Nursing home report
WATERTOWN, SD · Medicare-certified · 51 beds
AVANTARA WATERTOWN (WATERTOWN, SD) has an overall 1-star rating, with a 1-star health inspection rating, 3-star staffing, and 2-star quality measures. It is a Special Focus Facility candidate/flagged special focus, had $6,368 in fines in the last 24 months, and reported nurse staffing of 3.57 hours per resident per day versus the 4.1 federal benchmark.
Health inspections
Staffing
3.5691 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5691.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2026 — limited pattern, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited April 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited April 2026 — isolated incident, actual harm.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to keep residents’ personal and medical records private and confidential. Cited April 2026 — widespread issue, potential for harm.
F-Tag 583 — 42 CFR §483.10 — S/S: F
The home failed to run its operations effectively and efficiently using its available resources. Cited April 2026 — widespread issue, potential for harm.
F-Tag 835 — 42 CFR §483.70 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 7 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $6,368 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 3 health deficiencies.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $6,368 in total fines.
Federal fine
Mar 6, 2025
Now operated by Avantara Watertown, previously Watertown Care and Rehabilitation Center.
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.
