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AVANTARA WATERTOWN

415 FOURTH AVE NE
WATERTOWN, SD 57201 · 6058868431 · Codington County
⚠ Special Focus Candidate. CMS lists this facility as a candidate for the Special Focus Facility program due to a history of serious quality problems.
⚠ Abuse citation on record. This facility has been cited for abuse or neglect in the CMS data — see the citation list below.

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds51
OwnershipFor profit - Limited Liability company
State rank#84

By the numbers

32
Health citations (3 cycles)
2
Immediate-jeopardy (J/K/L)
2
Actual-harm (G/H/I)
$6,368
Federal fines (CMPs)
The trend: Citations are rising — 26 in the most recent cycle versus 2 two cycles ago.

Recent Health Citations

Jun 17, 2026 · Health survey · F-tag 0684
E — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Apr 29, 2026 · Health survey · F-tag 0806
D — No actual harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Apr 29, 2026 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
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.
Apr 29, 2026 · Health survey · F-tag 0759
D — No actual harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Apr 29, 2026 · Health survey · F-tag 0755
D — No actual harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Apr 29, 2026 · Health survey · F-tag 0658
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Apr 29, 2026 · Health survey · F-tag 0644
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Apr 29, 2026 · Health survey · F-tag 0641
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Apr 29, 2026 · Health survey · F-tag 0628
D — No actual harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Apr 29, 2026 · Health survey · F-tag 0605
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Apr 29, 2026 · Health survey · F-tag 0554
D — No actual harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Apr 29, 2026 · Health survey · F-tag 0552
D — No actual harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Apr 29, 2026 · Health survey · F-tag 0700
E — No actual harm
Quality of Life and Care Deficiencies
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.
Apr 29, 2026 · Health survey · F-tag 0695
E — No actual harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Apr 29, 2026 · Health survey · F-tag 0657
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Apr 29, 2026 · Health survey · F-tag 0655
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Apr 29, 2026 · Health survey · F-tag 0609
E — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Apr 29, 2026 · Health survey · F-tag 0585
E — No actual harm
Resident Rights Deficiencies
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.
Apr 29, 2026 · Health survey · F-tag 0550
E — No actual harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Apr 29, 2026 · Health survey · F-tag 0865
F — No actual harm
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in South Dakota →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.