Jenkin's Living Center
Watertown · 0.7 mi · 110 beds
Citations0Substantiated0
Avantara Watertown
415 FOURTH AVE NE, Watertown, SD, 57201
Nursing home51 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 25 deficiencies against Avantara Watertown in Watertown, South Dakota at its most recent standard inspection on 2026-04-29, 7 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $6,368. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
51certified beds
25deficiencies at the last inspection
2immediate-jeopardy findings on record
2actual-harm findings on record
1federal fines, $6,368
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.2
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.27
Potential for minimal harmThe least serious band.0
Most recentKJGFFFFEEEEEEEDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-04-29 · from a complaint · Immediate jeopardy to resident health or safety
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2026-04-29 · standard survey · Immediate jeopardy to resident health or safety
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2026-04-29 · standard survey · Actual harm to a resident
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2026-04-29 · standard survey · No actual harm, potential for more than minimal harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · F0835 · 2026-04-29 · from a complaint · No actual harm, potential for more than minimal harm
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Administration Deficiencies · F0837 · 2026-04-29 · standard survey · No actual harm, potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · F0865 · 2026-04-29 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2026-04-29 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · F0585 · 2026-04-29 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-04-29 · from a complaint · No actual harm, potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · F0655 · 2026-04-29 · from a complaint · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2026-04-29 · from a complaint · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2026-04-29 · standard survey · No actual harm, potential for more than minimal harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · F0700 · 2026-04-29 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · F0552 · 2026-04-29 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2026-04-29 · standard survey · No actual harm, potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2026-04-29 · standard survey · No actual harm, potential for more than minimal harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · F0628 · 2026-04-29 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2026-04-29 · standard survey · No actual harm, potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2026-04-29 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.5691
Nursing staff turnoverShare of nursing staff who left in a year44.2%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$6,368
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Avantara Watertown
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 43% | since 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | 43% | since 07/01/2019 |
| OAKWAY OPERATIONS LLC | Organization | 15% | since 07/01/2019 |
| TRUIST BANK | Organization | NOT APPLICABLE | since 04/01/2022 |
| WATERTOWN SD PROPERTY HOLDINGS, LLC | Organization | NOT APPLICABLE | since 07/01/2019 |
| RAJCHENBACH, CHAIM | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | Individual | NOT APPLICABLE | since 07/01/2019 |
| TRUIST BANK | Organization | NOT APPLICABLE | since 04/01/2022 |
| RAJCHENBACH, CHAIM | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHIVES, AARON | Individual | NOT APPLICABLE | since 07/01/2019 |
| SPEIER, LYNNA | Individual | NOT APPLICABLE | since 10/01/2025 |
Part of the LEGACY HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Avantara Watertown a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 435068.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction