St William's Care Center: Staffing, Turnover, and Inspection Record
St William's Care Center is a 60-bed nonprofit nursing home in Milbank, South Dakota. In the CMS August 2026 release it reported 2.02 nurse aide hours per resident per day, 20% below the South Dakota average of 2.52, and 39.1% nursing staff turnover (South Dakota average 48.2%).
St William's Care Center
103 N Viola StMilbank, 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 St William's Care Center, nurse aides logged 2.02 hours per resident per day, 20% below the South Dakota average. With about 50 residents a day, that works out to roughly 101 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.02 | 2.52 | 2.32 |
| Licensed practical nurses | 0.60 | 0.47 | 0.86 |
| Registered nurses | 0.48 | 0.80 | 0.69 |
| All nursing staff | 3.11 | 3.79 | 3.86 |
| All nursing staff, weekends | 2.53 | 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
39.1% of nursing staff at St William's Care Center left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 19, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 10 health deficiencies (South Dakota average 6.9). CMS lists 3 fines totaling $132,723 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 19, 2026 | Fine | $78,750 |
| Oct 2, 2024 | Fine | $12,048 |
| Jul 24, 2024 | Fine | $41,925 |
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. St William's Care Center holds 2 of 5 overall; the South Dakota average is 2.9.
About St William's Care Center
- Ownership: Non profit - Other
- Legal name: St Williams Care Center
- Medicare and Medicaid certified since: Mar 15, 2005
- Councils: resident council
- Area: rural
Nursing homes near St William's Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avantara Milbank Milbank | 0.9 | 55 | 1.85 | 3.23 | 91.5% | 1 | $55,361 |
| Fairway View Neighborhoods Ortonville · abuse citation | 11.1 | 51 | 3.24 | 4.84 | 28.1% | 2 | None |
| Wilmot Care Center Inc Wilmot · SFF candidate | 17.3 | 26 | 2.77 | 4.20 | 60.5% | 1 | $28,028 |
| Essentia Health Grace Home Graceville | 25.3 | 30 | 2.32 | 4.42 | 36.0% | 5 | None |
| Madison Healthcare Services Madison | 25.7 | 51 | 2.78 | 4.22 | 100.0% | 4 | $10,036 |
| Browns Valley Health Center Browns Valley · abuse citation | 27.4 | 31 | 2.72 | 4.19 | 40.0% | 3 | $26,685 |
| Appleton Area Health Appleton · many days without an RN | 30.2 | 47 | 3.07 | 4.81 | 34.0% | 3 | None |
| Avantara Watertown Watertown · SFF candidate · abuse citation | 32.0 | 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.