Name: Avantara Watertown — compliance, penalty and ownership record
Creator: CareRecords
License: https://carerecords.org/terms

Special Focus: CMS lists this facility as SFF Candidate — among the facilities with the most serious ongoing compliance problems in the country.

Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

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Same-type reference in SD

CMS overall star rating: this provider 1/5; median among 93 providers with a published value in the same state and provider category: 3/5.

CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.

Questions to take to Avantara Watertown

The snapshot includes a CMS abuse citation icon. Ask which inspection it relates to, what corrective action followed, and whether CMS has updated the designation.
CMS lists SFF Candidate. Ask for the latest inspection and current designation; historical list status is not a statement about conditions today.
The published staff-turnover figure is 44.2%. Ask which reporting period it covers and how the current staffing team compares.
Ask who is responsible for care decisions locally and at LEGACY HEALTHCARE. A shared affiliation does not establish identical care at every location.
Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

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Ownership group

Per CMS filings, this facility is affiliated with Legacy Healthcare, a group operating 89 facilities in 3 states. Group record: average rating 2.9/5, 12 abuse citation icons, 4 facilities on the Special Focus list, $3,742,782 in federal fines. This facility rates below its group average (2.9/5).

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Staffing (hours per resident per day)

Total nurse staffing: 3.57 (South Dakota median: 3.62). RN hours: 1.06. Weekend total: 2.87. Nursing staff turnover: 44%.

Inspection deficiencies

In the downloaded CMS dataset: 32 deficiency citations, including 2 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).

Survey date	Deficiency	Sev.	Type	Status
2026-06-17	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	complaint	corrected 2026-08-01
2026-04-29	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	K	complaint	corrected 2026-06-02
2026-04-29	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J	Health	corrected 2026-06-02
2026-04-29	Ensure that residents are free from significant medication errors.	G	Health	corrected 2026-06-02
2026-04-29	Keep residents' personal and medical records private and confidential.	F	Health	corrected 2026-06-02
2026-04-29	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	F	complaint	corrected 2026-06-02
2026-04-29	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.	F	Health	corrected 2026-06-02
2026-04-29	Have a plan that describes the process for conducting QAPI and QAA activities.	F	Health	corrected 2026-06-02
2026-04-29	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	complaint	corrected 2026-06-02
2026-04-29	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.	E	Health	corrected 2026-06-02
2026-04-29	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	E	complaint	corrected 2026-06-02
2026-04-29	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E	complaint	corrected 2026-06-02
2026-04-29	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	complaint	corrected 2026-06-02
2026-04-29	Provide safe and appropriate respiratory care for a resident when needed.	E	Health	corrected 2026-06-02
2026-04-29	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	Health	corrected 2026-06-02
2026-04-29	Ensure that residents are fully informed and understand their health status, care and treatments.	D	Health	corrected 2026-06-02
2026-04-29	Allow residents to self-administer drugs if determined clinically appropriate.	D	Health	corrected 2026-06-02
2026-04-29	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D	Health	corrected 2026-06-02
2026-04-29	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	Health	corrected 2026-06-02
2026-04-29	Ensure each resident receives an accurate assessment.	D	Health	corrected 2026-06-02
2026-04-29	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	Health	corrected 2026-06-02
2026-04-29	Ensure services provided by the nursing facility meet professional standards of quality.	D	Health	corrected 2026-06-02
2026-04-29	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	complaint	corrected 2026-06-02
2026-04-29	Ensure medication error rates are not 5 percent or greater.	D	Health	corrected 2026-06-02
2026-04-29	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.	D	Health	corrected 2026-06-02
2026-04-29	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	Health	corrected 2026-06-02
2025-03-06	Ensure that residents are free from significant medication errors.	G	complaint	corrected 2025-02-28
2024-12-05	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	Health	corrected 2025-01-06
2024-12-05	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	complaint	corrected 2025-01-06
2024-12-05	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	Health	corrected 2025-01-06
2024-03-19	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	complaint	corrected 2024-04-24
2023-09-28	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	Health	corrected 2023-11-06

Federal penalties

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

Ownership & control records (CMS filings)

Name	Role	Type	%	Since
DOROS GENERATION TRUST U/A/D 1/3/12	5% Or Greater Direct Ownership Interest	Organization	43%	since 07/01/2019
GPN FAMILY TRUST U/A/D 4/28/08	5% Or Greater Direct Ownership Interest	Organization	43%	since 07/01/2019
OAKWAY OPERATIONS LLC	5% Or Greater Direct Ownership Interest	Organization	15%	since 07/01/2019
RAJCHENBACH, CHAIM	Managing Control - Governing Body	Individual	NOT APPLICABLE	since 07/01/2019
SHABAT, MENACHEM	Managing Control - Governing Body	Individual	NOT APPLICABLE	since 07/01/2019
TRUIST BANK	Operational/Managerial Control	Organization	NOT APPLICABLE	since 04/01/2022
RAJCHENBACH, CHAIM	Operational/Managerial Control	Individual	NOT APPLICABLE	since 07/01/2019
SHABAT, MENACHEM	Operational/Managerial Control	Individual	NOT APPLICABLE	since 07/01/2019
SHIVES, AARON	Operational/Managerial Control	Individual	NOT APPLICABLE	since 07/01/2019
SPEIER, LYNNA	Operational/Managerial Control	Individual	NOT APPLICABLE	since 10/01/2025

Compare nearby (Codington County)

Jenkin'S Living Center Watertown ★★★☆☆ 3/5

How to cite this page: CareRecords, “Avantara Watertown — compliance, penalty and ownership record” (CCN 435068), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/avantara-watertown-watertown-sd/

Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 435068. Corrections: data@carerecords.org.