1105 S 2ND ST, Milbank, SD 57252
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
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Prices not published
About Avantara Milbank
AVANTARA MILBANK brings skilled nursing and rehabilitation expertise to South Dakota's close-knit community. Our team provides personalized care during recovery, helping patients regain strength and independence with compassion and clinical skill.
Community at a glance
Capacity
55 residents
Location
Milbank, SD
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1103 SOUTH SECOND STREET, Milbank, South Dakota 57252
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on July 9, 2026, state inspectors cited 13 health deficiencies (the South Dakota average is 6.7).
Nurses and nurse aides spend 3 hours 14 minutes with each resident a day, below the South Dakota average of 3 hours 47 minutes.
Medicare fined Avantara Milbank 4 times in the last three years, $125,981 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 14 minutesBelow the South Dakota average |
| Registered nurse time per resident, per day | 58 minutesAbove the South Dakota average |
| Nursing staff who left in the past year | 92%Above the South Dakota average |
2 administrators have left the home in the past year.
Inspections
30 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 9, 2026 · Standard inspection · 1 citation
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Aug 23, 2026
May 7, 2026 · Complaint investigation · 12 citations
Ensure that residents are free from significant medication errors.
Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintCorrected Jun 6, 2026Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jun 6, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jun 6, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jun 6, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jun 6, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jun 6, 2026Protect each resident from the wrongful use of the resident's belongings or money.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 6, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 6, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 6, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 6, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 6, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 6, 2026
March 13, 2025 · Standard inspection · 4 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 21, 2025Honor each resident's preferences, choices, values and beliefs.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 21, 2025Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 21, 2025Notify 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 21, 2025
March 13, 2025 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Apr 21, 2025
December 18, 2024 · Complaint investigation · 3 citations+
Ensure that residents are free from significant medication errors.
Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintCorrected Jan 17, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 17, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 17, 2025
October 8, 2024 · Complaint investigation · 3 citations+
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 2, 2024Respond appropriately to all alleged violations.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 2, 2024Provide enough food/fluids to maintain a resident's health.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Nov 2, 2024
August 6, 2024 · Complaint investigation · 1 citation+
Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Sep 10, 2024
November 8, 2023 · Standard inspection · 5 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Dec 6, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Residents were harmed, a few residents (level G)Resident Assessment and Care PlanningCorrected Dec 6, 2023Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Dec 6, 2023Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Dec 6, 2023Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 6, 2023
Fines and payment denials
4 fines totaling $125,981 in the last three years.
- May 7, 2026Fine: $70,620
- December 18, 2024Fine: $28,912
- October 8, 2024Fine: $15,041
- November 8, 2023Fine: $11,408
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Milbank Sd Skilled Nursing Facility, LLC
- Medicare-certified beds
- 55
- Average residents per day
- 38
- Accepts
- Medicare and Medicaid
- First certified
- February 1, 1967
- Part of a chain
- Legacy Healthcare, 95 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 435009
Location
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1103 SOUTH SECOND STREETMilbank, SD 57252
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Questions about Avantara Milbank
How did Avantara Milbank do on its last inspection?+
State inspectors visited on July 9, 2026 and cited 13 health deficiencies, 12 of them from complaint investigations. The South Dakota average is 6.7.
How much nursing care does each resident get at Avantara Milbank?+
Nurses and aides spend 3 hours 14 minutes with each resident per day, including 58 minutes from registered nurses. 92% of nursing staff left over the past year.
Has Avantara Milbank been fined by Medicare?+
Yes. Medicare fined Avantara Milbank 4 times in the last three years, totaling $125,981.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.