Avantara Milbank: Staffing, Turnover, and Inspection Record
Avantara Milbank is a 55-bed for-profit nursing home in Milbank, South Dakota, part of Legacy Healthcare. In the CMS August 2026 release it reported 1.85 nurse aide hours per resident per day, 27% below the South Dakota average of 2.52, and 91.5% nursing staff turnover (South Dakota average 48.2%).
Avantara Milbank
1103 South Second StreetMilbank, SD 57252
Grant County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avantara Milbank, nurse aides logged 1.85 hours per resident per day, 27% below the South Dakota average. With about 38 residents a day, that works out to roughly 70 aide hours a day, or about 9 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.85 | 2.52 | 2.32 |
| Licensed practical nurses | 0.42 | 0.47 | 0.86 |
| Registered nurses | 0.96 | 0.80 | 0.69 |
| All nursing staff | 3.23 | 3.79 | 3.86 |
| All nursing staff, weekends | 2.94 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
91.5% of nursing staff at Avantara Milbank left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. Registered nurse turnover was 86.7%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 13, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 health deficiencies (South Dakota average 6.9). CMS lists 3 fines totaling $55,361 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 18, 2024 | Fine | $28,912 |
| Oct 8, 2024 | Fine | $15,041 |
| Nov 8, 2023 | Fine | $11,408 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avantara Milbank holds 1 of 5 overall; the South Dakota average is 2.9.
About Avantara Milbank
- Ownership: For profit - Corporation
- Chain: Legacy Healthcare, 89 homes
- Legal name: Milbank SD Skilled Nursing Facility, LLC
- Medicare and Medicaid certified since: Feb 1, 1967
- Councils: resident and family councils
- Area: rural
Nursing homes near Avantara Milbank
The closest homes by distance, with the same CMS figures. Select a column to sort.
| St William's Care Center Milbank | 0.9 | 60 | 2.02 | 3.11 | 39.1% | 2 | $132,723 |
| Fairway View Neighborhoods Ortonville · abuse citation | 11.9 | 51 | 3.24 | 4.84 | 28.1% | 2 | None |
| Wilmot Care Center Inc Wilmot · SFF candidate | 17.6 | 26 | 2.77 | 4.20 | 60.5% | 1 | $28,028 |
| Madison Healthcare Services Madison | 25.7 | 51 | 2.78 | 4.22 | 100.0% | 4 | $10,036 |
| Essentia Health Grace Home Graceville | 26.2 | 30 | 2.32 | 4.42 | 36.0% | 5 | None |
| Browns Valley Health Center Browns Valley · abuse citation | 28.0 | 31 | 2.72 | 4.19 | 40.0% | 3 | $26,685 |
| Appleton Area Health Appleton · many days without an RN | 30.6 | 47 | 3.07 | 4.81 | 34.0% | 3 | None |
| Avantara Watertown Watertown · SFF candidate · abuse citation | 31.1 | 51 | 2.09 | 3.57 | 44.2% | 1 | $6,368 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.