AVANTARA MILBANK

1103 SOUTH SECOND STREET, MILBANK, SD 57252 · CCN 435009 · 55 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 6 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2026-05-07 ACTUAL HARM (tag F0740, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
2026-05-07 ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2024-12-18 ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2024-10-08 ACTUAL HARM (tag F0610, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
2024-10-08 ACTUAL HARM (tag F0692, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2024-10-08 ACTUAL HARM (tag F0609, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2023-11-08 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-11-08 ACTUAL HARM (tag F0658, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Ensure services provided by the nursing facility meet professional standards of quality.

Staffing, from payroll records

Nursing hours / resident / day

3.03

state median 2.96

Weekend staffing gap

−7%

fewer nursing hours on weekends · state median −10%

RN hours / resident / day

0.77

registered nurses only

Contract (agency) staff

61%

share of all nursing hours

Nursing staff turnover

92%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $55,361 in fines.

DateTypeAmount
2024-12-18Fine$28,912
2024-10-08Fine$15,041
2023-11-08Fine$11,408

Ownership

Ownership type: For profit - Corporation. Part of the LEGACY HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 8 · Potential for more than minimal harm: 22

Survey dateTagCategorySeverityCorrected
2026-05-07F0550Resident Rights DeficienciesEnot recorded
2026-05-07F0602Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2026-05-07F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2026-05-07F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2026-05-07F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2026-05-07F0684Quality of Life and Care DeficienciesEnot recorded
2026-05-07F0689Quality of Life and Care DeficienciesEnot recorded
2026-05-07F0693Quality of Life and Care DeficienciesDnot recorded
2026-05-07F0740Quality of Life and Care DeficienciesGnot recorded
2026-05-07F0755Pharmacy Service DeficienciesDnot recorded
2026-05-07F0760Pharmacy Service DeficienciesGnot recorded
2026-05-07F0761Pharmacy Service DeficienciesEnot recorded
2025-03-13F0623Resident Rights DeficienciesDnot recorded
2025-03-13F0625Resident Rights DeficienciesDnot recorded
2025-03-13F0675Quality of Life and Care DeficienciesEnot recorded
2025-03-13F0689Quality of Life and Care DeficienciesEnot recorded
2025-03-13F0812Nutrition and Dietary DeficienciesFnot recorded
2024-12-18F0585Resident Rights DeficienciesDnot recorded
2024-12-18F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-12-18F0760Pharmacy Service DeficienciesGnot recorded
2024-10-08F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2024-10-08F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2024-10-08F0692Quality of Life and Care DeficienciesGnot recorded
2024-08-06F0677Quality of Life and Care DeficienciesEnot recorded
2023-11-08F0550Resident Rights DeficienciesEnot recorded
2023-11-08F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-11-08F0658Resident Assessment and Care Planning DeficienciesGnot recorded
2023-11-08F0689Quality of Life and Care DeficienciesGnot recorded
2023-11-08F0880Infection Control DeficienciesDnot recorded
2022-09-01F0880Infection Control DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “AVANTARA MILBANK, MILBANK” at medicare.gov/care-compare.