{
 "id": "435068",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "Avantara Watertown",
 "slug": "avantara-watertown",
 "path": "/sd/codington/watertown/avantara-watertown",
 "address": {
  "street": "415 FOURTH AVE NE",
  "city": "Watertown",
  "county": "Codington",
  "state": "SD",
  "state_name": "South Dakota",
  "zip": "57201"
 },
 "phone": "6058868431",
 "coords": [
  44.90592,
  -97.105648
 ],
 "capacity": 51,
 "residents_per_day": 46.6,
 "status": "Medicare and Medicaid",
 "licensee": "Watertown SD Skilled Nursing Facility, LLC",
 "administrator": null,
 "licensed_since": "1993-03-01",
 "last_visit": "2026-04-29",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "For profit - Limited Liability company",
  "chain": "LEGACY HEALTHCARE",
  "in_hospital": false,
  "ccrc": false,
  "abuse_icon": true,
  "special_focus": "SFF Candidate",
  "ratings": {
   "overall": 1,
   "health_inspection": 1,
   "staffing": 3,
   "quality": 2
  },
  "cycle1": {
   "date": "2026-04-29",
   "total": 25,
   "standard": 23,
   "complaint": 7
  },
  "fines": {
   "count": 1,
   "dollars": 6368,
   "penalties": 1
  },
  "staffing": {
   "nurse_hours_per_resident_day": 3.5691,
   "turnover_pct": 44.2
  },
  "on_record": {
   "immediate_jeopardy": 2,
   "actual_harm": 2,
   "potential_harm": 27,
   "minimal": 0
  },
  "penalties_on_file": {
   "count": 1,
   "dollars": 6368
  },
  "owners": [
   {
    "name": "DOROS GENERATION TRUST U/A/D 1/3/12",
    "role": "Organization",
    "since": "since 07/01/2019",
    "share": "43%"
   },
   {
    "name": "GPN FAMILY TRUST U/A/D 4/28/08",
    "role": "Organization",
    "since": "since 07/01/2019",
    "share": "43%"
   },
   {
    "name": "OAKWAY OPERATIONS LLC",
    "role": "Organization",
    "since": "since 07/01/2019",
    "share": "15%"
   },
   {
    "name": "TRUIST BANK",
    "role": "Organization",
    "since": "since 04/01/2022",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "WATERTOWN SD PROPERTY HOLDINGS, LLC",
    "role": "Organization",
    "since": "since 07/01/2019",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "RAJCHENBACH, CHAIM",
    "role": "Individual",
    "since": "since 07/01/2019",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SHABAT, MENACHEM",
    "role": "Individual",
    "since": "since 07/01/2019",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "TRUIST BANK",
    "role": "Organization",
    "since": "since 04/01/2022",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "RAJCHENBACH, CHAIM",
    "role": "Individual",
    "since": "since 07/01/2019",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SHABAT, MENACHEM",
    "role": "Individual",
    "since": "since 07/01/2019",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SHIVES, AARON",
    "role": "Individual",
    "since": "since 07/01/2019",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SPEIER, LYNNA",
    "role": "Individual",
    "since": "since 10/01/2025",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2026-04-29",
   "tag": "0689",
   "sev": "K",
   "complaint": true
  },
  {
   "date": "2026-04-29",
   "tag": "0600",
   "sev": "J",
   "complaint": false
  },
  {
   "date": "2026-04-29",
   "tag": "0760",
   "sev": "G",
   "complaint": false
  },
  {
   "date": "2026-04-29",
   "tag": "0583",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2026-04-29",
   "tag": "0835",
   "sev": "F",
   "complaint": true
  },
  {
   "date": "2026-04-29",
   "tag": "0837",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2026-04-29",
   "tag": "0865",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2026-04-29",
   "tag": "0550",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2026-04-29",
   "tag": "0585",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2026-04-29",
   "tag": "0609",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2026-04-29",
   "tag": "0655",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2026-04-29",
   "tag": "0657",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2026-04-29",
   "tag": "0695",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2026-04-29",
   "tag": "0700",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2026-04-29",
   "tag": "0552",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2026-04-29",
   "tag": "0554",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2026-04-29",
   "tag": "0605",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2026-04-29",
   "tag": "0628",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2026-04-29",
   "tag": "0641",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2026-04-29",
   "tag": "0644",
   "sev": "D",
   "complaint": false
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "435068"
 }
}