Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Avantara Watertown
Avantara Watertown is a Nursing Home in South Dakota
Avantara Watertown is a Nursing Home in South Dakota
Avantara Watertown
Avantara Watertown is a Nursing Home in South Dakota
Avantara Watertown is a Nursing Home in South Dakota
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.
Quality ratings
Based on health inspections, staffing and quality measures.
Based on deficiencies found during state health inspections.
Based on nurse staffing hours per resident per day.
Based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
51
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
85.3%
Residents per day (avg)
46
Occupancy rate
85.3%
Residents per day (avg)
46
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
60% of new residents, usually for short-term rehab.
Typical stay
3 - 4 months
Private pay
30% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
10% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Finances and operations
Proprietary home
Individual
Home revenue
$8.0M
Profit
$761.1K
Proprietary home
Individual
Home revenue
$8,041,223.00
Profit
$761,098.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.6M
51-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 69 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
License Status
ActiveFacility Type
Nursing Home
License Date
January 7, 2025
License Expiration
June 30, 2026
Additional licensing details
License number:
10704
County:
Codington
Ownership & operating entity
Avantara Watertown is administrated by Speier, Lynna.
Comparison Chart
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.Compare Nursing Homes around South Dakota
Avantara Clark City
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Clark
35
No
31
SCHLOMER, TIFFANY
92.9%
$5,795,941.00
$1,384,748.00
23.9%
30.60
3/5
3.1510
4/5
3/5
1/5
1
Avantara Groton
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57445
37
No
32
PETE, JOSHUA
99.2%
$5,391,879.00
$1,403,567.00
26%
35.50
3/5
3.1645
3/5
2/5
2/5
5
Avantara Watertown
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57201
51
No
69
SPEIER, LYNNA
85.3%
$8,041,223.00
$2,244,768.00
27.9%
46.20
2/5
3.5762
3/5
4/5
1/5
1
Avantara Huron
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57350
119
No
27
SOLEM, LAURIE
58.3%
$12,770,546.00
$3,381,366.00
26.5%
64.90
2/5
3.5190
2/5
3/5
2/5
1
Avantara Arrowhead
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57702
65
No
12
PRESTON, PHILIP
85.9%
$11,497,189.00
$2,845,271.00
24.7%
60.50
1/5
2.7955
1/5
1/5
3/5
5
Avantara Watertown Reviews
Share your thoughts and experiences about Avantara Watertown. Let’s celebrate the stories that make a difference!
Kayleen Thooft
The care my Mom received at Avantara was pathetic!!!
Places of interest near Avantara Watertown
0.7 miles from city center
415 4th Ave. NE Watertown, SD 57201
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
80
Total Staff
59
Employees
21
Contractors
18,916
Total Hours (Quarter)
28
Avg Staff/Day
7.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 11 | 8.7 | No |
| Licensed Practical Nurse | 10 | 9.6 | Yes |
| Certified Nursing Assistant | 31 | 7.7 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
52 staff
8.1hs shift avg
Physicians & Practitioners ⓘ
4 staff
8hs shift avg
Therapy Services ⓘ
17 staff
3.9hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
2.7hs shift avg
Dietary Services ⓘ
4 staff
5.8hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
7.1%
of total hours from contractors
1,342 contractor hours this quarter
Physical Therapy Aide: 6
Speech Language Pathologist: 3
Qualified Social Worker: 1
Physical Therapy Assistant: 3
Licensed Practical Nurse: 3
Respiratory Therapy Technician: 5
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 31 | 0 | 31 | 9,209 | 91 | 100% | 7.7 |
| Registered Nurse | 11 | 0 | 11 | 3,098 | 90 | 99% | 8.7 |
| Licensed Practical Nurse | 7 | 3 | 10 | 1,558 | 84 | 92% | 9.6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,346 | 65 | 71% | 8.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 575 | 91 | 100% | 4.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Physical Therapy Aide | 0 | 6 | 6 | 466 | 73 | 80% | 4.7 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Speech Language Pathologist | 0 | 3 | 3 | 410 | 70 | 77% | 5.1 |
| Qualified Social Worker | 0 | 1 | 1 | 161 | 60 | 66% | 2.7 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 134 | 43 | 47% | 3.1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 79 | 47 | 52% | 1.5 |
Health Inspection History
Source: CMS Health Citations (Jul 2022 – Mar 2025)
5
Inspections
7
Total Citations
0
Critical (J-L)
1
Serious (G-I)
1.4
Citations/Inspection
Mar 2025
Last Inspection
Citation Severity Distribution
What do these levels mean?
