In a large skillet over medium heat, cook to sausage. Use the back of a wooden spoon to break the meat apart and crumble while it cooks. Continue until cooked through and browned, about 6-8 minutes.
Move sausage to a paper towel-lined plate to drain. Leave all but 2 tablespoons of the sausage grease in the skillet. In a large bowl add the eggs, water, salt and pepper. Whisk until combined. Add the egg mixture to the skillet and cook over medium heat, stirring frequently, until scrambled and cooked through.
Put the sausage, scrambled eggs, cheese, refried beans, salsa, and diced avocado in serving bowls. Serve!