PlainNursing
CMS Nursing Home Compare · March 2026

Avantara Watertown

415 Fourth Ave NE, Watertown, SD 57201

Avantara Watertown, a 51-bed for profit - limited liability company nursing facility in Watertown, SD, holds a 3-star CMS overall rating - right around the 3.0-star national average, with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6058868431

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3 / 5
Average · CMS overall · nat'l 3.0
3.61
Below average · nurse hrs/day · nat'l 3.89
7
Inspection findings · 1 serious
$6K
Federal penalties (1)

Health Inspection

3/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

1/5

Facility Information

Provider Number
435068
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
51
Residents
46
In Hospital
No
County
Codington
Last Inspection
Dec 5, 2024

Staffing Data

How the 3.61 total nursing hours per resident-day are staffed:

RN Hours
1.16 (nat'l avg: 0.68)
LPN Hours
0.27
CNA Hours
2.18
Total Nursing Hours
3.61 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
38.8%
RN Turnover
16.7%

What the CMS Record Reveals About Avantara Watertown

Avantara Watertown operates 51 certified beds in Watertown, SD with approximately 46 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 7 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $6K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.61 total nursing hours per resident day (national average 3.89), with RN coverage at 1.16 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Avantara Watertown falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 38.8%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (7 most recent)

G - Isolated - Actual harm Mar 6, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Feb 28, 2025

E - Pattern - Minimal harm Dec 5, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Jan 6, 2025

E - Pattern - Minimal harm Dec 5, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 6, 2025

E - Pattern - Minimal harm Dec 5, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jan 6, 2025

E - Pattern - Minimal harm Mar 19, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 24, 2024

E - Pattern - Minimal harm Sep 28, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 6, 2023

D - Isolated - Minimal harm Jul 20, 2022 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Aug 19, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 24.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 6.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 33.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.1% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.2% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 9.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 85.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 13.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.9% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 68.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 42.9% No

Penalty History 1 penalties totaling $6K

Date Type Amount
Mar 6, 2025 Fine $8K

Frequently Asked Questions

What is the overall CMS rating for Avantara Watertown?
Avantara Watertown has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (2★).
What are the staffing levels at Avantara Watertown?
Avantara Watertown reports 3.61 total nursing hours per resident day (national average: 3.89). RN hours are 1.16 per resident day (national average: 0.68). Nursing staff turnover is 38.8%.
How many beds does Avantara Watertown have?
Avantara Watertown has 51 certified beds with approximately 46 residents. The facility is located at 415 Fourth Ave NE, Watertown, SD 57201.
Does Avantara Watertown have any deficiencies on record?
Yes, Avantara Watertown has 7 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Avantara Watertown received any fines or penalties?
Yes, Avantara Watertown has received 1 penalties totaling $6K.
Who owns Avantara Watertown?
Avantara Watertown is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Avantara Watertown last inspected?
The most recent health inspection for Avantara Watertown was on Dec 5, 2024. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Avantara Watertown?
Avantara Watertown is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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