All states › South Dakota › Milbank › St William's Care Center
103 N Viola St Milbank, SD 57252 · Grant County
All 2 nursing homes in Milbank, SD (2 take Medicaid)
CMS certification number 435122 · See this home on Medicare Care Compare
Is St William's Care Center 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 St William's Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the South Dakota average of 3.0.
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 3.01 hours per resident per day at St William's Care Center, below the South Dakota median of 3.69 (US median: 3.72). About 0.30 of those hours are from registered nurses. On weekends it falls to 2.39 hours, 20% below its all-week average. Ask how weekends are staffed. 48.9% of nursing staff left within a year (South Dakota median 46.5%).
About this nursing home
Paying for care at St William's Care Center: Medicare and Medicaid
St William's Care Center 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 February 19, 2026 and found 9 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 25 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 25 citations at St William's Care Center across 4 inspection dates, 7 of them from complaint investigations. 5 were at the actual-harm level (G–I), most recently on February 19, 2026. The most common areas cited were freedom from abuse, neglect, and exploitation (7) and pharmacy service (5). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level H, July 24, 2024). 7 citations were under CMS's abuse, neglect and exploitation rules.
February 19, 2026 · 10 citations · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FEnsure 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
EEnsure services provided by the nursing facility meet professional standards of quality.
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.
DProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
October 2, 2024 · 5 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
EEnsure medication error rates are not 5 percent or greater.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
July 24, 2024 · 5 citations, includes actual harm · includes complaint inspection
HProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProtect each resident from the wrongful use of the resident's belongings or money.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DEnsure 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.
August 10, 2023 · 5 citations, includes actual harm
GTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
GRespond appropriately to all alleged violations.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DImplement 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.
Questions to ask on a tour of St William's Care Center
- Inspectors cited the home at the actual-harm level on July 24, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on October 2, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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
3 penalties in the last three years, including $105,161 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 19, 2026 | Fine | $51,188 |
| Oct 2, 2024 | Fine | $12,048 |
| Jul 24, 2024 | Fine | $41,925 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 3/5 |
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Location
Hospitals near St William's Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.5 mi
Milbank Area Hospital/Avera Health - CAH MilbankEmergency roomMedian ER visit 2h 6m for patients treated and sent home
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10.9 mi
Ortonville Area Health Services OrtonvilleEmergency roomMedian ER visit 2h 0m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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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.