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HomeSouth DakotaSt William's Care Center

St William's Care Center

103 N Viola St, Milbank, SD 572526054325811WebsiteGoogle Maps
1.6on Google(5 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
3/5
Quality
3/5
Beds
60
certified
4 fine(s) totaling $146,129

How St William's Care Center Compares in South Dakota

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.

CMS overall rating
2/5
SD average
2.9/5
Below state average
Health inspection rating
2/5
SD average
2.8/5
Below state average
Staffing rating
3/5
SD average
3.6/5
Below state average
Nursing hours per resident
3.11 hrs/day
SD average
3.81 hrs/day
Below state average
RN hours per resident
0.48 hrs/day
SD average
0.80 hrs/day
Below state average
Staff turnover
39.1%
SD average
48.2%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the South Dakota average of 2.9/5.
Its 2/5 health inspection rating is below the South Dakota average of 2.8/5.
Reported nursing time is 3.11 hours per resident per day, below the state average of 3.81.
Reported RN time is 0.48 hours per resident per day, below the state average of 0.80.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
10
deficiency citations
Inspected Oct 2, 2024
Most recent cycle
10
deficiency citations
Inspected Feb 19, 2026
The two inspection cycles recorded the same number of deficiency citations.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,122/mo
South Dakota median
Private Room
$9,429/mo
South Dakota median
Grant County 65+
1,730
23.0% of county
County Population
7,533
Grant County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

St William's Care Center is a 2-star Medicare and Medicaid certified nursing home in Milbank, South Dakota with 60 certified beds. It has been operating since 2005. Its overall CMS rating is 2 out of 5.

Beds
60
Avg Residents/Day
49.7
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 15, 2005
Sprinklers
Yes
Council
Resident
County
Grant
Last Inspection
Feb 19, 2026
Deficiencies (Cycle 1)
10
Weighted Score
101.0
Infection Citations
0

Deficiency Citations (25)

F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: Feb 19, 2026Corrected: 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: Feb 19, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0635Potential for Harm

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0868Potential for Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Oct 2, 2024Corrected: NoCycle: 2
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Oct 2, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Oct 2, 2024Corrected: NoCycle: 2
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Oct 2, 2024Corrected: NoCycle: 2
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: Oct 2, 2024Corrected: NoCycle: 2
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0609Potential for Harm

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

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0609Actual Harm

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

Survey: Aug 10, 2023Corrected: NoCycle: 3
F0610Actual Harm

Respond appropriately to all alleged violations.

Survey: Aug 10, 2023Corrected: NoCycle: 3
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Aug 10, 2023Corrected: NoCycle: 3
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Aug 10, 2023Corrected: NoCycle: 3
F0758Potential for Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey: Aug 10, 2023Corrected: NoCycle: 3
Total Fines
$146,129
Number of Fines
4
Payment Denials
0
Total Penalties
4

Penalty History

FineOct 2, 2024
$12,048
FineAug 10, 2023
$13,406
FineJul 24, 2024
$41,925
FineFeb 19, 2026
$78,750

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

Nurse Aide2.02 hrs
National avg: 2.32 hrs
LPN0.60 hrs
National avg: 0.86 hrs
RN0.48 hrs
National avg: 0.69 hrs
Total Nursing3.11 hrs
National avg: 3.86 hrs
Weekend Total2.53 hrs
National avg: 0.00 hrs
Physical Therapist0.13 hrs
National avg: 0.07 hrs
Total Turnover
39.1%
RN Turnover
0.0%
Administrators Left
1

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

Ownership Type
Non profit - Other
Recent Change
No

Owners & Managers (11)

NameRoleTypeOwnership %Since
BUTLER, RITACORPORATE DIRECTORIndividualN/AMar 4, 2005
KOSMAN, JANETCORPORATE DIRECTORIndividualN/AMay 26, 2026
WILLIAMS, SHARONCORPORATE OFFICERIndividualN/AFeb 6, 2025
CHRISTENSON, ANNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 17, 2012
DENNA, PAULOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 26, 2023
THRIFT, RENEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 26, 2023
BUTLER, RITAADP OF THE SNFIndividualN/AMar 4, 2005
CHRISTENSON, ANNADP OF THE SNFIndividualN/AAug 17, 2012
DENNA, PAULADP OF THE SNFIndividualN/AJan 26, 2023
THRIFT, RENEADP OF THE SNFIndividualN/AJan 26, 2023
WALKER, MARYADP OF THE SNFIndividualN/AMay 26, 2026

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for St William's Care Center and nearby alternatives.

All South Dakota facilities
St William's Care Center
Milbank, SDCurrent facility
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $146,129
Avantara Milbank
Milbank, SD4,752 ft
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $55,361
Wilmot Care Center Inc
Wilmot, SD17.3 mi
CMS
1/5
Health
1/5
Staffing
5/5
Recorded fines: $28,028
Avantara Watertown
Watertown, SD32.0 miAbuse flag
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $6,368
Jenkin's Living Center
Watertown, SD32.7 mi
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: $53,086
Tekakwitha Living Center
Sisseton, SD36.9 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $37,079
Estelline Nursing and Care Center
Estelline, SD44.5 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $16,826
FacilityDistanceCMSHealthStaffingRecorded fines
St William's Care Center
Milbank, SD · Current facility
—2/52/53/5$146,129
Avantara Milbank
Milbank, SD
4,752 ft1/51/52/5$55,361
Wilmot Care Center Inc
Wilmot, SD
17.3 mi1/51/55/5$28,028
Avantara Watertown
Watertown, SD
32.0 mi1/51/53/5$6,368
Jenkin's Living Center
Watertown, SD
32.7 mi3/53/54/5$53,086
Tekakwitha Living Center
Sisseton, SD
36.9 mi2/52/52/5$37,079
Estelline Nursing and Care Center
Estelline, SD
44.5 mi2/53/51/5$16,826

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.

Frequently Asked Questions

What is the CMS rating for St William's Care Center?▾
St William's Care Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 3/5. This facility is rated below average.
How much does St William's Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in South Dakota is $8,122/month for a semi-private room and $9,429/month for a private room (Genworth/CareScout 2024). St William's Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has St William's Care Center had any health inspection violations?▾
St William's Care Center had 10 deficiency citations in its most recent health inspection (Feb 19, 2026). The current CMS dataset records 4 fine(s) totaling $146,129.
What are the staffing levels at St William's Care Center?▾
St William's Care Center provides 3.11 total nursing staff hours per resident per day, including 0.48 RN hours, 0.60 LPN hours, and 2.02 nurse aide hours. The total staff turnover rate is 39.1%.
How many beds does St William's Care Center have?▾
St William's Care Center has 60 certified beds with an average of 49.7 residents per day, resulting in approximately 83% occupancy. The facility is Non profit - Other owned.
Are there other nursing homes near St William's Care Center?▾
Yes. This page lists 6 nearby nursing homes in South Dakota, including 1 in Milbank. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about St William's Care Center?▾
On Google Maps, St William's Care Center has a rating of 1.6 out of 5 based on 5 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.