ST William's Care Center
Milbank · 1.0 mi · 60 beds
Citations0Substantiated0
Avantara Milbank
1103 SOUTH SECOND STREET, Milbank, SD, 57252
Nursing home55 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 16 deficiencies against Avantara Milbank in Milbank, South Dakota at its most recent standard inspection on 2025-03-13, 12 of them arising from complaints. 8 findings have been recorded at the actual-harm level. Medicare has fined it 3 times, totalling $55,361. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
55certified beds
16deficiencies at the last inspection
0immediate-jeopardy findings on record
8actual-harm findings on record
3federal fines, $55,361
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.8
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.22
Potential for minimal harmThe least serious band.0
Most recentGGEEEEEDDDDDFEDDEGDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · F0740 · 2026-05-07 · from a complaint · Actual harm to a resident
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2026-05-07 · from a complaint · Actual harm to a resident
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2026-05-07 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2026-05-07 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2026-05-07 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-05-07 · from a complaint · No actual harm, potential for more than minimal harm
Ensure 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.
Pharmacy Service Deficiencies · F0761 · 2026-05-07 · from a complaint · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-05-07 · from a complaint · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2026-05-07 · from a complaint · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2026-05-07 · from a complaint · No actual harm, potential for more than minimal harm
Ensure 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.
Quality of Life and Care Deficiencies · F0693 · 2026-05-07 · from a complaint · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2026-05-07 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-03-13 · standard survey · No actual harm, potential for more than minimal harm
Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care Deficiencies · F0675 · 2025-03-13 · standard survey · No actual harm, potential for more than minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · F0623 · 2025-03-13 · standard survey · No actual harm, potential for more than minimal harm
Notify 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.
Resident Rights Deficiencies · F0625 · 2025-03-13 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-03-13 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2024-12-18 · from a complaint · Actual harm to a resident
Honor 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.
Resident Rights Deficiencies · F0585 · 2024-12-18 · from a complaint · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-12-18 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.22996
Nursing staff turnoverShare of nursing staff who left in a year91.5%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS3
Total fined$55,361
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one3
Ownership
Who owns Avantara Milbank
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 43% | since 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | 43% | since 07/01/2019 |
| OAKWAY OPERATIONS LLC | Organization | 15% | since 07/01/2019 |
| MILBANK SD PROPERTY HOLDINGS, LLC | Organization | NOT APPLICABLE | since 07/01/2019 |
| TRUIST BANK | Organization | NOT APPLICABLE | since 04/01/2022 |
| RAJCHENBACH, CHAIM | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | Individual | NOT APPLICABLE | since 07/01/2019 |
| TRUIST BANK | Organization | NOT APPLICABLE | since 04/01/2022 |
| EGGERS, AUSTIN | Individual | NOT APPLICABLE | since 01/01/2025 |
| PULSE, REBECCA | Individual | NOT APPLICABLE | since 01/02/2024 |
| RAJCHENBACH, CHAIM | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | Individual | NOT APPLICABLE | since 07/01/2019 |
Part of the LEGACY HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Avantara Milbank a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 435009.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction