 5 stars
- Estelline Nursing and Care Center21 mi · Estelline, SD · 5 of 5 stars
- Avantara Lake Norden23 mi · Lake Norden, SD · 5 of 5 stars
Nearest hospital emergency rooms
- Prairie Lakes Healthcare System, Inc0.8 mi · Watertown, SD · Acute Care Hospital
- Sanford Clear Lake Medical Center20 mi · Clear Lake, SD · Critical Access Hospital
- Milbank Area Hospital/Avera Health32 mi · Milbank, SD · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13