Top Deficiency Categories
Pharmacy Services
4
57% of total
Resident Rights
2
29% of total
Quality of Life & Care
1
14% of total
Citation Sources
Standard Inspections
5
Complaint Investigations
3
State Comparison (SD)
Avg Citations (State)
14.8
This Facility: 7
Avg Critical (State)
0.3
This Facility: 0
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Mar 06, 2025 | G | Pharmacy | F0760 | Corrected |
| Dec 05, 2024 | E | Pharmacy | F0755 | Corrected |
| Dec 05, 2024 | E | Pharmacy | F0761 | Corrected |
| Dec 05, 2024 | E | Resident Rights | F0550 | Corrected |
| Mar 19, 2024 | E | Quality of Care | F0677 | Corrected |
| Sep 28, 2023 | E | Pharmacy | F0761 | Corrected |
| Jul 20, 2022 | D | Resident Rights | F0584 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: Legacy Healthcare
Resident Census by Payment Source
43
Total Residents
Medicare
7
(16.3%)
ⓘ
Medicaid
24
(55.8%)
ⓘ
Private Pay/Other
12
(27.9%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
High-Risk Clinical Events
12.8
Score
6% worse than avg
State avg: 12.0
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Functional Decline
29.4
Score
23% worse than avg
State avg: 23.9
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Need for Help with Daily Activities Increased
21.3%
Lost Too Much Weight
2.3%
Urinary Tract Infection
6.3%
Depressive Symptoms
6.5%
Falls with Major Injury
1.4%
Pneumococcal Vaccine
88.4%
Antipsychotic Use
10.8%
Walking Ability Worsened
35.4%
Influenza Vaccine
94.9%
High Risk Residents with Pressure Ulcers
3.4%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
31.6%
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Pneumococcal Vaccine
77.6%
8% worse than avg
State: 84.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.0%
100% better than avg
State: 1.8%
Influenza Vaccine
42.9%
45% worse than avg
State: 78.2%
Penalties & Fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total Fines
$13K
State avg: $40K
68% better than avg
Number of Fines
1
State avg: 2.0
Compared to State Average
Facility: $13K |
State Avg: $40K
Penalty History
Showing all 1 penalties (Mar 2025 - Mar 2025)
Mar 6, 2025
Civil Money Penalty
$13K
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Claim What’s Yours: Financial Aid for South Dakota Seniors
Program
State Program Name
Eligibility
Benefits
Home and Community Based Services Waiver
SD Medicaid HCBS Waiver
Official government program page
- General: Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- SD Specifics: Sparse population aids rural access; limited providers.
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
South Dakota Elderly Services Program
SD ESP
- General: Age 60+, South Dakota resident, at risk of decline.
- Income Limits: ~$1,732/month (individual, varies).
- Asset Limits: $5,000 (individual).
- SD Specifics: Limited funding; rural focus.
- Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
Medicare Savings Program (MSP)
South Dakota Medicare Savings Program
- General: Age 65+ or disabled, SD resident, Medicare Part A/B.
- Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits: $9,430 (individual), $14,130 (couple).
- SD Specifics: Three tiers; includes Extra Help for Part D; no waitlist.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Low-Income Home Energy Assistance Program (LIEAP)
South Dakota LIEAP
Official government program page
- General: Age 60+ prioritized, SD resident, low-income household.
- Income Limits (2025): ~$3,970/month (individual, 185% FPL).
- Asset Limits: Not assessed; income-focused.
- SD Specifics: Covers gas, electric, propane; weatherization add-on available.
- Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Family Caregiver Support Program (FCSP)
South Dakota Family Caregiver Support Program
- General: Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
- Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).
- Asset Limits: Not assessed; need-based.
- SD Specifics: Rural emphasis; includes grandparent caregivers.
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
South Dakota SCSEP
Official government program page
- General: Age 55+, unemployed, low-income, SD resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified; income-focused.
- SD Specifics: Priority for veterans, rural residents; AARP partnership.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
South Dakota VA Aid and Attendance/Housebound
- General: Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits: ~$155,356 (net worth limit).
- SD Specifics: Supports rural veterans; high demand near Sioux Falls VA.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Property Tax Reduction Program
South Dakota Property Tax Reduction from Municipal Taxes
Official government program page
- General: Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.
- Income Limits (2025): ~$20,192/year (single), ~$24,679/year (multiple-member household).
- Asset Limits: Not assessed; income-focused.
- SD Specifics: Refunds up to $575; ~10,000 seniors benefit annually.
- Services: Tax refund (~$250-$575/year based on income).
Senior Farmers’ Market Nutrition Program (SFMNP)
South Dakota SFMNP
Official government program page
- General: Age 60+, SD resident, low-income.
- Income Limits (2025): ~$2,322/month (individual, 185% FPL).
- Asset Limits: Not assessed.
- SD Specifics: Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.
- Services: Vouchers (~$50/season) for fresh produce at approved markets.
Freeze on Assessments for Dwellings of Disabled and Senior Citizens
South Dakota Property Tax Freeze
Official government program page
- General: Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.
