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Nursing HomeMedicaid Investigative

Avantara Watertown

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

415 Fourth Ave Ne, Watertown, SD 5720151 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 11 Google reviews

5
4
3
2
1
Avantara Watertown Nursing Home in Watertown, SD — Street View
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0/ 10
none Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Above average in SD · Meets national RN staffing standard · $6,368 in fines

Source: Medicare data

What this means for your family

While the facility has a strong reputation for short-term rehabilitation and physical therapy, recent reports of unprofessional staff behavior are concerning. We recommend that families considering long-term placement conduct unannounced visits to observe staff-resident interactions firsthand and ask management specifically how they address complaints regarding staff conduct.

Google Reviews

Google Reviews

11 reviews on Google
Avantara Watertown receives high praise for its physical therapy and short-term rehabilitation services, with multiple families noting the compassionate care provided to their loved ones during recovery. However, recent reviews from 2025 and 2026 highlight serious concerns regarding staff conduct and the treatment of long-term residents, suggesting a potential decline in quality of care. Families should carefully weigh the positive rehabilitation outcomes against these reports of unprofessional behavior.

Quality Themes

Tap a score for details
Food5.0Staff6.0Clean9.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Highly effective physical therapy department
  • Compassionate and professional rehab staff
  • Clean and well-maintained facility environment

Concerns

  • Rude or mean staff behavior toward residents (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02018(1)4.72021(3)5.02022(1)5.02024(1)4.02025(4)1.02026(1)

Distribution · 11 analyzed

5
8
4
1
3
0
2
0
1
2

How They Respond to Reviews

82%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your facility has a strong reputation for physical therapy; how do you integrate that rehab focus into the daily routine for residents who are here for long-term care?
  • 2Given that you maintain an active presence in responding to online feedback, how do you use that input to foster a culture of kindness and ensure every resident feels treated with warmth and respect by all staff members?
  • 3With four recent health inspection citations, what specific steps has the leadership team taken to address those areas and improve the overall care experience?
  • 4Since your staffing rating is quite high, how do you ensure that this consistent level of support translates into meaningful daily activities and social engagement for the 51 residents living here?
  • 5What is your protocol for handling urgent medical changes or emergencies, and how do you keep families informed during those critical moments?
  • 6How do you maintain the high standards of cleanliness mentioned by visitors while balancing the demands of daily nursing care?

Personalized based on this facility's data


Key Review Excerpts

The staffing ratios, the food, the atmosphere and the excellent care made our decision much easier than it would have been.

Long-term resident's family · 2025★★★★★

Every single one of the staff there were amazing. Kind, compassionate, caring and professional.

Rehab patient's spouse · 2025★★★★★

I have been at the facility numerous times and each time the staff are rude and seemingly mean to the residents. We had to take my aunt out of the facility due terrible treatment and care.

Long-term resident's family · 2026☆☆☆☆
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.15hrs
OK
Registered nurses for medical care
Total Nursing
3.46hrs
84%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

10

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility31.6%
Worse than Avg
Here
31.6%
US
15.3%
SD
20.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility30.5%
Worse than Avg
Here
30.5%
US
14.4%
SD
21.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility14.7%
Better than Avg
Here
14.7%
US
15.5%
SD
24.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility86.1%
Worse than Avg
Here
86.1%
US
93.4%
SD
95.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.9%
Worse than Avg
Here
26.9%
US
19.4%
SD
25.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.3%
Mixed vs Avgs
Here
10.3%
US
12.1%
SD
5.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility42.9%
Worse than Avg
Here
42.9%
US
79.8%
SD
78.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility64.7%
Worse than Avg
Here
64.7%
US
81.8%
SD
82.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
SD
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
1penalties
Above state avg (6.8)
10 complaint-triggered
$6,368 in fines

Families have filed complaint reports resulting in deficiencies related to medication management and daily care assistance. The facility shows recurring issues with medication management appearing across multiple surveys, along with problems maintaining clear emergency exits and resident rights. Most deficiencies have correction dates from the provider, though the pattern of repeat violations in key safety areas like medication errors and blocked exits suggests ongoing oversight challenges that families should discuss during visits.

Apr 29, 2026Complaint
7
0689Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0835Potential for harm · WidespreadCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0655Potential for harm · PatternCorrected

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

0657Potential for harm · PatternCorrected

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Mar 6, 2025Complaint
1
0760Actual harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Dec 5, 2024Routine
4
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0761Potential for harm · PatternCorrected

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.

0754Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Provide properly sized and located linen or trash receptacles.

Dec 5, 2024Complaint
1
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Mar 19, 2024Complaint
1
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Sep 28, 2023Routine
3
0761Potential for harm · PatternCorrected

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.

0131Potential for harm · IsolatedCorrected

Construction Deficiencies

Meet requirements for sections of health care facilities separated by fire resistive construction.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Federal Penalties

Fine

Mar 6, 2025

$6,368

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avantara Watertown

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

89 facilities nationwide

Chain avg rating: 3.0/5 · Rank 37 of 89

Ownership & Management

Owners

Doros Generation Trust U/a/d 1/3/12

Owner · Organization

43%

Gpn Family Trust U/a/d 4/28/08

Owner · Organization

43%

Oakway Operations LLC

Owner · Organization

15%

Key personnel

Truist Bank5% or Greater Security InterestWatertown Sd Property Holdings, LLC5% or Greater Security InterestRajchenbach, ChaimManaging Control - Governing BodyShabat, MenachemManaging Control - Governing BodyTruist BankManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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