facebook tracking Avantara Milbank, Milbank SD: CMS Ratings & Inspections
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Avantara Milbank

All states › South Dakota › Milbank › Avantara Milbank

1103 South Second Street Milbank, SD 57252 · Grant County

(605) 432-4556

All 2 nursing homes in Milbank, SD (2 take Medicaid)

Accepts Medicare Accepts Medicaid 55 certified beds For profit

CMS certification number 435009 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Avantara Milbank a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avantara Milbank as of October 2026.

CMS rates it 1 out of 5 stars overall, below the South Dakota average of 3.0. Inspectors issued 30 citations in the last three years. CMS imposed 4 penalties, including $125,981 in fines, in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.35 hours per resident per day at Avantara Milbank, below the South Dakota median of 3.69 (US median: 3.72). About 0.72 of those hours are from registered nurses. On weekends it falls to 2.98 hours, 11% below its all-week average. 91.8% of nursing staff left within a year (South Dakota median 46.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.

Nursing care per resident per day 3.35 hours
Below the South Dakota median of 3.69 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.72 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.98 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 91.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 90% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds55
Residents per day 36 About 65% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 1967
Part of a chainLegacy Healthcare
Legal business nameMILBANK SD SKILLED NURSING FACILITY, LLC

Paying for care at Avantara Milbank: Medicare and Medicaid

Avantara Milbank is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet South Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on July 9, 2026 and found 1 deficiency, plus 12 from complaint inspections in the same period. In total, inspectors issued 30 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 30 citations at Avantara Milbank across 7 inspection dates, 20 of them from complaint investigations. 8 were at the actual-harm level (G–I), most recently on May 7, 2026. The most common areas cited were quality of life and care (9) and freedom from abuse, neglect, and exploitation (5). The most serious was cited under the CMS rule to "ensure each resident must receive and the facility must provide necessary behavioral health care and services" (tag F0740, level G, May 7, 2026). 5 citations were under CMS's abuse, neglect and exploitation rules.

July 9, 2026 · 1 citation

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 23, 2026)

May 7, 2026 · 12 citations, includes actual harm · includes complaint inspection

GEnsure each resident must receive and the facility must provide necessary behavioral health care and services.

Actual harm · Quality of Life and Care Deficiencies · Tag F0740 · Complaint inspection · Deficient, Provider has date of correction (Jun 6, 2026)

GEnsure that residents are free from significant medication errors.

Actual harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Jun 6, 2026)

EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Jun 6, 2026)

EProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Deficient, Provider has date of correction (Jun 6, 2026)

EProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jun 6, 2026)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jun 6, 2026)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Jun 6, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jun 6, 2026)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Jun 6, 2026)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Jun 6, 2026)

DEnsure 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Complaint inspection · Deficient, Provider has date of correction (Jun 6, 2026)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Jun 6, 2026)

March 13, 2025 · 5 citations · includes complaint inspection

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 21, 2025)

EHonor each resident's preferences, choices, values and beliefs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0675 · Deficient, Provider has date of correction (Apr 21, 2025)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Apr 21, 2025)

DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Apr 21, 2025)

DNotify 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Apr 21, 2025)

December 18, 2024 · 3 citations, includes actual harm · includes complaint inspection

GEnsure that residents are free from significant medication errors.

Actual harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Jan 17, 2025)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Complaint inspection · Deficient, Provider has date of correction (Jan 17, 2025)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jan 17, 2025)

October 8, 2024 · 3 citations, includes actual harm · includes complaint inspection

GTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Nov 2, 2024)

GRespond appropriately to all alleged violations.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Nov 2, 2024)

GProvide enough food/fluids to maintain a resident's health.

Actual harm · Quality of Life and Care Deficiencies · Tag F0692 · Complaint inspection · Deficient, Provider has date of correction (Nov 2, 2024)

August 6, 2024 · 1 citation · includes complaint inspection

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Sep 10, 2024)

November 8, 2023 · 5 citations, includes actual harm

GEnsure services provided by the nursing facility meet professional standards of quality.

Actual harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Dec 6, 2023)

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Dec 6, 2023)

EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Dec 6, 2023)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Dec 6, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Dec 6, 2023)

Questions to ask on a tour of Avantara Milbank

  1. Inspectors cited the home at the actual-harm level on May 7, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on May 7, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 91.8% a year. How many of the staff come from agencies?
  5. Several administrators left in the past year. What has changed for residents since then?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

4 penalties in the last three years, including $125,981 in fines.

DateTypeAmount or length
May 7, 2026 Fine $70,620
Dec 18, 2024 Fine $28,912
Oct 8, 2024 Fine $15,041
Nov 8, 2023 Fine $11,408

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 2/5 2/5
August 2026 1/5 1/5 2/5 2/5
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Location

Hospitals near Avantara Milbank

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

St William's Care Center Milbank · 0.9 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 60 beds · Medicaid
Wilmot Care Center Wilmot · 17.6 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 26 beds · Medicaid
Avantara Watertown Watertown · 31.1 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 51 beds · Medicaid
Jenkin's Living Center Watertown · 31.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 110 beds · Medicaid
Tekakwitha Living Center Sisseton · 37.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 40 beds · Medicaid

More nursing homes near Avantara Milbank ›   All nursing homes in Milbank ›

Compare Avantara Milbank with the 3 closest homes side by side ›

Other Legacy Healthcare nursing homes in South Dakota

Affiliation comes from CMS's affiliated-entity data, October 2026. All 96 Legacy Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/south-dakota/milbank/avantara-milbank/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.