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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeSouth DakotaAvantara Milbank

Avantara Milbank

1103 South Second Street, Milbank, SD 572526054324556
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
1/5
Beds
55
certified
3 fine(s) totaling $55,361

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 55 certified beds with an average of 37.2 residents per day (68% occupancy)

• Last health inspection found 5 deficiencies (inspected Mar 13, 2025)

• Has been fined a total of $55,361 across 3 fine(s)

• Total nursing staff: 3.18 hours per resident per day

• Staff turnover rate: 82.5% (high)

• Part of the Legacy Healthcare chain (90 facilities)

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. The facility scored below average compared to South Dakota facilities.

Beds
55
Avg Residents/Day
37.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Feb 1, 1967
Sprinklers
Yes
Council
Both
County
Grant
Last Inspection
Mar 13, 2025
Deficiencies (Cycle 1)
5
Weighted Score
68.0
Infection Citations
0

Deficiency Citations (18)

F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0625Potential 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.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0675Potential for Harm

Honor each resident's preferences, choices, values and beliefs.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0585Potential 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.

Survey: Dec 18, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Dec 18, 2024Corrected: NoCycle: 2
F0760Actual Harm

Ensure that residents are free from significant medication errors.

Survey: Dec 18, 2024Corrected: NoCycle: 2
F0609Actual Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Oct 8, 2024Corrected: NoCycle: 2
F0610Actual Harm

Respond appropriately to all alleged violations.

Survey: Oct 8, 2024Corrected: NoCycle: 2
F0692Actual Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Oct 8, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Aug 6, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Nov 8, 2023Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Nov 8, 2023Corrected: NoCycle: 2
F0658Actual Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Nov 8, 2023Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 8, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 8, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 1, 2022Corrected: NoCycle: 3
Total Fines
$55,361
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineNov 8, 2023
$11,408
FineOct 8, 2024
$15,041
FineDec 18, 2024
$28,912

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.93 hrs
National avg: 2.35 hrs
LPN0.48 hrs
National avg: 0.86 hrs
RN0.78 hrs
National avg: 0.68 hrs
Total Nursing3.18 hrs
National avg: 3.89 hrs
Weekend Total2.94 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
82.5%
RN Turnover
76.9%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER DIRECT OWNERSHIP INTERESTOrganization50%Jul 1, 2019
GPN FAM TR UA 042820085% OR GREATER DIRECT OWNERSHIP INTERESTOrganization50%Jul 1, 2019
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 1, 2019
RAJCHENBACH, CHAIMCORPORATE OFFICERIndividualN/AJul 1, 2019
SHABAT, MENACHEMCORPORATE OFFICERIndividualN/AJul 1, 2019
LOHRE, CELINAW-2 MANAGING EMPLOYEEIndividualN/AJul 1, 2019
CIBC BANK USA5% OR GREATER SECURITY INTERESTOrganizationN/AJun 1, 2019

Nearby Nursing Homes

All South Dakota facilities

St William's Care Center

Milbank, SD · 60 beds

Non profit$67,379 in fines
Health
Staffing
Quality
4791 ft

Frequently Asked Questions

What is the CMS rating for Avantara Milbank?▾
Avantara Milbank has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 1/5. This facility is rated below average.
Has Avantara Milbank had any health inspection violations?▾
Avantara Milbank had 5 deficiency citations in its most recent health inspection (Mar 13, 2025). The facility has been fined a total of $55,361 across 3 fine(s).
What are the staffing levels at Avantara Milbank?▾
Avantara Milbank provides 3.18 total nursing staff hours per resident per day, including 0.78 RN hours, 0.48 LPN hours, and 1.93 nurse aide hours. The total staff turnover rate is 82.5%.
How many beds does Avantara Milbank have?▾
Avantara Milbank has 55 certified beds with an average of 37.2 residents per day, resulting in approximately 68% occupancy. The facility is For profit - Corporation owned and is part of the Legacy Healthcare chain.
Are there other nursing homes near Avantara Milbank?▾
Yes, there are 1 other nursing home in Milbank, South Dakota with an average rating of 2/5. You can compare all facilities on the Milbank nursing homes page.

Part of Legacy Healthcare

This chain operates 90 facilities. View all →