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Avantara Watertown
Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Watertown, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Exterior view of Avantara Watertown building Outdoor gazebo area with seating and pathways Dining area with tables and chairs Cozy shared resident room with twin beds and decor.

Avantara Watertown

Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Watertown, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
415 4Th Ave. Ne, Watertown, SD 57201 View map
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Avantara Watertown accepts Medicare, Medicaid, and private pay.
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Avantara Watertown accepts Medicare, Medicaid, and private pay.

Overview of Avantara Watertown

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Avantara Watertown provides nursing home care, hospice care, memory care, and skilled nursing in Watertown, SD. Skilled nursing gives residents access to licensed nursing care on site around the clock, while memory care provides a secured setting with supervision for someone at risk of wandering. Hospice care focuses on comfort for a resident with a serious illness, and respite care offers a short stay when a family’s usual caregiver needs to travel or recover.

Rehabilitation services include short term rehab and programs for stroke and other neurological conditions, cardiac care, oncology recovery care, orthopedic rehabilitation, and pulmonary care. These programs support recovery or ongoing clinical needs related to those conditions without limiting the community to one type of rehabilitation. With 51 beds, the home has a defined number of resident places rather than a large institutional capacity. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover eligible care. A Walk Score of 69 places the area in the somewhat walkable range, so some errands can be done on foot and a resident who no longer drives may be able to reach nearby destinations independently. Lynna Speier serves as the administrator, and the community may be a good fit for someone who needs skilled nursing, rehabilitation, or memory care and may also benefit from respite or hospice services.

Facility Direct Line (605) 886-8431
LinkedIn

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
At SD avg. At SD avg.SD average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 1.9% Above SD avg. ▲ 1.9% Above SD avg.SD average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 43.2% Below SD avg. ▼ 43.2% Below SD avg.SD average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 13.0% Above SD avg. ▲ 13.0% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing Info Nursing care per resident per day and state rankings: CMS Provider Information.

Total nursing care per resident / day Info This nursing home is ranked 43rd out of 47 nursing homes we track in South Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
↓ 28% · SD 4h 24mThis facility: 3h 11m per resident per day, 28% below the South Dakota average of 4h 24m (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. Rank #43 / 47Nurse hours — State benchmarked This nursing home is ranked 43rd out of 47 nursing homes we track in South Dakota for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 47 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
3h 11m

Standout metric: RN, weekends is +26% above South Dakota average

4 of 6 metrics below South Dakota average

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 51 Rank #33 / 55Bed count — State benchmarked This nursing home is ranked 33rd out of 55 nursing homes we track in South Dakota for bed count. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management. Rank #3 / 51Years in operation — State benchmarked This nursing home is ranked 3rd out of 51 nursing homes we track in South Dakota for years in operation. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1 year
Walk Score Info Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities. Rank #6 / 57Walk Score — State benchmarked This nursing home is ranked 6th out of 57 nursing homes we track in South Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across South Dakota facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
69 / 100
Residents per day (avg) Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
46

Source: CMS Provider Information, average daily residents

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
116 days

About This Community

License Details

Facility TypeNursing Home
IssuanceJanuary 7, 2025
CountyCodington
License Number10704

Certifications & Programs

WCC (Wound Care Certified) nurseA specialty credential or certification held by the community or its staff, indicating training or standards beyond basic state licensure.

Ownership & Operating Entity

Avantara Watertown is administered by Lynna Speier.

Therapy & Rehabilitation

6 services
Short-Term Rehab
Short-Term Rehabilitation
Cardiac RehabilitationA supervised program that helps people regain strength and endurance after heart problems or procedures, often including exercise and risk-factor education.
Oncology Recovery Care
Orthopedic Rehabilitation
Outpatient Therapy

Staffing & Medical

7 services
Wound CareCare for wounds such as pressure sores, surgical wounds, or ulcers, including assessment, dressing changes, and monitoring for infection.
IV Therapy
Gastrostomy Tube Feeding
Lymphedema Care
Pain Management
Cardiac Care
Pulmonary Care

Memory & Specialized Care

1 service
Stroke & Neurological Conditions

Additional Services

3 services
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Daily Living Assistance
TransportationListed as: Transportation to dialysis appointments

Additional Policies & Features

Pets not allowed

Contact Avantara Watertown
Enforcement

Penalties and fines About penalties and 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 Aug 2026

No penalties in the past 3 years

No civil money penalties or payment denials on record since Aug 2023.

