The nursing home failed to ensure residents were free from significant medication errors. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
AVANTARA MILBANK
MILBANK, SD · Medicare-certified · 55 beds
Needs attention
For-profitChain member
2 of 5 overall
AVANTARA MILBANK (Milbank, SD) has a 2-star overall rating, with 2-star scores for health inspection, staffing, and quality measures. It reports 3.00 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $43,953 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.9967 hrs/resident/day
Quality measures
Last inspection: March 13, 2025Penalties, last 24 months: $43,953recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9967.
Staffing detail
- Registered nurses
- 0.98
- Licensed practical nurses
- 0.24
- Nurse aides
- 1.78
- Weekend nursing
- 2.75
Hours per resident per day.
Total staff turnover: 86%
Registered nurse turnover: 88%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
26.1%Worsening
Residents with a fall causing major injury
1.6%Steady
Residents with pressure ulcers (bedsores)
10.5%Worsening
Residents with a urinary tract infection
2.4%Steady
Residents who lost too much weight
6.1%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
33%Worsening
Residents whose ability to walk got worse
32.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
25.6%Worsening
Short-stay residents newly given an antipsychotic
6.5%Steady
Residents with a long-term catheter
5.6%Improving
Residents with new or worsening incontinence
20.1%Worsening
Residents with depressive symptoms
23.5%Worsening
Long-stay residents given the seasonal flu vaccine
97.3%Steady
Long-stay residents given the pneumonia vaccine
82.2%Improving
Short-stay residents given the pneumonia vaccine
52.8%Improving
What the inspectors found
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: G
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $28,912 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
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- PENALTY
A federal fine of $15,041 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $55,361 in total fines.
- $28,912
Federal fine
Dec 18, 2024
- $15,041
Federal fine
Oct 8, 2024
- $11,408
Federal fine
Nov 8, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
- Occupancy
- 41.2 residents on an average day (75% of 55 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.