Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

AVANTARA WATERTOWN

WATERTOWN, SD · 51 certified beds · Last Life Safety survey December 5, 2024

CMS Certification Number 435068 · first certified March 1993

Ownership

Operated by LEGACY HEALTHCARE · For profit - Limited Liability company

  • Ownership changed July 1, 2019 (change of ownership)from WATERTOWN CARE AND REHABILITATION CENTER LLC
5
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
1
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within SD

5 citations — more than 66% of the 96 certified nursing homes in SD. Compared within SD rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in CMS's current file.

The latest survey found 2 citations; the earlier surveys on file averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (February 2026 to April 2026), and past the point by which nine in ten SD facilities have been surveyed. This facility’s last Life Safety survey was December 2024. Facilities in SD are typically surveyed 14–16 months after the last one (median 16), measured over 152 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 5 Life Safety citations above. The Physical Environment Index

  • F-0584 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.

How that compares

Citations in CMS's current file

Compared with the median facility in SD, and nationally. Surveyors differ markedly between states, so the SD figure is the meaningful one.

This facility5SD median3National median11
Citations in CMS's current file, compared
MeasureCitations
This facility5
Median facility in SD3
Median facility nationally11

Survey history

Citations at each Life Safety survey
12022-0722023-0922024-12
Citations at each Life Safety survey
Survey dateCitations
July 20, 20221
September 28, 20232
December 5, 20242

Most-cited tags

Most-cited tags at this facility
K-02112K-07541K-07121K-01311
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22024-12-05
K-0754Provide properly sized and located linen or trash receptacles.12024-12-05
K-0712Have simulated fire drills held at unexpected times.12023-09-28
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.12023-09-28

What the citations cover

Citations by CMS category
  • Miscellaneous Deficiencies 2
  • Egress Deficiencies 2
  • Construction Deficiencies 1
Citations by CMS category
CategoryCitations
Miscellaneous Deficiencies2
Egress Deficiencies2
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 5, 2024 — 2 citations

Citations issued on December 5, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (January 6, 2025)
K-0754Provide properly sized and located linen or trash receptacles.Deficient, Provider has date of correction (January 6, 2025)

September 28, 2023 — 2 citations

Citations issued on September 28, 2023
TagWhat the surveyor checksStatus
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (October 25, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 17, 2023)

July 20, 2022 — 1 citation

Citations issued on July 20, 2022
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 27, 2022)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.