Clean record
Total fines
$0 SD avg $47KSouth Dakota average: $46,852. Average among the 71 South Dakota facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0 SD avg 2.3South Dakota average: 2.3. Average among the 71 South Dakota facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials What is a payment denial? Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0 US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2024.

For-profit
Operated by a limited liability company.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.2MFiscal year ending 12/2024
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$160.9KFiscal year ending 12/2024
For-profit Operated by a limited liability company.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.2MFiscal year ending 12/2024 Rank #31 / 45Net patient revenue — State benchmarked This nursing home is ranked 31st out of 45 nursing homes we track in South Dakota for net patient revenue. Shows this facility's net patient revenue compared to the South Dakota average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$160.9KFiscal year ending 12/2024
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$76Fiscal year ending 12/2024
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #28 / 45Payroll costs — State benchmarked This nursing home is ranked 28th out of 45 nursing homes we track in South Dakota for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the South Dakota average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$3.1MFiscal year ending 12/2024 59.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #14 / 45Payroll % of net patient revenue — State benchmarked This nursing home is ranked 14th out of 45 nursing homes we track in South Dakota for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the South Dakota average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.3MFiscal year ending 12/2024
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.4MFiscal year ending 12/2024
How we calculate these figures

This home is administered by Lynna Speier.

This home is owned by Lynna Speier

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435068

Show certification details

Who this home usually serves

Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Arriving
126 admissions · FY2024 Residents admitted during the year.
Medicare 75 · 60%
Medicaid 18 · 14%
Private pay & other 33 · 26%
Shows care patterns over time; not used to rate this facility.

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Typical stay

Medicare 1 - 2 months Medicaid 1 - 2 years Private pay & other 4 months
Reviews (1)

Avantara Watertown Reviews

Kayleen Thooft
The care my Mom received at Avantara was pathetic!!!

Places of interest near Avantara Watertown

Address 0.7 miles from city center Info Estimated distance in miles from Watertown's city center to Avantara Watertown's address, calculated via Google Maps. — 0.81 miles to nearest hospital (Prairie Lakes Hospital)

Calculate Travel Distance to Avantara Watertown

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Financial Assistance for
Nursing Home in South Dakota

Avantara Watertown is located in NE Watertown, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.

Get Financial aid guidance

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

Age 65+ or disabled
General 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

Sparse population aids rural access; limited providers.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

South Dakota Elderly Services Program

SD ESP

Age 60+
General South Dakota resident, at risk of decline.
Income Limits ~$1,732/month individual, varies
Asset Limits $5,000 individual
SD

Limited funding; rural focus.

Benefits
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

Age 65+ or disabled
General 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

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

Age 60+ prioritized
General SD resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
SD

Covers gas, electric, propane; weatherization add-on available.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

Age —
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

Rural emphasis; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

South Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General 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

Supports rural veterans; high demand near Sioux Falls VA.

Benefits
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

Age 65+ (or disabled) by Jan 1
General 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

Refunds up to $575; ~10,000 seniors benefit annually.

Benefits
Tax refund (~$250-$575/year based on income)

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

Age 60+
General SD resident, low-income.
Income Limits (2025) ~$2,322/month individual, 185% FPL
Asset Limits Not assessed.
SD

Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.

Benefits
Vouchers (~$50/season) for fresh produce at approved markets

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

Age 65+ (or disabled)
General 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

Saves ~$300-$600/year avg.; applies to primary residence.

Benefits
Assessment freeze (~$300-$600/year savings)

Older Americans Act (OAA) Services

South Dakota OAA Services

Age 60+
General 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

6 AAAs; rural focus due to sparse population.

Benefits
Meals (home-delivered or congregate, ~$5-$7/meal value) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid
Know before you visit

Frequently Asked Questions about Avantara Watertown

Quick answers from public records and the community's own listing.
01 Is Avantara Watertown in a walkable area?
Avantara Watertown has a walk score of 69. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
02 What is the license number of Avantara Watertown?
According to SD state health department records, Avantara Watertown's license number is 10704.
03 What is the occupancy rate at Avantara Watertown?
Avantara Watertown's occupancy is 84.9%.
04 How long has Avantara Watertown been in business?
Avantara Watertown has been operating for approximately 1 year, based on available licensing and registration records.
05 Are pets allowed at Avantara Watertown?
No, Avantara Watertown has a no-pet policy.
06 Does Avantara Watertown operate as a for-profit or non-profit?
Avantara Watertown is registered as a for-profit in SD.
07 Who is the administrator of Avantara Watertown?
Lynna Speier is the administrator of Avantara Watertown.
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