Jenkin's Living Center
215 South Maple Street, Watertown, SD 57201 · Codington County · 110 certified beds · avg 72 residents/day · certified since Feb 6, 1987
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 6, 2023 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 7, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, repeated · Apr 4, 2024 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Apr 26, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 4, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 26, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (27)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 21, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| May 21, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 21, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| May 21, 2026 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 11, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jan 30, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 30, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 30, 2025 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jan 30, 2025 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 30, 2025 | E · Potential for harm, repeated | The facility did not properly run its feeding assistant program — assessing which residents are appropriate for it, following each resident's care plan, and making sure feeding assistants are trained and supervised. Feeding assistants are trained helpers who assist residents at mealtimes. |
| Jan 30, 2025 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Sep 4, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 4, 2024 | ▲ H · Actual harm, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Apr 4, 2024 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 4, 2024 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Apr 4, 2024 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Apr 4, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Oct 6, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 6, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 6, 2023 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Oct 6, 2023 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Oct 6, 2023 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Oct 6, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Oct 6, 2023 | D · Potential for harm, one-off | The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. |
| Oct 6, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 1 | J ▲ |
| 2024 | 6 | 2 | H ▲ |
| 2025 | 9 | 0 | F |
| 2026 | 4 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $53,086.
| Date | Type | Amount / length |
|---|---|---|
| Apr 4, 2024 | Fine | $43,771 |
| Oct 6, 2023 | Fine | $9,315 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | South Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.32 | 4.32 | 3.95 | top 40% in South Dakota; top 28% in the U.S. |
| Registered Nurse hours | 0.70 | 0.91 | 0.69 | bottom 31% in South Dakota; top 37% in the U.S. |
| Weekend total nurse staffing | 3.81 | 3.71 | 3.50 | top 35% in South Dakota; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.51 | 0.48 | bottom 39% in South Dakota; top 42% in the U.S. |
| Total nursing staff turnover (%) | 54.1 | 48.2 | 45.8 | bottom 35% in South Dakota; bottom 27% in the U.S. |
| RN turnover (%) | 18.2 | 34.7 | 42.9 | top 23% in South Dakota; top 12% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.67, RN 0.59, weekend 3.24. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Augustana Senior Development | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/11/2025 |
| Augustana Senior Development | Organization | ADP of the SNF | NOT APPLICABLE | 03/12/2026 |
| Austin, Doug | Individual | Corporate Director | NOT APPLICABLE | 06/30/1977 |
| Celtic Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/31/2020 |
| Gabel, Jill | Individual | Corporate Director | NOT APPLICABLE | 06/30/1989 |
| Hoiien, Reid | Individual | Corporate Director | NOT APPLICABLE | 06/30/2013 |
| Johnson, Dean | Individual | Corporate Director | NOT APPLICABLE | 06/30/1984 |
| Jurgens, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | NO DATE PROVIDED |
| Key Rehabilitation INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/14/2025 |
| Key Rehabilitation INC | Organization | ADP of the SNF | NOT APPLICABLE | 12/02/2025 |
| Klapprodt, Kasey | Individual | Corporate Officer | NOT APPLICABLE | 02/13/2023 |
| Klapprodt, Kasey | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/13/2023 |
| Klapprodt, Kasey | Individual | ADP of the SNF | NOT APPLICABLE | 02/13/2023 |
| Kluck, Michael | Individual | Corporate Director | NOT APPLICABLE | 06/30/2004 |
| Nogelmeir, Marlene | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Raderschadt, Dan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2012 |
| Raml, Kelsey | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Raml, Kelsey | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Salchert, Margaret | Individual | Corporate Director | NOT APPLICABLE | 06/30/2005 |
| Schmidt, Heidi | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Avantara Watertown | 0.7 mi | Watertown, SD | ★☆☆☆☆ | 1/5 | abuseSFF |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 435036.