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B
Good

AVANTARA WATERTOWN

415 FOURTH AVE NE · WATERTOWN, SD 57201

6058868431 · For profit - Limited Liability company

51 beds45.7 residents102 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A+
Excellent
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AVANTARA WATERTOWN receives an overall staffing grade of B (Good). With 3.6155 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.28 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 21.49% compared to weekdays. The facility uses a moderate level of agency staff (9.49% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.6155hrs/resident/day▼ 0.28
CMS benchmark: 3.48
RN HPRD
1.158hrs/resident/day▲ 0.47
Recommended: 0.75
Weekend Drop-off
21.49%
3.8492 weekday → 3.0221 weekend
⚠ Significant weekend reduction
Agency Staff
9.49%
17.89% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1828hrs/resident/day
Direct care aides
LPN HPRD
0.2746hrs/resident/day
Licensed practical nurses
Consistency
0.4881std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Codington County Average+0.03 HPRD
3.58
03.62 HPRD
vs. South Dakota State Average-0.21 HPRD
3.83
03.62 HPRD
vs. National Average-0.28 HPRD
3.90
03.62 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
AVANTARA WATERTOWN ★
WATERTOWN · This facility
—
B
3.61551.158★★★☆☆
JENKIN'S LIVING CENTER
WATERTOWN
0.7 mi
B
3.5490.695★☆☆☆☆
Estelline Nursing and Care Center
ESTELLINE
20.8 mi
C
3.21810.7337★★★★☆
AVANTARA LAKE NORDEN
LAKE NORDEN
22.9 mi
C
3.21520.7784★★★★★
AVANTARA CLARK CITY
CLARK
30.9 mi
B
3.98510.7821★★★★☆
AVANTARA MILBANK
MILBANK
31.1 mi
C
3.18570.7741★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
7
Total Deficiencies
$8,278
Fines Assessed
Mar 6, 2025Health
1 deficiency cited· Includes actual harm
▼
Dec 5, 2024Health
3 deficiencies cited
▼
Mar 19, 2024Health
1 deficiency cited
▼
Sep 28, 2023Health
1 deficiency cited
▼
Jul 20, 2022Health
1 deficiency cited
▼

Penalty History

Mar 6, 2025Fine
$8,278
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.