- Income Limits (2025): ~$35,000/year (single), ~$45,000/year (multiple-member household).
- Asset Limits: Property value < $250,000 (single), $300,000 (multiple).
- SD Specifics: Saves ~$300-$600/year avg.; applies to primary residence.
- Services: Assessment freeze (~$300-$600/year savings).
Older Americans Act (OAA) Services
South Dakota OAA Services
- General: Age 60+, SD resident (or spouse of any age); no income/asset limits.
- Income Limits (2025): None; donations encouraged for some services.
- Asset Limits: Not assessed.
- SD Specifics: 6 AAAs; rural focus due to sparse population.
- Services: Meals (home-delivered or congregate, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Claim What’s Yours Financial Aid for South Dakota Seniors
SD Medicaid HCBS Waiver
Home and Community Based Services Waiver
Requirements:
General:Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025):~$2,829/month (300% FBR, individual).- Asset Limits:$2,000 (individual), $3,000 (couple).
SD Specifics:Sparse population aids rural access; limited providers.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
SD ESP
South Dakota Elderly Services Program
Requirements:
- General:Age 60+, South Dakota resident, at risk of decline.
- Income Limits:~$1,732/month (individual, varies).
- Asset Limits:$5,000 (individual).
- SD Specifics:Limited funding; rural focus.
Benefits without Contact:
- Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
South Dakota Medicare Savings Program
Medicare Savings Program (MSP)
Requirements:
- General:Age 65+ or disabled, SD resident, Medicare Part A/B.
- Income Limits (2025):~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits:$9,430 (individual), $14,130 (couple).
- SD Specifics:Three tiers; includes Extra Help for Part D; no waitlist.
Benefits without Contact:
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
South Dakota LIEAP
Low-Income Home Energy Assistance Program (LIEAP)
Requirements:
- General:Age 60+ prioritized, SD resident, low-income household.
- Income Limits (2025):~$3,970/month (individual, 185% FPL).
- Asset Limits:Not assessed; income-focused.
- SD Specifics:Covers gas, electric, propane; weatherization add-on available.
Benefits without Contact:
- Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
South Dakota Family Caregiver Support Program
Family Caregiver Support Program (FCSP)
Requirements:
- General:Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
- Income Limits (2025):No strict cap; prioritizes low-income (~$24,980/year).
- Asset Limits:Not assessed; need-based.
- SD Specifics:Rural emphasis; includes grandparent caregivers.
Benefits without Contact:
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
South Dakota SCSEP
Senior Community Service Employment Program (SCSEP)
Requirements:
- General:Age 55+, unemployed, low-income, SD resident.
- Income Limits (2025):~$1,983/month (125% FPL).
- Asset Limits:Not specified; income-focused.
- SD Specifics:Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
South Dakota VA Aid and Attendance/Housebound
VA Aid and Attendance (A&A) and Housebound Benefits
Requirements:
- General:Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025):Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits:~$155,356 (net worth limit).
- SD Specifics:Supports rural veterans; high demand near Sioux Falls VA.
Benefits without Contact:
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
South Dakota Property Tax Reduction from Municipal Taxes
Property Tax Reduction Program
Requirements:
- General:Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.
- Income Limits (2025):~$20,192/year (single), ~$24,679/year (multiple-member household).
- Asset Limits:Not assessed; income-focused.
- SD Specifics:Refunds up to $575; ~10,000 seniors benefit annually.
Benefits without Contact:
- Services: Tax refund (~$250-$575/year based on income).
South Dakota SFMNP
Senior Farmers’ Market Nutrition Program (SFMNP)
Requirements:
- General:Age 60+, SD resident, low-income.
- Income Limits (2025):~$2,322/month (individual, 185% FPL).
- Asset Limits:Not assessed.
- SD Specifics:Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.
Benefits without Contact:
- Services: Vouchers (~$50/season) for fresh produce at approved markets.
South Dakota Property Tax Freeze
Freeze on Assessments for Dwellings of Disabled and Senior Citizens
Requirements:
- General:Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.
- Income Limits (2025):~$35,000/year (single), ~$45,000/year (multiple-member household).
- Asset Limits:Property value < $250,000 (single), $300,000 (multiple).
- SD Specifics:Saves ~$300-$600/year avg.; applies to primary residence.
Benefits without Contact:
- Services: Assessment freeze (~$300-$600/year savings).
South Dakota OAA Services
Older Americans Act (OAA) Services
Requirements:
- General:Age 60+, SD resident (or spouse of any age); no income/asset limits.
- Income Limits (2025):None; donations encouraged for some services.
- Asset Limits:Not assessed.
- SD Specifics:6 AAAs; rural focus due to sparse population.
Benefits without Contact:
- Services: Meals (home-delivered or congregate, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
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