Avantara Milbank
1103 South Second Street, Milbank, SD 57252 · (605) 432-4556
For profit - Limited Liability company · 55 certified beds
Avantara Milbank has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2026, found 1 citation (the South Dakota average is 6.7). It was fined 4 times in the last three years, $125,981 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on July 9, 2026 found 1 citation. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 9, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Complaint inspections, last three years
Inspections after complaints found 20 citations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 7, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from the wrongful use of the resident's belongings or money.May 7, 2026 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 7, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.May 7, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.May 7, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 7, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 7, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.May 7, 2026 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident must receive and the facility must provide necessary behavioral health care and services.May 7, 2026 · F0740 · Level of harm: Actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 7, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.May 7, 2026 · F0760 · Level of harm: Actual harm · Residents affected: Few
- 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.May 7, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 13, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.December 18, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 18, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.December 18, 2024 · F0760 · Level of harm: Actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 8, 2024 · F0609 · Level of harm: Actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.October 8, 2024 · F0610 · Level of harm: Actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.October 8, 2024 · F0692 · Level of harm: Actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.August 6, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $70,620May 7, 2026
- Fine of $28,912December 18, 2024
- Fine of $15,041October 8, 2024
- Fine of $11,408November 8, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | South Dakota average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.23 | 3.79 | 3.86 |
| Registered nurses (RN) | 0.96 | 0.80 | 0.69 |
| Licensed practical nurses (LPN) | 0.42 | 0.47 | 0.86 |
| Nurse aides | 1.85 | 2.52 | 2.32 |
| Total nursing staff turnover | 91.5% | 48.2% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 55 |
| Average residents per day | 38 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- St William's Care Center Milbank · ★★★★★ 2 out of 5 stars
- Sun Dial Manor Bristol · ★★★★★ 3 out of 5 stars
- Avantara Clark City Clark · ★★★★★ 4 out of 5 stars
- Good Samaritan Society de Smet De Smet · ★★★★★ 1 out of 5 stars
- Estelline Nursing and Care Center Estelline · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Avantara Milbank on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.