St William's Care Center
103 N Viola St, Milbank, SD 57252 · (605) 432-5811
Non profit - Other · 60 certified beds
St William's Care Center has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 9 citations, 1 for actual harm or immediate jeopardy (the South Dakota average is 6.7). It was fined 3 times in the last three years, $132,723 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. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · 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. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 19, 2026 found 9 citations. What an inspection citation means
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 19, 2026 · F0686 · Level of harm: Actual harm · Residents affected: Few
- 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.February 19, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 19, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.February 19, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure services provided by the nursing facility meet professional standards of quality.February 19, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.February 19, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide doctor's orders for the resident's immediate care at the time the resident was admitted.February 19, 2026 · F0635 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.February 19, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFebruary 19, 2026 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 7 citations.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 19, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.October 2, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 24, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Some
- Protect each resident from the wrongful use of the resident's belongings or money.July 24, 2024 · F0602 · 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.July 24, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.July 24, 2024 · F0610 · Level of harm: Minimal harm or potential for 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.July 24, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $78,750February 19, 2026
- Fine of $12,048October 2, 2024
- Fine of $41,925July 24, 2024
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 | 3.11 | 3.79 | 3.86 |
| Registered nurses (RN) | 0.48 | 0.80 | 0.69 |
| Licensed practical nurses (LPN) | 0.60 | 0.47 | 0.86 |
| Nurse aides | 2.02 | 2.52 | 2.32 |
| Total nursing staff turnover | 39.1% | 48.2% | 45.8% |
About this home
| Ownership | Non profit - Other |
| Certified beds | 60 |
| Average residents per day | 49.7 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Avantara Milbank Milbank · ★★★★★ 1 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 St William's Care Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.