CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in South Dakota. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Avantara Milbank is a 1-star Medicare and Medicaid certified nursing home in Milbank, South Dakota with 55 certified beds. It has been operating since 1967. Its overall CMS rating is 1 out of 5.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Protect each resident from the wrongful use of the resident's belongings or money.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 43% | Jul 1, 2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 43% | Jul 1, 2019 |
| OAKWAY OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 15% | Jul 1, 2019 |
| MILBANK SD PROPERTY HOLDINGS, LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Jul 1, 2019 |
| TRUIST BANK | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Apr 1, 2022 |
| RAJCHENBACH, CHAIM | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jul 1, 2019 |
| SHABAT, MENACHEM | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jul 1, 2019 |
| TRUIST BANK | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2022 |
| EGGERS, AUSTIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2025 |
| PULSE, REBECCA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 2, 2024 |
| RAJCHENBACH, CHAIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2019 |
| SHABAT, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2019 |
| DOROS GENERATION TRUST U/A/D 1/3/12 | ADP OF THE SNF | Organization | N/A | Jul 1, 2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | ADP OF THE SNF | Organization | N/A | Jul 1, 2019 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | N/A | Jul 1, 2019 |
| MILBANK SD PROPERTY HOLDINGS, LLC | ADP OF THE SNF | Organization | N/A | Jul 1, 2019 |
| RSM US LLP | ADP OF THE SNF | Organization | N/A | Jan 1, 2024 |
| EGGERS, AUSTIN | ADP OF THE SNF | Individual | N/A | Jan 1, 2025 |
| PULSE, REBECCA | ADP OF THE SNF | Individual | N/A | Jan 2, 2024 |
| RAJCHENBACH, CHAIM | ADP OF THE SNF | Individual | N/A | Jul 1, 2019 |
| SHABAT, MENACHEM | ADP OF THE SNF | Individual | N/A | Jul 1, 2019 |
Compare CMS ratings and recorded fines for Avantara Milbank and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 89 facilities. View all →