South Dakota › Grant County › Milbank
St William'S Care Center
103 N Viola St, 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.
St William'S Care Center, in Milbank, South Dakota, is certified for 60 beds under non-profit, other ownership.
CMS gives it 2 of 5 stars overall, below the South Dakota median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (10, 5, 10 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 41.7 per 100 beds, more than the state median of 23.9.
CMS lists 3 penalties in the period covered: fines totalling $133K.
Reported nurse staffing is 3.1 hours per resident per day (0.5 RN), close to the South Dakota median of 3.6; nursing staff turnover is 39.1%.
Compared with county, state and nation
| Measure | This facility | Grant Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 30 | 16 | 28.7 |
| Citations per 100 beds | 41.7 | 54.5 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.2 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 1.0 | 0.8 | 0.7 |
| Nursing staff turnover | 39.1% | 91.5% | 46.6% | 45.8% |
| Fines listed | $132,723 | $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: 19 Feb 2026, 2 Oct 2024.
Severity mix: G ×4 H ×1 D ×12 E ×5 F ×3
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 |
|---|---|---|---|---|---|
| 19 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 31 Mar 2026 |
| 19 Feb 2026 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard survey | 1 Apr 2026 |
| 19 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Apr 2026 |
| 19 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 1 Apr 2026 |
| 19 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 31 Mar 2026 |
| 19 Feb 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 | Standard survey | 31 Mar 2026 |
| 19 Feb 2026 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Standard survey | 31 Mar 2026 |
| 19 Feb 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 31 Mar 2026 |
| 19 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Apr 2026 |
| 19 Feb 2026 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 31 Mar 2026 |
| 2 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 5 Nov 2024 |
| 2 Oct 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 28 Oct 2024 |
| 2 Oct 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 27 Oct 2024 |
| 2 Oct 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 27 Oct 2024 |
| 2 Oct 2024 | 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 | 27 Oct 2024 |
| 24 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | Complaint investigation | 16 Aug 2024 |
| 24 Jul 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 22 Jul 2024 |
| 24 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Aug 2024 |
| 24 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Aug 2024 |
| 24 Jul 2024 | 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. | D | Complaint investigation | 16 Aug 2024 |
| 10 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | Standard survey | 1 Sep 2023 |
| 10 Aug 2023 | F0610 | Respond appropriately to all alleged violations. | G | Standard survey | 1 Sep 2023 |
| 10 Aug 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 1 Sep 2023 |
| 10 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 1 Sep 2023 |
| 10 Aug 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 1 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Feb 2026 | Fine | $78,750 | |
| 2 Oct 2024 | Fine | $12,048 | |
| 24 Jul 2024 | Fine | $41,925 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 39.1%, RNs —; 1 administrator 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 | 30.2% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.1% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.9% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.4% | 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: non-profit, other. Legal business name: St Williams Care Center.
No organisations are listed in the CMS ownership record for this facility.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Avantara Milbank | Milbank | 55 | 1 | 1 | 2 | 30 | 54.5 | $55K | 7 May 2026 |
All 2 facilities in Grant County
Questions and answers
How many deficiencies has St William'S Care Center been cited for?
25 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has St William'S Care Center been fined?
Yes. CMS lists fines totalling $133K in the period covered.
How does staffing at St William'S Care Center compare?
Reported total nurse staffing is 3.1 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates St William'S Care Center?
Ownership type is non-profit, other. Individual owners and managers are not listed on this site.
When was St William'S Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 19 Feb 2026; the most recent standard health survey was 19 Feb 2026.
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.