Avantara Milbank
Nursing Home · Milbank, SD
CMS certification number435009
Contact & location
1103 South Second StreetMilbank, SD 57252
Grant County
- Phone
- (605) 432-4556
- ZIP code
- 57252 – all care providers
Facility details
- Certified beds
- 55
- Residents per day
- 38.0 (69% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Milbank SD Skilled Nursing Facility, LLC
- Chain
- Legacy Healthcare (89 facilities, avg 2.9★)
- Medicare certified since
- February 1, 1967
- Participates in
- Medicare and Medicaid
- Council
- Both council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.23 (state 3.79 · U.S. 3.86)
- Registered nurses (RN)
- 0.96 (state 0.80 · U.S. 0.69)
- Licensed practical nurses
- 0.42 (state 0.47 · U.S. 0.86)
- Nurse aides
- 1.85 (state 2.52 · U.S. 2.32)
- Weekend total
- 2.94 (state 3.26 · U.S. 3.42)
- Nursing staff turnover
- 91.5 (state 48.2 · U.S. 45.8)%
- RN turnover
- 86.7 (state 34.7 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- March 13, 2025
- Health deficiencies (last cycle)
- 16.0 (state 6.9 · U.S. 9.3)
- From complaints
- 12
- Citations on record (3 years)
- 30 health · 11 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-07 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-06-06 |
| 2026-05-07 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-06-06 |
| 2026-05-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-06 |
| 2026-05-07 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-06 |
| 2026-05-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-06 |
| 2026-05-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-06 |
| 2026-05-07 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-06 |
| 2026-05-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-06 |
| 2026-05-07 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-06 |
| 2026-05-07 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-06 |
| 2026-05-07 | Ensure 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. F0693 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-06 |
| 2026-05-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-06 |
| 2025-03-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-21 |
| 2025-03-13 | Honor each resident's preferences, choices, values and beliefs. F0675 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-21 |
| 2025-03-13 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-21 |
| 2025-03-13 | 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. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-21 |
| 2025-03-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-21 |
| 2024-12-18 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-01-17 |
| 2024-12-18 | Honor 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. F0585 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-12-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-10-08 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-11-02 |
| 2024-10-08 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-11-02 |
| 2024-10-08 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-11-02 |
| 2024-08-06 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-10 |
| 2023-11-08 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
G Actual harm |
Corrected 2023-12-06 |
| 2023-11-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2023-12-06 |
| 2023-11-08 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-06 |
| 2023-11-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-06 |
| 2023-11-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-06 |
| 2022-09-01 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-10-21 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $55,361 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-12-18 | Fine | $28,912 |
| 2024-10-08 | Fine | $15,041 |
| 2023-11-08 | Fine | $11,408 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 (organization) | 5%+ Direct Ownership Interest · 43% | |
| GPN Family Trust U/A/D 4/28/08 (organization) | 5%+ Direct Ownership Interest · 43% | |
| Oakway Operations LLC (organization) | 5%+ Direct Ownership Interest · 15% | |
| Milbank SD Property Holdings, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Truist Bank (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Doros Generation Trust U/A/D 1/3/12 (organization) | Administrator · NOT APPLICABLE | |
| Eggers, Austin (individual) | Administrator · NOT APPLICABLE | |
| GPN Family Trust U/A/D 4/28/08 (organization) | Administrator · NOT APPLICABLE | |
| Legacy Healthcare Financial Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Milbank SD Property Holdings, LLC (organization) | Administrator · NOT APPLICABLE | |
| Pulse, Rebecca (individual) | Administrator · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Administrator · NOT APPLICABLE | |
| RSM US LLP (organization) | Administrator · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Administrator · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Eggers, Austin (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Pulse, Rebecca (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Truist Bank (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Avantara Milbank?
Avantara Milbank has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in South Dakota.
How many beds does Avantara Milbank have?
It has 55 certified beds and cares for about 38 residents per day.
Has Avantara Milbank been fined?
Yes. CMS lists 3 penalties totaling $55,361 in the last three years.
Who owns Avantara Milbank?
It is part of Legacy Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Avantara Milbank?
(605) 432-4556. The facility is located at 1103 South Second Street, Milbank, SD 57252.
Other nursing homes in Milbank
-
St William's Care Center
Nursing Home · Milbank, SD · 60 beds
★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.