Skilled nursing · MILBANK, SD

AVANTARA MILBANK

1103 SOUTH SECOND STREET, MILBANK, SD 57252

55 bedsFor profit - Corporation
0.0Clarity
Score history
Aug 20260.0 flagged
Jul 20260.0 flagged
Jun 20260.0 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 21 Jul 2026

Read this record before you tour: CMS rates it 2 out of 5 stars overall and 2 for the health inspection that drives it, 86% of the nursing staff leaves each year, and inspectors levied $55,361 in federal fines over the last 36 months. Every number below prints the same way for every facility, good or bad — these are the ones to ask about.

palmelle

Written by Palmelle from federal and state records. Last updated 21 Jul 2026. Not paid for or edited by the facility.

In their own words

No description from the operator yet. If you manage this facility, claim this listing to tell families your side — and respond to the record below. Claimed pages also stop showing nearby alternatives: the page becomes yours alone.

The record

CMS Care Compare · Jun 2026
Federal ratings
Overall★★☆☆☆ 2 of 5
Health inspection★★☆☆☆ 2 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★☆☆☆ 2 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
59 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
2 hr 60 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
86.4%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is bettersee why ↓

This home
23.3%
National
14%

On sedatives / sleep medicationlower is better

This home
23.5%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
3.1%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$55,361 · 3 penalties
Abuse iconNone
Conflict flags in latest reconcile5

SD does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Mixed — worth touring with these questions in hand.

  • A sedation pattern. Antipsychotic use (23%) and sleep-medication use (23%) are BOTH far above national norms — the pattern associated with medicating residents instead of staffing for them.
  • $55,361 in federal fines. 3 penalties in the last 36 months — the citation detail is in the record above.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for AVANTARA MILBANK?
AVANTARA MILBANK has an overall CMS Care Compare rating of 2 out of 5 stars.
Has AVANTARA MILBANK been cited for resident harm?
AVANTARA MILBANK has $55,361 in federal fines across 3 penalties in the last 36 months. Details appear in the record above.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.