Facility Watch Inspection records for every certified US nursing home

Avantara Milbank

1103 South Second Street
Milbank, SD 57252
(605) 432-4556

CCN
435009
Certified beds
55
Ownership
For profit - Corporation
Chain
Legacy Healthcare

Nurse staffing

2.95
Total nurse staffing hours per resident per day, case-mix adjusted

Registered nurses: 0.96 hours per resident per day

Nursing staff turnover: 86% a year

Derived by CMS from the Payroll-Based Journal and refreshed quarterly.

Inspection history

Inspected March 13, 2025

5 citations · from a complaint investigation · Health
D
F0623 No actual harm with potential for more than minimal harm · Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Deficient, Provider has date of correction · corrected April 21, 2025
D
F0625 No actual harm with potential for more than minimal harm · Isolated

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.

Deficient, Provider has date of correction · corrected April 21, 2025
E
F0675 No actual harm with potential for more than minimal harm · Pattern

Honor each resident's preferences, choices, values and beliefs.

Deficient, Provider has date of correction · corrected April 21, 2025
E
F0689 No actual harm with potential for more than minimal harm · Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Deficient, Provider has date of correction · corrected April 21, 2025
F
F0812 No actual harm with potential for more than minimal harm · Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Deficient, Provider has date of correction · corrected April 21, 2025

Inspected December 18, 2024

3 citations · from a complaint investigation · Health
D
F0585 No actual harm with potential for more than minimal harm · Isolated

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.

Deficient, Provider has date of correction · corrected January 17, 2025
D
F0609 No actual harm with potential for more than minimal harm · Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Deficient, Provider has date of correction · corrected January 17, 2025
G
F0760 Actual harm · Isolated

Ensure that residents are free from significant medication errors.

Deficient, Provider has date of correction · corrected January 17, 2025

Inspected October 8, 2024

3 citations · from a complaint investigation · Health
G
F0609 Actual harm · Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Deficient, Provider has date of correction · corrected November 2, 2024
G
F0610 Actual harm · Isolated

Respond appropriately to all alleged violations.

Deficient, Provider has date of correction · corrected November 2, 2024
G
F0692 Actual harm · Isolated

Provide enough food/fluids to maintain a resident's health.

Deficient, Provider has date of correction · corrected November 2, 2024

Inspected August 6, 2024

1 citation · from a complaint investigation · Health
E
F0677 No actual harm with potential for more than minimal harm · Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Deficient, Provider has date of correction · corrected September 10, 2024

Inspected November 8, 2023

5 citations · Health
D
F0656 No actual harm with potential for more than minimal harm · Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Deficient, Provider has date of correction · corrected December 6, 2023
D
F0880 No actual harm with potential for more than minimal harm · Isolated

Provide and implement an infection prevention and control program.

Deficient, Provider has date of correction · corrected December 6, 2023
E
F0550 No actual harm with potential for more than minimal harm · Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Deficient, Provider has date of correction · corrected December 6, 2023
G
F0658 Actual harm · Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Deficient, Provider has date of correction · corrected December 6, 2023
G
F0689 Actual harm · Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Deficient, Provider has date of correction · corrected December 6, 2023

Inspected September 1, 2022

1 citation · Health
E
F0880 No actual harm with potential for more than minimal harm · Pattern

Provide and implement an infection prevention and control program.

Deficient, Provider has date of correction · corrected October 21, 2022

Penalties

DateTypeAmount
December 18, 2024Fine$28,912
October 8, 2024Fine$15,041
November 8, 2023Fine$11,408

Ownership transfers

EffectiveSellerBuyer
07/01/2019Milbank Care and Rehabilitation Center LLCMilbank SD Skilled Nursing Facility, LLC

From the CMS Skilled Nursing Facility Change of Ownership dataset. A sale does not by itself say anything about care quality.