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UPDATED JUL 2026

Nursing Homes · Medicare certified

Avantara Milbank

1103 South Second Street · Milbank, SD 57252 · 55 certified beds

6054324556

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Public record

CMS Care Compare · Updated Jul 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

2.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

17

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Inspection history (18)

  • March 13, 2025 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV
  • March 13, 2025 · D

    Citation F0625

    Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV
  • March 13, 2025 · D

    Citation F0623

    Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2025-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV
  • March 13, 2025 · E

    Citation F0689

    Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV
  • March 13, 2025 · E

    Citation F0675

    Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0675 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor each resident's preferences, choices, values and beliefs. The deficiency was recorded as corrected on 2025-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV
  • December 18, 2024 · D

    Citation F0609

    Federal surveyors cited this nursing home on 2024-12-18 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-18.GOV
  • December 18, 2024 · G

    Citation F0760

    Federal surveyors cited this nursing home on 2024-12-18 under CMS tag F0760 (CMS scope/severity G: isolated, actual harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-18.GOV
  • December 18, 2024 · D

    Citation F0585

    Federal surveyors cited this nursing home on 2024-12-18 under CMS tag F0585 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-18.GOV
  • October 8, 2024 · G

    Citation F0692

    Federal surveyors cited this nursing home on 2024-10-08 under CMS tag F0692 (CMS scope/severity G: isolated, actual harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2024-11-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-08.GOV
  • October 8, 2024 · G

    Citation F0610

    Federal surveyors cited this nursing home on 2024-10-08 under CMS tag F0610 (CMS scope/severity G: isolated, actual harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-11-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-08.GOV
  • October 8, 2024 · G

    Citation F0609

    Federal surveyors cited this nursing home on 2024-10-08 under CMS tag F0609 (CMS scope/severity G: isolated, actual harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-11-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-08.GOV
  • August 6, 2024 · E

    Citation F0677

    Federal surveyors cited this nursing home on 2024-08-06 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-09-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-06.GOV
  • November 8, 2023 · E

    Citation F0550

    Federal surveyors cited this nursing home on 2023-11-08 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2023-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-08.GOV
  • November 8, 2023 · G

    Citation F0689

    Federal surveyors cited this nursing home on 2023-11-08 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-08.GOV
  • November 8, 2023 · D

    Citation F0656

    Federal surveyors cited this nursing home on 2023-11-08 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-08.GOV
  • November 8, 2023 · G

    Citation F0658

    Federal surveyors cited this nursing home on 2023-11-08 under CMS tag F0658 (CMS scope/severity G: isolated, actual harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2023-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-08.GOV
  • November 8, 2023 · D

    Citation F0880

    Federal surveyors cited this nursing home on 2023-11-08 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-08.GOV
  • September 1, 2022 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2022-09-01 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2022-10-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-01.GOV

Penalties

Total fines on file: $55,361

Staffing

Latest: 3.00 nurse staffing hours per resident per day (2026-06-01)

Staffing trend (2 periods)

  1. 2025Q43.00 hrs/resident/day
  2. 2026-06-013.00 hrs/resident/day

Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit - Corporation

CMS Care Compare chain: Legacy Healthcare

Chain ID 306 · 89 facilities in chain (CMS)

  • Chain average overall rating: 2.9
  • Chain average health inspection rating: 2.9
  • Chain average staffing rating: 2.6
  • Chain average quality measure rating: 3.4

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. Parent organization: Chaim Rajchenbach Descendants Tr Ua 04282008

    parent · PAC 5294988994

    REIT (CMS PECOS disclosure)

PE/REIT labels appear only when CMS structured disclosure columns are Y. never inferred from names.

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth Cost of Care Survey · 2024

This provider doesn't publish a specific price to us. Below is the typical SD range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · SD$8,386/mo
See full SD cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

Nursing Homes

Median · SD$9,444/mo
See full SD cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Milbank, with their own public records.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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