Avantara Watertown
415 FOURTH AVE NE, Watertown, SD 57201
Watertown, South Dakota · CMS verdict
On the federal five-star scale, Avantara Watertown carries a 3 of 5 CMS overall rating, average quality that runs in line with South Dakota's state average of 2.9.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Avantara Watertown in Watertown, South Dakota holds a CMS overall rating of 3 of 5 stars and a PlainElderCare Quality & Compliance Index of 58 of 100 (grade F). The 51-bed facility operates where a semi-private nursing-home room in South Dakota runs a median of $9,444 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 3 of 5 stars. How this is calculated.
How the 58 is built
Each segment is a dimension's weighted points toward the score, summing to 58.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
Avantara Watertown holds a CMS overall quality rating of 3 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (3/5), staffing (4/5), and quality measures (2/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Watertown, South Dakota, this facility operates 51 certified beds with an average daily census of roughly 46 residents - an occupancy rate of about 90%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. Occupancy of about 90% puts this facility in normal territory for a stabilized operation, neither unusually full nor unusually empty.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility (7 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Avantara Watertown compares to South Dakota
CMS five-star sub-ratings (0–5) for this facility against the South Dakota facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = South Dakota state average. Higher is better on all four CMS measures.
Where Avantara Watertown ranks in South Dakota
Among the 95 CMS-rated nursing homes in South Dakota, Avantara Watertown’s 3-star overall rating is higher than 48% of them. The bars show how all South Dakota homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
16 South Dakota homes share this 3-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 51 |
| Residents | 46 |
| Ownership | For profit - Limited Liability company |
| County | Codington |
| Penalties | 1 |
| Deficiencies | 7 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Avantara Watertown? ▾
Avantara Watertown has an overall CMS quality rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 4/5, and quality measures rating of 2/5.
How much does a nursing home cost per month in South Dakota? ▾
CareScout's 2025 survey puts South Dakota's median semi-private nursing home rate at $9,444 per month ($113,333 per year), with private rooms averaging $10,190 per month.
What services does Avantara Watertown offer? ▾
With 51 beds with approximately 46 current residents, Avantara Watertown is a skilled nursing facility. It operates under for profit - limited liability company ownership, and CMS's inspection record shows 7 deficiencies and 1 penalties.
Does Avantara Watertown have any deficiencies or penalties? ▾
Avantara Watertown has multiple deficiencies (7 total) and 1 penalties recorded by CMS. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in South Dakota? ▾
In South Dakota, alternatives include assisted living ($4,900/mo), home health aides ($8,437/mo), and adult day care (N/A/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the South Dakota elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 435068.
Read our methodology - how this data is sourced, computed, and verified.