St William's Care Center

103 N VIOLA ST, MILBANK, SD 57252 · CCN 435122 · 60 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing3 of 5CMS quality3 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 3 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2026-02-19 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-10-02 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-07-24 ACTUAL HARM (tag F0600, severity H)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-08-10 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.
2023-08-10 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.

Staffing, from payroll records

Nursing hours / resident / day

2.91

state median 2.96

Weekend staffing gap

−26%

fewer nursing hours on weekends · state median −10%

RN hours / resident / day

0.28

registered nurses only

Contract (agency) staff

4%

share of all nursing hours

Days with zero RN hours reported

7

with residents present

Nursing staff turnover

39%

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

4 enforcement action(s), totaling $146,129 in fines.

DateTypeAmount
2026-02-19Fine$78,750
2024-10-02Fine$12,048
2024-07-24Fine$41,925
2023-08-10Fine$13,406

Ownership

Ownership type: Non profit - Other.

Full citation history

By severity: Actual harm: 5 · Potential for more than minimal harm: 20

Survey dateTagCategorySeverityCorrected
2026-02-19F0635Resident Assessment and Care Planning DeficienciesDnot recorded
2026-02-19F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2026-02-19F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2026-02-19F0686Quality of Life and Care DeficienciesGnot recorded
2026-02-19F0689Quality of Life and Care DeficienciesDnot recorded
2026-02-19F0761Pharmacy Service DeficienciesEnot recorded
2026-02-19F0803Nutrition and Dietary DeficienciesFnot recorded
2026-02-19F0812Nutrition and Dietary DeficienciesFnot recorded
2026-02-19F0868Administration DeficienciesDnot recorded
2026-02-19F0880Infection Control DeficienciesFnot recorded
2024-10-02F0582Resident Rights DeficienciesEnot recorded
2024-10-02F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2024-10-02F0625Resident Rights DeficienciesDnot recorded
2024-10-02F0759Pharmacy Service DeficienciesEnot recorded
2024-10-02F0804Nutrition and Dietary DeficienciesEnot recorded
2024-07-24F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesHnot recorded
2024-07-24F0602Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-07-24F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-07-24F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-07-24F0761Pharmacy Service DeficienciesDnot recorded
2023-08-10F0582Resident Rights DeficienciesDnot recorded
2023-08-10F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2023-08-10F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2023-08-10F0755Pharmacy Service DeficienciesDnot recorded
2023-08-10F0758Pharmacy Service DeficienciesDnot 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 “St William's Care Center, MILBANK” at medicare.gov/care-compare.