Provider Name: AVANTARA WATERTOWN
Address: 415 FOURTH AVE NE, WATERTOWN, SD 57201
Phone: (605) 886-8431
County: Codington (140)
Ownership Type: For profit - Corporation
Certified Beds: 51
Average Residents Per Day: 46.4 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: WATERTOWN SD SKILLED NURSING FACILITY, LLC
First Approved Date: March 1, 1993
Affiliated Entity: LEGACY HEALTHCARE (306)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 4 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 2 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.02306, LPN Staff Hours Per Day: 0.5811, RN Staff Hours Per Day: 0.8955, Licensed Staff Hours Per Day: 1.4767
Total Nurse Staff Hours Per Day, per resident: 3.49982
Weekend Nurse Staff Hours: 2.97805, Weekend RN Staff Hours: 0.5828
PT Staff Hours Per Day, per resident: 0.0430
Nurse Staff Turnover: 51.0, Nurse Turnover Note:
RN Turnover: 41.7, RN Turnover Note:
Admin Left Number: 2, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0477, Case Mix LPN Hours Per Day: 0.7005, Case Mix RN Hours Per Day: 0.3210
Adjusted Nurse Aide Hours Per Day, per resident: 2.01270, Adjusted LPN Hours Per Day: 0.6122, Adjusted RN Hours Per Day: 1.0511
Total Adjusted Nurse Hours Per Day, per resident: 3.59411
Adjusted Weekend Nurse Hours Per Day, per resident: 3.05828
Health Survey Dates and Scores: Cycle 1: 2023-09-28 (Score: 8), Cycle 2: 2022-07-20 (Score: 4), Cycle 3: 2020-01-29 (Score: 16)
Total Weighted Health Score: 8.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 415 FOURTH AVE NE,WATERTOWN,SD,57201 (44.9059, -97.106)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: 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: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-11-06
Type: Health, Deficiency: 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: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-08-19
Type: Health, Deficiency: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-02-25
Type: Health, Deficiency: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-02-25
Type: Health, Deficiency: Ensure that residents are free from significant medication errors.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-02-25
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-02-25
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0131, Version: New
Description: Meet requirements for sections of health care facilities separated by fire resistive construction.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-25
Type: Fire Safety, Tag: 0712, Version: New
Description: Have simulated fire drills held at unexpected times.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-17
Type: Fire Safety, Tag: 0211, Version: New
Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-07-27
Type: Fire Safety, Tag: 0131, Version: New
Description: Meet requirements for sections of health care facilities separated by fire resistive construction.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-02-25
Type: Fire Safety, Tag: 0293, Version: New
Description: Have properly located and lighted "Exit" signs.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-02-25