AVANTARA WATERTOWN

Special Focus Facility candidate · CMS abuse icon · CCN 435068 · WATERTOWN SD SKILLED NURSING FACILITY, LLC · For profit - Limited Liability company · LEGACY HEALTHCARE chain · 51 certified beds · Codington · SD


AVANTARA WATERTOWN is a 51-bed nursing home in WATERTOWN, South Dakota. CMS has certified it for Medicare and Medicaid since 1993-03-01. It averages 46.6 residents a day.

What harm was found in the violations cited at AVANTARA WATERTOWN?

CMS lists 32 health-inspection deficiencies for AVANTARA WATERTOWN, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-17.

Survey dateTagDeficiencySeverity
2026-06-17F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2026-04-29F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2026-04-29F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2026-04-29F0760Ensure that residents are free from significant medication errors.G
2026-04-29F0583, F0835, F0837, F0865Keep residents' personal and medical records private and confidential. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. / Have a plan that describes the process for conducting QAPI and QAA activities.F
2026-04-29F0550, F0585, F0609, F0655, F0657, F0695, F0700Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide safe and appropriate respiratory care for a resident when needed. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E
2026-04-29F0552, F0554, F0605, F0628, F0641, F0644, F0658, F0755, F0759, F0761, F0806Ensure that residents are fully informed and understand their health status, care and treatments. / Allow residents to self-administer drugs if determined clinically appropriate. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2025-03-06F0760Ensure that residents are free from significant medication errors.G
2024-12-05F0550, F0755, F0761Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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.E
2024-03-19F0677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2023-09-28F0761Ensure 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.E

Why was AVANTARA WATERTOWN fined?

DateTypeAmount
2025-03-06Fine$6,368

How is AVANTARA WATERTOWN staffed relative to the SD average?

MeasureThis facilitySD average
Total nurse staffing hours per resident per day3.569103.78948
Total nursing staff turnover (%)44.248.2
Average number of residents per day46.652.1

Who owns AVANTARA WATERTOWN, and what chain is it in?

AVANTARA WATERTOWN is registered with CMS as For profit - Limited Liability company, operates under the legal business name WATERTOWN SD SKILLED NURSING FACILITY, LLC and belongs to the LEGACY HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTDOROS GENERATION TRUST U/A/D 1/3/12, GPN FAMILY TRUST U/A/D 4/28/08, OAKWAY OPERATIONS LLCsince 07/01/2019
5% OR GREATER SECURITY INTERESTTRUIST BANK, WATERTOWN SD PROPERTY HOLDINGS, LLCsince 04/01/2022
MANAGING CONTROL - GOVERNING BODYRAJCHENBACH, CHAIM, SHABAT, MENACHEMsince 07/01/2019
OPERATIONAL/MANAGERIAL CONTROLTRUIST BANK, RAJCHENBACH, CHAIM, SHABAT, MENACHEM, SHIVES, AARON, SPEIER, LYNNAsince 04/01/2022
ADP OF THE SNFDOROS GENERATION TRUST U/A/D 1/3/12, GPN FAMILY TRUST U/A/D 4/28/08, LEGACY HEALTHCARE FINANCIAL SERVICES LLC, RSM US LLP, WATERTOWN SD PROPERTY HOLDINGS, LLC, RAJCHENBACH, CHAIM, SHABAT, MENACHEM, SHIVES, AARON, SPEIER, LYNNAsince 01/01/2024

Were you or a family member harmed at AVANTARA WATERTOWN?