Avantara Watertown
For profit - Limited Liability company · 415 Fourth Ave Ne, Watertown, SD 57201 · See home’s Medicare page
Affiliated With Legacy Healthcare
People or companies with an ownership interest in or managerial control of this home, according to CMS data.
3.46
Nurse hours/resident/day
Reported total nurse staffing hours per resident per day.
State Average: 3.9
47.9%
Nurse turnover
The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 49.0%
51
Certified beds
Qualifying beds in the certified provider or supplier facility.
47
Average residents/day
Average number of residents based on daily census.
Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
Direct owners
Doros Generation Trust U/A/D 1/3/12 (43%) since Jul, 2019
Gpn Family Trust U/A/D 4/28/08 (43%) since Jul, 2019
Oakway Operations LLC (15%) since Jul, 2019
Gpn Family Trust U/A/D 4/28/08 (43%) since Jul, 2019
Oakway Operations LLC (15%) since Jul, 2019
Indirect owners
No indirect owner information
Managerial control
Truist Bank since Apr, 2022
Chaim Rajchenbach since Jul, 2019
Menachem Shabat since Jul, 2019
Aaron Shives since Jul, 2019
Lynna Speier since Oct, 2025
Chaim Rajchenbach since Jul, 2019
Menachem Shabat since Jul, 2019
Aaron Shives since Jul, 2019
Lynna Speier since Oct, 2025
Managing employee(s)
No information available
5% Or Greater Security Interest
Truist Bank since Apr, 2022
Watertown Sd Property Holdings, LLC since Jul, 2019
Watertown Sd Property Holdings, LLC since Jul, 2019
Managing Control Governing Body
Chaim Rajchenbach since Jul, 2019
Menachem Shabat since Jul, 2019
Menachem Shabat since Jul, 2019
Adp Of The Snf
Doros Generation Trust U/A/D 1/3/12 since Jul, 2019
Gpn Family Trust U/A/D 4/28/08 since Jul, 2019
Legacy Healthcare Financial Services LLC since Jul, 2019
Rsm Us LLP since Jan, 2024
Watertown Sd Property Holdings, LLC since Jul, 2019
Chaim Rajchenbach since Jul, 2019
Menachem Shabat since Jul, 2019
Aaron Shives since Jul, 2019
Lynna Speier since Oct, 2025
Gpn Family Trust U/A/D 4/28/08 since Jul, 2019
Legacy Healthcare Financial Services LLC since Jul, 2019
Rsm Us LLP since Jan, 2024
Watertown Sd Property Holdings, LLC since Jul, 2019
Chaim Rajchenbach since Jul, 2019
Menachem Shabat since Jul, 2019
Aaron Shives since Jul, 2019
Lynna Speier since Oct, 2025
Inspection Reports
Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
14
total deficiencies
Quality of Life and Care Deficiency — F0689
Failure to:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity
Immediate jeopardy to resident health or safety
Scope
Some people affected
Seriousness
Administration Deficiency — F0835
Failure to:
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
Resident Assessment and Care Planning Deficiency — F0655
Failure to:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Resident Rights Deficiency — F0550
Failure to:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Resident Assessment and Care Planning Deficiency — F0657
Failure to:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Freedom from Abuse, Neglect, and Exploitation Deficiency — F0609
Failure to:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Pharmacy Service Deficiency — F0755
Failure to:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Pharmacy Service Deficiency — F0760
Failure to:
Ensure that residents are free from significant medication errors.
Severity
Actual harm that is not immediate jeopardy
Scope
Few people affected
Seriousness
Resident Rights Deficiency — F0550
Failure to:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Pharmacy Service Deficiency — F0761
Failure to:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Pharmacy Service Deficiency — F0755
Failure to:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Quality of Life and Care Deficiency — F0677
Failure to:
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Pharmacy Service Deficiency — F0761
Failure to:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Resident Rights Deficiency — F0584
Failure to:
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Penalties
A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.
$6,368
total fines
Mar 6, 2025
$6,368 fine