Avantara Watertown
415 Fourth Ave Ne, Watertown, SD 57201
Avantara Watertown is a nursing home in Watertown, South Dakota. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 3 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (605) 886-8431
- Last standard health inspection
- December 5, 2024 (1 year ago)
- Certified beds
- 51
- Residents per day, on average
- 45.7
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Watertown Sd Skilled Nursing Facility, LLC
- Chain
- Legacy Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the South Dakota average (8 vs 18).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
CMS abuse icon
CMS removed its abuse icon from this home.
Health citation
CMS removed citation F0689 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0600 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0760 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0583 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0835 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0837 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0865 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0550 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0585 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0609 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0655 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0657 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0695 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0700 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0552 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0554 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0605 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0628 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0641 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0644 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0658 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0755 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0759 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0761 from the health inspection on April 29, 2026.
Health citation
CMS removed citation F0806 from the health inspection on April 29, 2026.
Fire safety citation
CMS removed citation K0222 from the fire safety inspection on April 29, 2026.
Fire safety citation
CMS removed citation K0291 from the fire safety inspection on April 29, 2026.
Fire safety citation
CMS removed citation K0321 from the fire safety inspection on April 29, 2026.
Fire safety citation
CMS removed citation K0223 from the fire safety inspection on April 29, 2026.
CMS update of July 29, 2026
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of June 24, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 1 of 5.
1 citation
Health inspection on June 17, 2026
CMS lists this as a complaint inspection.
Citation F0684. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on July 15, 2026.
Fine
April 29, 2026 (6 months ago)
CMS fine of $27,378 on April 29, 2026.
Fine
April 29, 2026 (6 months ago)
CMS fine of $37,845 on April 29, 2026.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of March 25, 2026
Fine
CMS changed the fine from March 6, 2025 from $8,278 to $6,368.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Fine
CMS changed the fine from March 6, 2025 from $12,735 to $8,278.
CMS update of May 28, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
1 citation
Health inspection on March 6, 2025
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
37 of 96 South Dakota homes (39%) got a citation at the actual harm level in 2025.
Citation F0760. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on February 28, 2025.
Fine
March 6, 2025 (1 year ago)
CMS fine of $6,368 on March 6, 2025.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
3 citations
Health inspection on December 5, 2024
CMS lists this as a standard inspection and a complaint inspection.
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on January 6, 2025.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on January 6, 2025.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on January 6, 2025.
CMS has cited this home for F0761 2 times since 2023.
2 citations
Fire safety inspection on December 5, 2024
CMS lists this as a standard inspection.
Citation K0211. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on January 6, 2025.
CMS has cited this home for K0211 2 times since 2022.
Citation K0754. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly sized and located linen or trash receptacles.
CMS lists it as corrected on January 6, 2025.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
1 citation
Health inspection on March 19, 2024
CMS lists this as a complaint inspection.
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on April 24, 2024.
1 citation
Health inspection on September 28, 2023
CMS lists this as a standard inspection.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on November 6, 2023.
2 citations
Fire safety inspection on September 28, 2023
CMS lists this as a standard inspection.
Citation K0131. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for sections of health care facilities separated by fire resistive construction.
CMS lists it as corrected on October 25, 2023.
Citation K0712. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on October 17, 2023.
1 citation
Health inspection on July 20, 2022
CMS lists this as a standard inspection.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 19, 2022.
1 citation
Fire safety inspection on July 20, 2022
CMS lists this as a standard inspection.
Citation K0211. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on July 27, 2022.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- DOROS GENERATION TRUST U/A/D 1/3/125% or greater direct ownership interest · 43% · since 07/01/2019
- GPN FAMILY TRUST U/A/D 4/28/085% or greater direct ownership interest · 43% · since 07/01/2019
- OAKWAY OPERATIONS LLC5% or greater direct ownership interest · 15% · since 07/01/2019
- TRUIST BANKOperational/managerial control · not applicable · since 04/01/2022
- RAJCHENBACH, CHAIMOperational/managerial control · not applicable · since 07/01/2019
- SHABAT, MENACHEMOperational/managerial control · not applicable · since 07/01/2019
- SHIVES, AARONOperational/managerial control · not applicable · since 07/01/2019
- SPEIER, LYNNAOperational/managerial control · not applicable · since 10/01/2025
Questions
When was Avantara Watertown last inspected?
CMS lists December 5, 2024 as the date of its most recent standard health inspection.
How many citations (violations) does Avantara Watertown have?
CMS lists 8 health citations since July 20, 2022. CMS also calls these deficiencies.
Has Avantara Watertown been fined?
CMS lists 3 fines in the past three years, $71,591 in total.
What is the CMS star rating of Avantara Watertown?
Its CMS overall star rating is 3 of 5.
Is Avantara Watertown a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.