Best Nursing Homes in Watertown, SD

Why trust this guide? Our editorial team analyzed 4 nursing homes in Watertown, SD using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in SD
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Last updated
We analyzed These are the facilities in Watertown, SD our team has analyzed — not a count of every nursing home provider in Watertown, SD.
4 homes
Other senior care options in Watertown:
Avg Overall CMS Rating: 2.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Watertown, SD. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.5/ 5The average Staffing Rating across all CMS-certified nursing homes in Watertown, SD. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Watertown, SD. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Watertown

Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Dakota average is: 58.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Jenkin`s Living Center
NH
IL
MC
SNF
Watertown
110
Facility 110
SD AVG 71
Rank #6 / 70
65.5%
Facility 65.5%
SD AVG 84%
Rank #29 / 33
-22%
4.32
Facility 4.32
SD AVG 4.34
Rank #17 / 65
-20%0%
$53.1k
Facility $53.1k
SD AVG $38.5k
Rank #52 / 67
27
Facility 27
SD AVG 14.8
Rank #51 / 65
4.5
Facility 4.5
SD AVG 3.3
Rank #47 / 65
372-
85
Facility 85
SD AVG 43
Rank #1 / 73
Doug Austin
$9.2MFiscal year ending 03/2024
Facility $9.2MFiscal year ending 03/2024
SD AVG $7.1M
Rank #14 / 58
$7.6MFiscal year ending 03/2024
Facility $7.6MFiscal year ending 03/2024
SD AVG $4.2M
Rank #7 / 58
82.4%Fiscal year ending 03/2024
Facility 82.4%Fiscal year ending 03/2024
SD AVG 58.6%
Rank #3 / 58
435036
Avantara Watertown
NH
HOS
MC
SNF
Ne Watertown
51
Facility 51
SD AVG 71
Rank #43 / 70
91.4%
Facility 91.4%
SD AVG 84%
Rank #10 / 33
+9%
3.04
Facility 3.04
SD AVG 4.34
Rank #58 / 65
+52%-30%
$6.4k
Facility $6.4k
SD AVG $38.5k
Rank #15 / 67
31
Facility 31
SD AVG 14.8
Rank #9 / 65
6.2
Facility 6.2
SD AVG 3.3
Rank #9 / 65
447-
85
Facility 85
SD AVG 43
Rank #1 / 73
Lynna Speier
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
SD AVG $7.1M
Rank #34 / 58
$2.9MFiscal year ending 12/2023
Facility $2.9MFiscal year ending 12/2023
SD AVG $4.2M
Rank #35 / 58
57%Fiscal year ending 12/2023
Facility 57%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #21 / 58
435068

Rank badges are statewide: each nursing home is ranked against every SD nursing home we track that reports that metric, not just the 4 analyzed for Watertown. See how we rank facilities

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.

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.

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, 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

Overview of Avantara Watertown

Forty-six beds are filled out of 51. Avantara Watertown runs at 90% occupancy, a solid number for a facility that only recently opened, sitting less than a mile from Prairie Lakes Hospital in Watertown’s 4th Avenue Northeast neighborhood. The address at 415 4th Ave. NE puts it in a moderately walkable part of the city (Walk Score 69), which matters for families who visit regularly.

At 168 days, the average length of stay sits in the middle range. This is not purely a 30-day Medicare rehab operation, but it’s also not a long-term custodial care setting by the numbers. The clinical menu reflects that positioning: stroke and neurological recovery, cardiac care, pulmonary care, oncology recovery, and orthopedic rehabilitation are the confirmed programs, all squarely in the post-acute specialty space. Administrator Lynna Speier leads a 51-bed facility in the Avantara network that is clearly built around structured medical recovery rather than extended residential care.

Registered nurses log 1 hour and 9 minutes per resident per day, with total nursing care at 3 hours and 35 minutes. Nurse aides account for 1 hour and 58 minutes of that total. Medicare, Medicaid, and private pay are all accepted.

Avantara Watertown is a compact, recently opened nursing home with a clinical program built for residents recovering from cardiac events, neurological incidents, cancer treatment, and orthopedic procedures, operating near hospital infrastructure that supports that care model.

Contact Avantara Watertown

Overview of Jenkin‘s Living Center

Established in 1959, Jenkin’s Living Center is a 110-bed skilled nursing facility in Watertown’s South Maple neighborhood, about a mile from Prairie Lakes Hospital and a short distance from downtown. The three-story community offers private rooms. Kasey Klapprodt serves as its administrator.

Residents receive care through individualized care plans. These are provided alongside medication management and specialized therapy programs to support both recovery and everyday health. Beyond clinical care, the community offers restaurant-style dining, scheduled transportation, organized social events, and fitness and recreation programs. These opportunities keep residents active and engaged.

Skilled nursing staff is available 24 hours a day. Registered nurses provide an average of 42 minutes of care per resident each day, while licensed practical and licensed vocational nurses contribute about 51 minutes. Nurse aides provide the largest share of daily support at roughly 2 hours and 1 minute per resident. Together, this staffing approach gives residents consistent hands-on care throughout the day and night.

The neighborhood has a Walk Score of 85, making it very walkable. Most errands are within easy walking distance. Families visiting the community can often combine their visit with shopping or other stops around the surrounding neighborhood.

Contact Jenkin‘s Living Center

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
No paid rankings Facilities cannot pay to influence placement.
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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.