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Other Senior care options in Watertown:

Best Nursing Homes in Watertown, SD

Reviewed by
Last updated
May 2026
We analyzed
4 homes in Watertown, SD

Sources: CMS Centers for Medicare and Medicaid Services, and South Dakota Department of Health, Office of Aging and Long Term Care.

Other Senior care options in Watertown:

Compare Nursing Homes around Watertown

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

2 facilities compared · CMS & SD Dept. of Health data

Click column headers to sort
Avantara Watertown
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Watertown
51
Facility 51
SD AVG 69
Rank #66 / 117
90.2%
Facility 90.2%
SD AVG 79.9%
Rank #15 / 54
+13%
3.58
Facility 3.58
SD AVG 4.34
Rank #31 / 57
+52%-18%
$12.7k
Facility $12.7k
SD AVG $38.5k
Rank #22 / 59
7
Facility 7
SD AVG 14.8
Rank #8 / 59
1.4
Facility 1.4
SD AVG 3.3
Rank #9 / 59
146
85
Facility 85
SD AVG 39
Rank #1 / 159
Lynna Speier
$7.9M
Facility $7.9M
SD AVG $6.7M
Rank #24 / 55
$3.2M
Facility $3.2M
SD AVG $2.6M
Rank #32 / 55
40.1%
Facility 40.1%
SD AVG 40.8%
Rank #46 / 55
435068
Jenkin`s Living Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Watertown
110
Facility 110
SD AVG 69
Rank #12 / 117
70.1%
Facility 70.1%
SD AVG 79.9%
Rank #39 / 54
-12%
4.44
Facility 4.44
SD AVG 4.34
Rank #16 / 57
-20%+2%
$53.1k
Facility $53.1k
SD AVG $38.5k
Rank #48 / 59
25
Facility 25
SD AVG 14.8
Rank #46 / 59
4.2
Facility 4.2
SD AVG 3.3
Rank #41 / 59
369
85
Facility 85
SD AVG 39
Rank #1 / 159
Doug Austin
$17.2M
Facility $17.2M
SD AVG $6.7M
Rank #6 / 55
$8.1M
Facility $8.1M
SD AVG $2.6M
Rank #7 / 55
47.3%
Facility 47.3%
SD AVG 40.8%
Rank #29 / 55
435036
Overview of Jenkin‘s Living Center

Jenkin’s Living Center is a skilled nursing facility that boosts the recovery experience of its residents through a professional and patient care approach. The health and rehab center strives to work everyday with quality service to its residents so that residents maintain a level of independence and individuality. Residents of Jenkin’s receive full support that helps nourish their holistic needs in a charming and convenient environment.

Nursing home services are supported by state-of-the-art technologies that help speed the recovery journey. These include individualized care plans, medication management, specialized therapy programs, restaurant-style dining, social activities, scheduled transportation,  and 24-hour skilled nursing care.

Contact Jenkin‘s Living Center

Overview of Avantara Watertown

Avantara Watertown is one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. As one of South Dakota’s most trusted rehabilitative homes, there is a merit of an incomparable level of care that provoke quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual; with that merit comes a two-time recognition as the ‘Best Nursing Homes – Long-Term Care’ by the U.S. News and World Report. Avantara Watertown has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
The areas of excellence are found in the range of an array of specialized services such as; cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. The list of accommodations extends to the comprehensive care plan physical therapy equipment, a team of  full-time therapists on-site, and a home assessment completed. 

Contact Avantara Watertown

Overview of Jenkin`s Living Center

Jenkin’s Living Center is a nonprofit nursing home in Watertown, South Dakota, that focuses on short-term rehabilitation and post-acute recovery services. This relatively new community also accepts Medicare, Medicaid, and private pay. Confirmed services also include transportation, 24-hour skilled nursing support, individualized care planning, therapy programs, and restaurant-style dining.

The community currently holds a 1-star overall CMS rating, reflecting ongoing challenges related to regulatory compliance and quality oversight. Over the past four years, six inspections resulted in 25 health citations, significantly exceeding the South Dakota average. These include one critical citation and two serious deficiencies, while complaint investigations identified incidents involving inadequate supervision related to a fatal fall and medication administration errors. Between October 2023 and April 2024, the community received two federal fines totaling $53,000.

Inspection reports also documented recurring concerns in areas such as infection control, resident care planning, environmental safety, fall prevention, and pressure ulcer management. Although corrective actions were implemented, several issues reappeared across multiple inspection cycles.

Staffing performance presents a more favorable picture and represents one of the community’s stronger operational areas. Nursing care is provided more than four hours daily on average, exceeding South Dakota benchmarks and earning the community a 4-star CMS staffing rating. Licensed practical nurse coverage is especially strong, which is above state averages and supports routine hands-on care and medication management. Total adjusted nursing hours also rank among the stronger staffing levels reported across South Dakota nursing communities.

The resident population is also heavily oriented toward short-term rehabilitation, with Medicare admissions accounting for the majority of new residents and typical rehabilitation stays averaging just over three weeks. Additionally, current occupancy levels remain below the state average, suggesting availability for immediate placement.

Jenkin’s Living Center is best suited for older adults seeking short-term rehabilitation or skilled nursing support in the Watertown area, particularly those who value stronger staffing coverage. However, careful review of the community’s inspection history and compliance record is advised.

Contact Jenkin`s Living Center

Overview of Avantara Watertown

Avantara Watertown is a nursing home in Watertown, South Dakota, that offers skilled nursing and rehabilitation. Administered by Lynna Speier, it is one of the newer communities in the area, with only one year of operating history. This 51-bed community maintains a consistent 90% occupancy rate, ranking 15th out of 54 similar communities statewide, which reflects strong local demand and deep trust among area families, but limited availability.

With an intimate, small-scale capacity, the community offers meals, routine laundry, linen care, housekeeping, and property maintenance. A calendar of social activities, recreational events, and therapeutic exercises is also provided. Short-term post-hospitalization rehabilitation, comprehensive programs for stroke and neurological recovery, customized cardiac care, wound management, and tailored oncology recovery care are among the services provided.

Operating under federal CMS certification, the community utilizes an interdisciplinary care model to manage complex health transitions. Medicare, Medicaid, and private pay are also accepted. Structurally, the community demonstrates particular strength in direct care oversight, maintaining a Registered Nurse (RN) staffing ratio that tracks 45% above the South Dakota state average, providing significant clinical reassurance for residents with complex medical needs.

Regulatory monitoring is conducted via unannounced on-site health and safety evaluations by the South Dakota Department of Health and federal inspectors. In recent evaluation cycles, the property achieved an “Above Average” health inspection star rating, recording only three health citations during its most recent comprehensive survey, which is well below both the national average of 9.4 and the South Dakota state baseline of 6.9. While historical record scorecards show a low baseline count for severe citations, the community ranks favorably across statewide compliance indexes, reflecting a proactive administrative team and a consistent operational record.

For families in the Watertown area seeking a seasoned, regulation-compliant environment with an intimate community feel, Avantara Watertown offers a stable and credentialed choice. Ranked 14th among the longest-operating senior care properties in South Dakota, its multi-decade presence ensures a deeply rooted, relationship-centered approach to care.

Contact Avantara Watertown

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in Watertown, SD

What's the difference between assisted living and a nursing home in South Dakota?

Assisted living in South Dakota is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does South Dakota Medicaid cover nursing home care?

Yes — South Dakota Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 4 nursing homes in Watertown, SD. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Watertown, SD?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Watertown, SD, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Watertown, SD?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.