40.8/100
Below average
1103 South Second Street, Milbank, SD 57252
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
8 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$55,361 in federal fines
CMS has fined this facility across 3 penalty action(s).
Nursing staff turnover of 92%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: March 13, 2025 (1 year ago).
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Actual harm to a resident
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Actual harm to a resident
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled...
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, potential for more than minimal harm
Part of LEGACY HEALTHCARE, which operates 89 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| MILBANK SD PROPERTY HOLDINGS, LLC | Organization | 5% OR GREATER SECURITY INTEREST | — |
| TRUIST BANK | Organization | 5% OR GREATER SECURITY INTEREST | — |
| RAJCHENBACH, CHAIM | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| SHABAT, MENACHEM | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| TRUIST BANK | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| EGGERS, AUSTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| PULSE, REBECCA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| RAJCHENBACH, CHAIM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SHABAT, MENACHEM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | ADP OF THE SNF | — |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | ADP OF THE SNF | — |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | — |
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Avantara Milbank holds an ElderGrade of D (40.8 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.23 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 8 of the 30 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Avantara Milbank is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.