Avantara Milbank
1103 South Second Street, Milbank, SD 57252
Avantara Milbank, a 55-bed for profit - corporation nursing facility in Milbank, SD, holds a 1-star CMS overall rating - below the 3.0-star national average, with nurse staffing below the national norm. 6 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 6054324556
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- 3.18
- Well below average · nurse hrs/day · nat'l 3.89
- 18
- Inspection findings · 6 serious
- $55K
- Federal penalties (3)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 435009
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 55
- Residents
- 37
- In Hospital
- No
- County
- Grant
- Last Inspection
- Mar 13, 2025
Staffing Data
How the 3.18 total nursing hours per resident-day are staffed:
- RN Hours
- 0.78 (nat'l avg: 0.68)
- LPN Hours
- 0.48
- CNA Hours
- 1.93
- Total Nursing Hours
- 3.18 (nat'l avg: 3.89)
- PT Hours
- 0.06
- Nursing Turnover
- 82.5%
- RN Turnover
- 76.9%
What the CMS Record Reveals About Avantara Milbank
Avantara Milbank operates 55 certified beds in Milbank, SD with approximately 37 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (2★), and quality measures (1★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 18 deficiency records from recent surveys, of which 6 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $55K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.18 total nursing hours per resident day (national average 3.89), with RN coverage at 0.78 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Avantara Milbank falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 82.5%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (18 most recent)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 21, 2025
Honor each resident's preferences, choices, values and beliefs.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 21, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Apr 21, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: Apr 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 21, 2025
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Jan 17, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jan 17, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Jan 17, 2025
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 2, 2024
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 2, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 2, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 10, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 6, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 6, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 6, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 6, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Dec 6, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Oct 21, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 29.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 5.6% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 39.6% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.5% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.7% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 2.7% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 15.5% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 74.4% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 23.5% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 97.3% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 18.3% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 37.1% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 3 penalties totaling $55K
| Date | Type | Amount |
|---|---|---|
| Dec 18, 2024 | Fine | $29K |
| Oct 8, 2024 | Fine | $15K |
| Nov 8, 2023 | Fine | $11K |
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Understanding Nursing Home Data
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Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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