The nursing home failed to ensure residents were free from significant medication errors. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
AVANTARA WATERTOWN
WATERTOWN, SD · Medicare-certified · 51 beds
Needs attention
For-profitChain member
4 of 5 overall
AVANTARA WATERTOWN in Watertown, SD has a 4 out of 5 star overall rating, with 4 stars for health inspections, 3 for staffing, and 2 for quality measures. Reported nurse staffing is 3.46 hours per resident per day, below the federal benchmark of 4.1, and the facility had $6,368 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4643 hrs/resident/day
Quality measures
Last inspection: March 6, 2025Penalties, last 24 months: $6,368recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4643.
Staffing detail
- Registered nurses
- 1.15
- Licensed practical nurses
- 0.34
- Nurse aides
- 1.97
- Weekend nursing
- 2.88
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
14.3%17.9%Worsening
Residents with a fall causing major injury
2.8%2.4%No change
Residents with pressure ulcers (bedsores)
6.1%9.7%Worsening
Residents with a urinary tract infection
5.7%5%Improving
Residents who lost too much weight
2.9%13.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
27.3%38.2%Worsening
Residents whose ability to walk got worse
—31.6%—
Long-stay residents on antianxiety or sleep medication
14.3%15.8%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.9%Worsening
Residents with new or worsening incontinence
24.6%28.3%Worsening
Residents with depressive symptoms
5.9%10.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—94.9%—
Long-stay residents given the pneumonia vaccine
86.1%90.2%Improving
Short-stay residents given the seasonal flu vaccine
—42.9%—
Short-stay residents given the pneumonia vaccine
69.4%62.5%Worsening
What the inspectors found
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $6,368 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $6,368 in total fines.
- $6,368
Federal fine
Mar 6, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
- Occupancy
- 47 residents on an average day (92% of 51 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.