Data / Nursing homes / South Dakota / Avantara Watertown
Avantara Watertown, Watertown, SD: 3 star rating, fined $71,591 across 3 fines
Avantara Watertown in Watertown, SD is owned by Oakway Operations LLC, is rated 3 of 5 stars by Medicare, and was fined $71,591 across 3 fines in the three years to October 1, 2026. CMS lists 6 health citations from inspections in that time, the latest survey on June 17, 2026, and 1 of them found actual harm or immediate jeopardy.
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- Address
- 415 Fourth Ave NE, Watertown, SD 57201
- Overall rating
- 3 of 5 stars
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 3 of 5
- Certified beds
- 51
- Residents per day
- 46 on average
- Ownership type
- For profit, limited liability company
- Legal business name
- Watertown SD Skilled Nursing Facility, LLC
- Chain
- Legacy Healthcare, 96 facilities
- Fines
- $71,591 across 3 fines, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 6, of which 1 with actual harm or immediate jeopardy
- Latest survey
- June 17, 2026
- CMS Certification Number
- 435068
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| April 29, 2026 | Fine | $37,845 | Not listed | data.cms.gov | |
| April 29, 2026 | Fine | $27,378 | Not listed | data.cms.gov | |
| March 6, 2025 | Fine | $6,368 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| June 17, 2026 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 15, 2026 | data.cms.gov |
| March 6, 2025 | F760 | Ensure that residents are free from significant medication errors. | G: isolated, actual harm | Past noncompliance | February 28, 2025 | data.cms.gov |
| December 5, 2024 | F761 | 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: pattern, no actual harm, potential for more than minimal harm | Corrected | January 6, 2025 | data.cms.gov |
| December 5, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | January 6, 2025 | data.cms.gov |
| December 5, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | January 6, 2025 | data.cms.gov |
| March 19, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 24, 2024 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 14 individual or personal trusts (2 owners, 6 managers, 6 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Oakway Operations LLC | Direct owner | 15% | July 1, 2019 | data.cms.gov |
| Truist Bank | Operational or managerial control | Not listed | April 1, 2022 | data.cms.gov |
| Truist Bank | Security interest | Not listed | April 1, 2022 | data.cms.gov |
| Watertown SD Property Holdings, LLC | Security interest | Not listed | July 1, 2019 | data.cms.gov |
| Legacy Healthcare Financial Services LLC | Additional disclosable party | Not listed | July 1, 2019 | data.cms.gov |
| RSM US LLP | Additional disclosable party | Not listed | January 1, 2024 | data.cms.gov |
| Watertown SD Property Holdings, LLC | Additional disclosable party | Not listed | July 1, 2019 | data.cms.gov |
Also on SpecStream
- All nursing homes in South Dakota
- Every nursing home Oakway Operations LLC owns or manages
- Every nursing home Truist Bank owns or manages
- Every nursing home Legacy Healthcare Financial Services LLC owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.