Nursing homes › South Dakota › Avantara Watertown
415 Fourth Ave Ne, Watertown, SD 57201 · 6058868431 · 51 certified beds
Per CMS filings, this facility is affiliated with Legacy Healthcare, a group operating 89 facilities in 3 states. Group record: average rating 3.0/5, 7 abuse citation icons, 4 facilities on the Special Focus list, $3,703,514 in federal fines. This facility rates below its group average (3.0/5).
Total nurse staffing: 3.57 (South Dakota median: 3.63). RN hours: 1.06. Weekend total: 2.87. Nursing staff turnover: 44%.
All-time on record: 31 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 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 |
| Date | Type | Amount |
|---|---|---|
| 2025-03-06 | Fine | $6,368 |
| 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 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 435068. Corrections: data@carerecords.org.