St William's Care Center
Nursing Home · Milbank, SD
CMS certification number435122
Contact & location
103 N Viola STMilbank, SD 57252
Grant County
- Phone
- (605) 432-5811
- ZIP code
- 57252 – all care providers
Facility details
- Certified beds
- 60
- Residents per day
- 49.7 (83% occupied)
- Ownership
- Non profit - Other
- Legal name
- ST Williams Care Center
- Medicare certified since
- March 15, 2005
- Participates in
- Medicare and Medicaid
- Council
- Resident 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
- 3.11 (state 3.79 · U.S. 3.86)
- Registered nurses (RN)
- 0.48 (state 0.80 · U.S. 0.69)
- Licensed practical nurses
- 0.60 (state 0.47 · U.S. 0.86)
- Nurse aides
- 2.02 (state 2.52 · U.S. 2.32)
- Weekend total
- 2.53 (state 3.26 · U.S. 3.42)
- Nursing staff turnover
- 39.1 (state 48.2 · U.S. 45.8)%
- RN turnover
- —
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- February 19, 2026
- Health deficiencies (last cycle)
- 10.0 (state 6.9 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 25 health · 2 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-02-19 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2026-03-31 |
| 2026-02-19 | 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. F0803 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-04-01 |
| 2026-02-19 | 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 2026-04-01 |
| 2026-02-19 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-04-01 |
| 2026-02-19 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-31 |
| 2026-02-19 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-31 |
| 2026-02-19 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. F0635 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-31 |
| 2026-02-19 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-31 |
| 2026-02-19 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-01 |
| 2026-02-19 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-31 |
| 2024-10-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-11-05 |
| 2024-10-02 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-28 |
| 2024-10-02 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-27 |
| 2024-10-02 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-27 |
| 2024-10-02 | 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 2024-10-27 |
| 2024-07-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
H Actual harm |
Corrected 2024-08-16 |
| 2024-07-24 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-22 |
| 2024-07-24 | 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 2024-08-16 |
| 2024-07-24 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-16 |
| 2024-07-24 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-16 |
| 2023-08-10 | 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 |
G Actual harm |
Corrected 2023-09-01 |
| 2023-08-10 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
G Actual harm |
Corrected 2023-09-01 |
| 2023-08-10 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-01 |
| 2023-08-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-01 |
| 2023-08-10 | Implement 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-01 |
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 $132,723 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-02-19 | Fine | $78,750 |
| 2024-10-02 | Fine | $12,048 |
| 2024-07-24 | Fine | $41,925 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Butler, Rita (individual) | Administrator · NOT APPLICABLE | |
| Christenson, Ann (individual) | Administrator · NOT APPLICABLE | |
| Denna, Paul (individual) | Administrator · NOT APPLICABLE | |
| Thrift, Rene (individual) | Administrator · NOT APPLICABLE | |
| Walker, Mary (individual) | Administrator · NOT APPLICABLE | |
| Butler, Rita (individual) | Corporate Director · NOT APPLICABLE | |
| Kosman, Janet (individual) | Corporate Director · NOT APPLICABLE | |
| Williams, Sharon (individual) | Corporate Officer · NOT APPLICABLE | |
| Christenson, Ann (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Denna, Paul (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Thrift, Rene (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of St William's Care Center?
St William's Care Center has a 2-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 St William's Care Center have?
It has 60 certified beds and cares for about 50 residents per day.
Has St William's Care Center been fined?
Yes. CMS lists 3 penalties totaling $132,723 in the last three years.
What is the phone number of St William's Care Center?
(605) 432-5811. The facility is located at 103 N Viola ST, Milbank, SD 57252.
Other nursing homes in Milbank
-
Avantara Milbank
Nursing Home · Milbank, SD · 55 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.