AVANTARA WATERTOWN

415 FOURTH AVE NE, WATERTOWN, SD 57201 · CCN 435068 · 51 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

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Serious inspection findings

2026-04-29 — ACTUAL HARM (tag F0760, severity G)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

2026-04-29 — IMMEDIATE JEOPARDY (tag F0600, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2026-04-29 — IMMEDIATE JEOPARDY (tag F0689, severity K)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-03-06 — ACTUAL HARM (tag F0760, severity G)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

Staffing, from payroll records

Nursing hours / resident / day

3.12

state median 2.96

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −10%

RN hours / resident / day

0.62

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

44%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $6,368 in fines.

Date	Type	Amount
2025-03-06	Fine	$6,368

Ownership

Ownership type: For profit - Limited Liability company. Part of the LEGACY HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

GROVE OF FOX VALLEY,THE (AURORA, IL) — CMS overall4 of 5
Nexus at Berwyn (BERWYN, IL) — CMS overall1 of 5
BELLA TERRA MORTON GROVE (MORTON GROVE, IL) — CMS overall2 of 5
LAKEFRONT NURSING & REHAB CTR (CHICAGO, IL) — CMS overall4 of 5
GLENVIEW TERRACE (GLENVIEW, IL) — CMS overall3 of 5
GROVE OF LAGRANGE PARK, THE (LA GRANGE PARK, IL) — CMS overall3 of 5
WARREN BARR GOLD COAST (CHICAGO, IL) — CMS overall4 of 5
GROVE OF ELMHURST, THE (ELMHURST, IL) — CMS overall2 of 5

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 27 · Immediate jeopardy: 2

Survey date	Tag	Category	Severity	Corrected
2026-04-29	F0550	Resident Rights Deficiencies	E	not recorded
2026-04-29	F0552	Resident Rights Deficiencies	D	not recorded
2026-04-29	F0554	Resident Rights Deficiencies	D	not recorded
2026-04-29	F0583	Resident Rights Deficiencies	F	not recorded
2026-04-29	F0585	Resident Rights Deficiencies	E	not recorded
2026-04-29	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2026-04-29	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-04-29	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2026-04-29	F0628	Resident Rights Deficiencies	D	not recorded
2026-04-29	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-04-29	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-04-29	F0655	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-04-29	F0657	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-04-29	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-04-29	F0689	Quality of Life and Care Deficiencies	K	not recorded
2026-04-29	F0695	Quality of Life and Care Deficiencies	E	not recorded
2026-04-29	F0700	Quality of Life and Care Deficiencies	E	not recorded
2026-04-29	F0755	Pharmacy Service Deficiencies	D	not recorded
2026-04-29	F0759	Pharmacy Service Deficiencies	D	not recorded
2026-04-29	F0760	Pharmacy Service Deficiencies	G	not recorded
2026-04-29	F0761	Pharmacy Service Deficiencies	D	not recorded
2026-04-29	F0806	Nutrition and Dietary Deficiencies	D	not recorded
2026-04-29	F0835	Administration Deficiencies	F	not recorded
2026-04-29	F0837	Administration Deficiencies	F	not recorded
2026-04-29	F0865	Administration Deficiencies	F	not recorded
2025-03-06	F0760	Pharmacy Service Deficiencies	G	not recorded
2024-12-05	F0550	Resident Rights Deficiencies	E	not recorded
2024-12-05	F0755	Pharmacy Service Deficiencies	E	not recorded
2024-12-05	F0761	Pharmacy Service Deficiencies	E	not recorded
2024-03-19	F0677	Quality of Life and Care Deficiencies	E	not recorded
2023-09-28	F0761	Pharmacy Service Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “AVANTARA WATERTOWN, WATERTOWN” at medicare.gov/care-compare.