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Medicare-certifiedSkilled Nursing

St William's Care Center

Milbank, South DakotaMedicare inspection record
(605) 432-5811

About St William's Care Center

St William's Care Center brings skilled nursing and rehabilitation services to Milbank, South Dakota with compassionate, personalized care. Our team supports recovery and wellness through evidence-based treatment plans tailored to each resident's needs, helping families navigate transitions with confidence and comfort.

Community at a glance

Capacity

60 residents

Location

Milbank, SD

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

103 N VIOLA ST, Milbank, South Dakota 57252

(605) 432-5811

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 February 19, 2026, state inspectors cited 10 health deficiencies (the South Dakota average is 6.7).

Nurses and nurse aides spend 3 hours 6 minutes with each resident a day, below the South Dakota average of 3 hours 47 minutes.

Medicare fined St William's Care Center 3 times in the last three years, $132,723 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 6 minutesBelow the South Dakota average
Registered nurse time per resident, per day29 minutesBelow the South Dakota average
Nursing staff who left in the past year39%Below the South Dakota average

1 administrator has left the home in the past year.

Inspections

20 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

February 19, 2026 · Standard inspection · 9 citations

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Mar 31, 2026
  • 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 1, 2026
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 1, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Apr 1, 2026
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Mar 31, 2026
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Mar 31, 2026
  • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Mar 31, 2026
  • Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 31, 2026
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 31, 2026

February 19, 2026 · 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 few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 1, 2026
October 2, 2024 · Complaint investigation · 1 citation+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 5, 2024
October 2, 2024 · Standard inspection · 4 citations+
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Oct 27, 2024
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Oct 28, 2024
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Oct 27, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 27, 2024
July 24, 2024 · Complaint investigation · 5 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a pattern (level H)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 16, 2024
  • Timely 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 Aug 16, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 16, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 16, 2024
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Jul 22, 2024

Fines and payment denials

3 fines totaling $132,723 in the last three years.

  • February 19, 2026Fine: $78,750
  • October 2, 2024Fine: $12,048
  • July 24, 2024Fine: $41,925

About the home, per Medicare

Ownership
Non profit - Other
Legal business name
St Williams Care Center
Medicare-certified beds
60
Average residents per day
50
Accepts
Medicare and Medicaid
First certified
March 15, 2005
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
435122

Location

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103 N VIOLA STMilbank, SD 57252

6 other communities within 10 miles

Senior living near Milbank

Questions about St William's Care Center

How did St William's Care Center do on its last inspection?+

State inspectors visited on February 19, 2026 and cited 10 health deficiencies, 1 of them from complaint investigations. The South Dakota average is 6.7.

How much nursing care does each resident get at St William's Care Center?+

Nurses and aides spend 3 hours 6 minutes with each resident per day, including 29 minutes from registered nurses. 39% of nursing staff left over the past year.

Has St William's Care Center been fined by Medicare?+

Yes. Medicare fined St William's Care Center 3 times in the last three years, totaling $132,723.

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.

Senior living in Milbank Skilled Nursing in South Dakota Skilled Nursing guide Information last updated October 2026