The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited May 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 740 — 42 CFR §483.40 — S/S: G
Nursing home report
AVANTARA MILBANK
MILBANK, SD · Medicare-certified · 55 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
AVANTARA MILBANK (Milbank, SD) has a 1 out of 5 overall rating, with a 1-star health inspection rating, 2-star staffing and quality ratings, and reported nurse staffing below the federal benchmark (3.23 vs. 4.1 hours per resident per day). It also had $43,953 in fines in the last 24 months and a recent federal penalty, with recent inspection concerns involving behavioral health care, medication errors, and reporting suspected abuse or neglect.
Facility ratings
Health inspections
Staffing
3.23 hrs/resident/day
Quality measures
Last inspection: May 7, 2026Penalties, last 24 months: $43,953recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.23.
Staffing detail
- Registered nurses
- 0.96
- Licensed practical nurses
- 0.42
- Nurse aides
- 1.85
- Weekend nursing
- 2.94
Hours per resident per day.
Total staff turnover: 92%
Registered nurse turnover: 87%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
23.8%28.6%Worsening
Residents with a fall causing major injury
0%2.8%Worsening
Residents with pressure ulcers (bedsores)
9.6%8.2%Improving
Residents with a urinary tract infection
3.3%5.7%Worsening
Residents who lost too much weight
4%11.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
36%28.1%Improving
Residents whose ability to walk got worse
—23.2%—
Long-stay residents on antianxiety or sleep medication
19.2%37.1%Worsening
Short-stay residents newly given an antipsychotic
—5.4%—
Residents with a long-term catheter
8.8%0%Improving
Residents with new or worsening incontinence
31.8%24.9%Improving
Residents with depressive symptoms
25.9%25%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.3%—
Long-stay residents given the pneumonia vaccine
83.9%75%Worsening
Short-stay residents given the pneumonia vaccine
60.9%72.7%Improving
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited May 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
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
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- 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.
See what inspectors found
- 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
Recent ownership change · Jul 1, 2019
Now operated by Avantara Milbank, previously Milbank Care and Rehabilitation Center.
- Ownership
- For profit - Corporation
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 3 stars avg
- Occupancy
- 38 residents on an average day (69% 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.