Nursing home
Avantara Milbank
1103 South Second Street, Milbank, SD 57252 · Map
For profit - Corporation · Part of Legacy Healthcare (90 facilities) · 55 certified beds
Avantara Milbank is a Medicare-certified nursing home in Milbank, South Dakota. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.18 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Mar 13, 2025 cited 5 deficiencies.
- 3 fines totaling $55,361In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avantara Milbank compares
This facility vs. the South Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | South Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.18 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.78 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.93 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 82.5% | 49.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 5.0 | 6.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $55,361, 3 total penalties.
What inspectors found at Avantara Milbank
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 13, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 13, 2025 · Full report (PDF) - Potential for harm
Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care Deficiencies · Mar 13, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Mar 13, 2025 · Full report (PDF) - Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Mar 13, 2025 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Dec 18, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 18, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Dec 18, 2024 · Full report (PDF) - Actual harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Oct 8, 2024 · Full report (PDF) - Actual harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 8, 2024 · Full report (PDF) - Actual harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 8, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Aug 6, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1103 South Second Street
Milbank, SD 57252 - CMS certification #
- 435009
- Ownership
- For profit - Corporation
- Certified beds
- 55
- Avg residents/day
- 37.2
- Provider type
- Medicare and Medicaid
- First certified
- 1967-02-01
- Chain
- Legacy Healthcare (90 facilities)
- Setting
- Rural
Part of Legacy Healthcare
Legacy Healthcare operates 90 nursing facilities across the United States. View all Legacy Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avantara Milbank using Google Maps.
Other public records
- Website says Respite stays, works with hospice, transportation
- Emergency In FEMA's high-risk flood area (Zone AE)
Full public records, with dates and sources
Care and services
From the community’s website
What Avantara Milbank says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Yes, we offer short-term and respite stay options for individuals seeking temporary care and support.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
We also offer hospice care, ensuring compassionate support through every stage of treatment and recovery.
(page, checked Oct 12, 2026) - Provides transportation.
Our facility assists in arranging transportation for residents to see their doctors.
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
private and semi-private suites
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Milbank Area Hospital/Avera Health, Milbank. 1.4 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- St William's Care Center, Milbank. 0.9 miles away, straight line.
- Nearest home health agency office
- Avera @ Home, Milbank. 1.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Bien Pharmacy. 1.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57252 as rural (rural area).
- Dialysis within 15 miles
- Avera Dialysis Milbank, Milbank, 1.4 miles away, straight line
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 57252.
Avera @ Home, office in Milbank, 0.2 miles away, straight line - Nearest geriatric medicine practice
- Hutchinson Health, Hutchinson. 111.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone AE: 1% annual chance flood area (high risk); base flood elevation set. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. (FEMA flood map)
- Wildfire risk to homes
- In Milbank, SD, risk to homes is greater than 6% of communities in South Dakota and 33% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: very high. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Avantara Milbank a good nursing home?
CMS gives Avantara Milbank an overall rating of 1 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avantara Milbank staffed?
Avantara Milbank reports 3.18 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Avantara Milbank had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Avantara Milbank have?
Avantara Milbank is certified for 55 beds.