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
2 of 5 overall
2 out of 5 stars overall. St William's Care Center has a 2-star health inspection rating, 3-star staffing and quality ratings, reported nurse staffing below the federal benchmark (3.26 vs 4.1 hours per resident per day), and $53,973 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.2554 hrs/resident/day
Quality measures
Last inspection: February 19, 2026Penalties, last 24 months: $53,973recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2554.
Staffing detail
- Registered nurses
- 0.45
- Licensed practical nurses
- 0.72
- Nurse aides
- 2.09
- Weekend nursing
- 2.61
Hours per resident per day.
Total staff turnover: 39%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
22.8%Improving
Residents with a fall causing major injury
4.9%Improving
Residents with pressure ulcers (bedsores)
6.1%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
2.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
26.3%Worsening
Residents whose ability to walk got worse
19.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
26.9%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
2.6%Worsening
Residents with new or worsening incontinence
28.6%Steady
Residents with depressive symptoms
8.8%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
85%Steady
Short-stay residents given the pneumonia vaccine
93.5%Steady
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
- 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 · $67,379 in total fines.
- $12,048
Federal fine
Oct 2, 2024
- $41,925
Federal fine
Jul 24, 2024
- $13,406
Federal fine
Aug 10, 2023
Operator & ownership
- Ownership
- Non profit - Other
- Occupancy
- 46.3 residents on an average day (77% 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.