Avantara Milbank
Milbank, SD · Medicare and Medicaid-certified nursing home (CCN 435009) · 55 certified beds
Health inspection: 1 · Quality measures: 2 · Staffing: 2
Federal fines: 3 totaling $55,361
Phone: (605) 432-4556 · Verify on Medicare Care Compare ↗
Avantara Milbank has a CMS overall star rating of 1 out of 5, below the South Dakota state average of 2.88 stars. Its health inspection rating is 1 star and its staffing rating is 2 stars.
Avantara Milbank reports total nurse staffing of about 3.23 hours per resident per day, including about 0.96 RN hours per resident per day, with a staffing star rating of 2 out of 5. Nursing staff turnover is reported at 91.5%, a notably high rate.
CMS records show Avantara Milbank has 3 federal fines totaling $55,361.00, with 0 payment denials on record. No abuse icon or Special Focus designation is indicated in the available data.
About this facility
Avantara Milbank is a Medicare and Medicaid certified nursing home located in Milbank, Grant County, South Dakota. The facility is certified for 55 beds and reports an average daily census of 38 residents. It is operated under a for-profit corporate ownership structure and is part of the Legacy Healthcare chain, which includes 89 facilities nationwide with an average CMS rating of 2.9 stars. Ownership has not changed in the past 12 months.
According to CMS Care Compare, Avantara Milbank holds an overall star rating of 1 out of 5, below the South Dakota state average of 2.88. Its health inspection rating is 1 star, its quality measure (QM) rating is 2 stars, and its staffing rating is 2 stars.
Nurse staffing data reported to CMS shows total nurse hours per resident per day of approximately 3.23, with registered nurse (RN) hours per resident per day of approximately 0.96. Nursing staff turnover is reported at 91.5%.
On penalties, CMS records show 3 federal fines totaling $55,361.00 assessed against this facility, and 0 payment denials on record.
The facility was first approved for Medicare/Medicaid certification on February 1, 1967. This profile is based on CMS Care Compare data; families should consult the Care Compare listing directly for the most current inspection, staffing, and penalty details, as well as any recent updates.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Avantara Milbank has an overall rating of 1 out of 5 stars, which is below the South Dakota state average of 2.88 stars.
Does this facility accept Medicare, Medicaid, or both?
The facility is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is about 3.23 hours per resident per day, including about 0.96 RN hours per resident per day, with a staffing rating of 2 out of 5; nursing turnover is reported at 91.5%.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 3 fines totaling $55,361.00 and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The provided data does not indicate an abuse icon or Special Focus status for this facility; verify current status on Medicare Care Compare.
How large is this facility and how many residents live there?
Avantara Milbank is certified for 55 beds with an average daily census of 38 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit corporation and is part of the Legacy Healthcare chain, which includes 89 facilities with an average CMS rating of 2.9 stars.
How long has this facility been Medicare/Medicaid certified?
The facility was first approved for certification on February 1, 1967.
What do the four different CMS star ratings mean?
CMS assigns an overall rating along with three component ratings — health inspections, staffing, and quality measures; Avantara Milbank scores 1, 1, 2, and 2 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service lines; contact the facility at (605) 432-4556 or check Medicare Care Compare for this information.
What should I look for when touring this facility?
This data set does not cover tour details; contact the facility at (605) 432-4556 to arrange a visit and verify current conditions.
How do I verify this facility's current record on Medicare Care Compare?
You can view the most current inspection, staffing, and penalty information at https://www.medicare.gov/care-compare/details/nursing-home/435009?state=SD.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.