Nursing Homes · Medicare certified
Avantara Milbank
1103 South Second Street · Milbank, SD 57252 · 55 certified beds
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About Avantara Milbank
Avantara Milbank is a nursing home in Milbank, South Dakota. Its capacity is 55 beds, above the South Dakota median of 50 for nursing homes. It is run by a for-profit operator and is part of Legacy Healthcare. It is Medicare certified. Its public inspection record shows 30 citations, the most recent on May 7, 2026. CMS also lists 4 fines or payment denials against it. Nurse staffing averages 3.35 hours per resident per day. It is one of 2 nursing homes listed in Milbank. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
2.0Quality measures
2.0CMS Care Compare, October 2026.
Inspection history (30)
Records from September 2022 to May 2026.
May 7, 2026
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 6, 2026.
May 7, 2026
Tag F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity G: isolated, actual harm. Corrected June 6, 2026.
May 7, 2026
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 6, 2026.
May 7, 2026
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 6, 2026.
May 7, 2026
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 6, 2026.
May 7, 2026
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 6, 2026.
May 7, 2026
Tag F0760Ensure that residents are free from significant medication errors.
Severity G: isolated, actual harm. Corrected June 6, 2026.
May 7, 2026
Tag F0693Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 6, 2026.
May 7, 2026
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 6, 2026.
May 7, 2026
Tag F0602Protect each resident from the wrongful use of the resident's belongings or money.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 6, 2026.
May 7, 2026
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 6, 2026.
May 7, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 6, 2026.
March 13, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 21, 2025.
March 13, 2025
Tag F0675Honor each resident's preferences, choices, values and beliefs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 21, 2025.
March 13, 2025
Tag F0625Notify 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 21, 2025.
March 13, 2025
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 21, 2025.
March 13, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 21, 2025.
December 18, 2024
Tag F0760Ensure that residents are free from significant medication errors.
Severity G: isolated, actual harm. Corrected January 17, 2025.
December 18, 2024
Tag F0585Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 17, 2025.
December 18, 2024
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 17, 2025.
Penalties (4)
Total fines: $55,361
May 7, 2026 · Fine
CMS recorded a civil money penalty of $70,620 against this nursing home on May 7, 2026.
December 18, 2024 · Fine
CMS recorded a civil money penalty of $28,912 against this nursing home on December 18, 2024.
October 8, 2024 · Fine
CMS recorded a civil money penalty of $15,041 against this nursing home on October 8, 2024.
November 8, 2023 · Fine
CMS recorded a civil money penalty of $11,408 against this nursing home on November 8, 2023.
Staffing
3.35 nurse hours per resident per day in Q2 2026, up from 3.00 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Legacy Healthcare, a chain of 96 nursing homes.
Average CMS star ratings across the chain: 3.0 overall, 2.8 for health inspections, 2.7 for staffing, 3.5 for quality measures.
- Parent company: Legacy Healthcare Financial Services LLC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in South Dakota.
Nearby alternatives
Other licensed providers in Milbank.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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