Avantara Milbank
Nursing home in Milbank, South Dakota, CMS certification number 435009
1103 South Second Street, Milbank, SD 57252 · Grant County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 55
- Certified for
- Medicare and Medicaid
- Last standard inspection
- July 9, 2026
- Deficiencies at that inspection
- 13
- Fines in 3 years
- $125,981 (4)
Does Avantara Milbank take Medicare and Medicaid?
Yes to both. Avantara Milbank is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Avantara Milbank reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.35
- Registered nurse hours
- 0.72
- Licensed practical nurse hours
- 0.77
- Nurse aide hours
- 1.87
- Weekend total hours
- 2.98
- Nursing staff turnover
- 91.8%
- Registered nurse turnover
- 90%
- Administrators who left
- 2
Health inspections and complaints
Inspectors last made a standard visit on July 9, 2026 and cited 13 deficiencies, plus 12 from complaint visits.
The visit before, on March 13, 2025, found 4.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Avantara Milbank 4 times in the past 3 years, for $125,981 in total.
Beds and residents
On an average day 35.7 residents live here, about 65% of its 55 certified beds.
- Certified beds
- 55
- Average residents per day
- 35.7
- Certified since
- February 1, 1967
- Resident or family council
- Resident
Who owns Avantara Milbank
- Legal business name
- Milbank SD Skilled Nursing Facility, LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 96 homes nationally under Legacy Healthcare, 3-star chain average
Other nursing homes near Avantara Milbank
- St William's Care Center103 N Viola St, Milbank 57252
- Wilmot Care Center Inc501 4th St, Wilmot 57279
- Avantara Watertown415 Fourth Ave NE, Watertown 57201
- Jenkin's Living Center215 South Maple Street, Watertown 57201
- Tekakwitha Living Center6 E Chestnut, Sisseton 57262
Who inspects nursing homes in South Dakota
South Dakota's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in South Dakota, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Avantara Milbank, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Avantara Milbank
What is the CMS star rating of Avantara Milbank?
1 out of 5 stars overall.
Does Avantara Milbank accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Avantara Milbank?
13 cited at the last standard visit.
Who owns Avantara Milbank?
Milbank SD Skilled Nursing Facility, LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.