The nursing home failed to protect residents from abuse and neglect by others. Cited July 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: H
Nursing home report
St William's Care Center
MILBANK, SD · Medicare-certified · 60 beds
Needs attention
Non-profit
Data as of September 1, 2026
2 of 5 overall
St William's Care Center in Milbank, SD has a 2 out of 5 overall rating, with 2-star health inspections, 3-star staffing, and 3-star quality measures. It reports 3.11 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $90,798 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.1062 hrs/resident/day
Quality measures
Last inspection: February 19, 2026Penalties, last 24 months: $90,798recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1062.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 0.60
- Nurse aides
- 2.02
- Weekend nursing
- 2.53
Hours per resident per day.
Total staff turnover: 39%
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
20%26.3%Worsening
Residents with a fall causing major injury
6.2%4.4%Improving
Residents with pressure ulcers (bedsores)
5.1%5.4%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.3%5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.1%31.6%Worsening
Residents whose ability to walk got worse
—19.9%—
Long-stay residents on antianxiety or sleep medication
23.3%23.8%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
2.9%0%Improving
Residents with new or worsening incontinence
26.2%28.9%Worsening
Residents with depressive symptoms
4.4%12.2%Worsening
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
—100%—
Long-stay residents given the pneumonia vaccine
100%93.3%Worsening
Short-stay residents given the seasonal flu vaccine
—85%—
Short-stay residents given the pneumonia vaccine
—95.2%—
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited August 2023 — 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 August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: G
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
Recent history
- PENALTY
A federal fine of $78,750 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $12,048 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $41,925 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $132,723 in total fines.
- $78,750
Federal fine
Feb 19, 2026
- $12,048
Federal fine
Oct 2, 2024
- $41,925
Federal fine
Jul 24, 2024
Operator & ownership
- Ownership
- Non profit - Other
- Occupancy
- 49.7 residents on an average day (83% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 21 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.