South Dakota › Grant County › Milbank
Avantara Milbank
1103 South Second Street, Milbank, SD 57252
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avantara Milbank, in Milbank, South Dakota, is certified for 55 beds under for-profit, corporation ownership and belongs to the Legacy Healthcare chain.
CMS gives it 1 of 5 stars overall, below the South Dakota median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 30 health deficiencies across the three most recent survey cycles (16, 13, 1 by cycle, most recent first), 8 of them at the actual-harm or immediate-jeopardy level. That is 54.5 per 100 beds, more than the state median of 23.9.
CMS lists 3 penalties in the period covered: fines totalling $55K.
Reported nurse staffing is 3.2 hours per resident per day (1.0 RN), close to the South Dakota median of 3.6; nursing staff turnover is 91.5%.
Compared with county, state and nation
| Measure | This facility | Grant Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 30 | 30 | 16 | 28.7 |
| Citations per 100 beds | 54.5 | 54.5 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.6 | 3.9 |
| RN hours per resident day | 1.0 | 1.0 | 0.8 | 0.7 |
| Nursing staff turnover | 91.5% | 91.5% | 46.6% | 45.8% |
| Fines listed | $55,361 | $132,723 | $20,183 | — |
County and state figures are medians across facilities (2 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Mar 2025, 8 Nov 2023.
Severity mix: G ×8 D ×11 E ×10 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 7 May 2026 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Complaint investigation | 6 Jun 2026 |
| 7 May 2026 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 6 Jun 2026 |
| 7 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 6 Jun 2026 |
| 7 May 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 6 Jun 2026 |
| 7 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 6 Jun 2026 |
| 7 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 6 Jun 2026 |
| 7 May 2026 | F0761 | 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. | E | Complaint investigation | 6 Jun 2026 |
| 7 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Jun 2026 |
| 7 May 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 6 Jun 2026 |
| 7 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 6 Jun 2026 |
| 7 May 2026 | F0693 | 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. | D | Complaint investigation | 6 Jun 2026 |
| 7 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 6 Jun 2026 |
| 13 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Apr 2025 |
| 13 Mar 2025 | F0675 | Honor each resident's preferences, choices, values and beliefs. | E | Standard survey | 21 Apr 2025 |
| 13 Mar 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 21 Apr 2025 |
| 13 Mar 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 21 Apr 2025 |
| 13 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 21 Apr 2025 |
| 18 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 17 Jan 2025 |
| 18 Dec 2024 | F0585 | 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. | D | Complaint investigation | 17 Jan 2025 |
| 18 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 Jan 2025 |
| 8 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | Complaint investigation | 2 Nov 2024 |
| 8 Oct 2024 | F0610 | Respond appropriately to all alleged violations. | G | Complaint investigation | 2 Nov 2024 |
| 8 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 2 Nov 2024 |
| 6 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 10 Sep 2024 |
| 8 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Standard survey | 6 Dec 2023 |
| 8 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 6 Dec 2023 |
| 8 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 6 Dec 2023 |
| 8 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 6 Dec 2023 |
| 8 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Dec 2023 |
| 1 Sep 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Oct 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 18 Dec 2024 | Fine | $28,912 | |
| 8 Oct 2024 | Fine | $15,041 | |
| 8 Nov 2023 | Fine | $11,408 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 91.5%, RNs 86.7%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 31.6% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.4% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.1% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.5% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.4% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.2% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.1% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.6% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Milbank Sd Skilled Nursing Facility, Llc. Chain: Legacy Healthcare (89 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakway Operations LLC | 5% or greater direct ownership interest | 15% | 07/01/2019 |
| Milbank Sd Property Holdings, LLC | 5% or greater security interest | NOT APPLICABLE | 07/01/2019 |
| Truist Bank | 5% or greater security interest | NOT APPLICABLE | 04/01/2022 |
| Truist Bank | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| Legacy Healthcare Financial Services LLC | Adp of the snf | NOT APPLICABLE | 07/01/2019 |
| Milbank Sd Property Holdings, LLC | Adp of the snf | NOT APPLICABLE | 07/01/2019 |
| Rsm Us LLP | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Grant County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| St William'S Care Center | Milbank | 60 | 2 | 2 | 3 | 25 | 41.7 | $133K | 19 Feb 2026 |
All 2 facilities in Grant County
Questions and answers
How many deficiencies has Avantara Milbank been cited for?
30 health deficiencies across the three most recent survey cycles, 8 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Avantara Milbank been fined?
Yes. CMS lists fines totalling $55K in the period covered.
How does staffing at Avantara Milbank compare?
Reported total nurse staffing is 3.2 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Avantara Milbank?
It is part of the Legacy Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Oakway Operations LLC and Truist Bank. Individual owners and managers are not listed on this site.
When was Avantara Milbank last inspected?
The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 13 Mar 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.