Nursing home

Avantara Milbank

1103 South Second Street, Milbank, SD, 57252

CMS ownership records associate this facility with Legacy Healthcare · For profit - Corporation.

CMS overall rating
CMS overall rating: 2 out of 52of 5

At a glance

CMS reports a 2-star overall rating for Avantara Milbank, with 18 inspection citations on record (6 higher severity). Federal records include $55,361 in the current dataset.
CMS overall
2
of 5
Health inspection
2
of 5
Staffing
2
of 5
Quality measures
2
of 5
Certified beds
55
CMS-reported

CMS rating profile

The four CMS ratings on one aligned scale, with county and state averages for context.

Rating profile

How this facility's overall rating relates to its three CMS component ratings.

Overall2 of 5
Health inspection2 of 5
Staffing2 of 5
Quality measures2 of 5

CMS-reported data · updated 2026-07-17

Comparative context

This facility's CMS overall rating next to its county and state averages.

This facility 2
15
Grant Co. avg 2South Dakota avg 2.81This facility
This facility: 2 of 5. Grant Co. avg: 2. South Dakota avg: 2.81.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
Averages are calculated from CMS records included in this dataset and exclude facilities CMS has not rated. A neutral reference point, not a CMS rating or a pass/fail line.

Inspections and citations

Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.

Citation profile

How many citations CMS reports, how severe, and when they occurred.

18
Citations on record
6
Higher severity (G–L)
8
From complaints
0
Infection control
Citations by inspection year
12022
52023
72024
52025
Higher severity Standard

CMS-reported data · updated 2026-07-17

Methodology
Severity uses the CMS scope-and-severity letter (G–L count as higher severity). Counts are CMS-reported inspection findings, not a judgment about current conditions.

Federal records

Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.

Federal fines (CMP)

Fine records over time, sized by amount.

3 records · $55,361 total · Nov 8, 2023–Dec 18, 2024
  1. Dec 18, 2024$28,912
  2. Oct 8, 2024$15,041
  3. Nov 8, 2023$11,408

CMS-reported data · updated 2026-07-17

Payment denials

Payment-denial records over time, sized by duration.

No payment-denial records are included in this data for this facility.

CMS-reported data · updated 2026-07-17

Methodology
CMS may deny Medicare/Medicaid payment for new admissions. This is a distinct record type from a civil monetary fine. Confirm current status on CMS Care Compare.

Staffing and care

Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.

Selected care measures

How this facility's reported care indicators sit against a typical level.

3 of 3 care measures reported by CMS
On antipsychotic medication(lower is better)26.14%

Long-stay residents given antipsychotic medication.

With new/worsened pressure ulcers(lower is better)10.53%

Long-stay residents with new or worsened pressure ulcers.

Falls with major injury(lower is better)1.55%

Long-stay residents with one or more falls with major injury.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
The tick marks a typical level for context and is calculated from CMS records included in this dataset — not a CMS rating. Per-shift staffing hours are not part of this dataset. Missing values are shown as “Not reported”, never as zero.

Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.

Owner / organizationRole
Doros Generation Trust U/A/D 1/3/125% OR GREATER DIRECT OWNERSHIP INTEREST
Gpn Fam Tr Ua 042820085% OR GREATER DIRECT OWNERSHIP INTEREST
Oakway Operations LLC5% OR GREATER DIRECT OWNERSHIP INTEREST
Milbank Sd Property Holdings, LLC5% OR GREATER SECURITY INTEREST
Truist Bank5% OR GREATER SECURITY INTEREST
Rajchenbach, ChaimMANAGING CONTROL - GOVERNING BODY
Shabat, MenachemMANAGING CONTROL - GOVERNING BODY
Truist BankOPERATIONAL/MANAGERIAL CONTROL
Eggers, AustinOPERATIONAL/MANAGERIAL CONTROL
Pulse, RebeccaOPERATIONAL/MANAGERIAL CONTROL
Rajchenbach, ChaimOPERATIONAL/MANAGERIAL CONTROL
Shabat, MenachemOPERATIONAL/MANAGERIAL CONTROL
Doros Generation Trust U/A/D 1/3/12ADP OF THE SNF
Gpn Fam Tr Ua 04282008ADP OF THE SNF
Legacy Healthcare Financial Services LLCADP OF THE SNF
Milbank Sd Property Holdings, LLCADP OF THE SNF
Rsm US LLPADP OF THE SNF
Eggers, AustinADP OF THE SNF
Pulse, RebeccaADP OF THE SNF
Rajchenbach, ChaimADP OF THE SNF
Shabat, MenachemADP OF THE SNF

Nearby facilities

Other CMS-certified nursing homes near Grant County.

1103 South Second Street, Milbank
Grant County · SD · 57252
55 certified beds45.2113, -96.6370

Verify the current location and license with official sources.

FacilityLocationOverallHealthStaffingCMS abuse iconFederal penalties
Prairie Heights Healthcare
CCN 435004
Aberdeen, SD542Not shown$0
Avantara Huron
CCN 435020
Huron, SD112Shown$8,338
Avera Rosebud Country Care Center
CCN 435029
Gregory, SD444Not shown$0
Westhills Village Health Care Facility
CCN 435033
Rapid City, SD443Not shown$13,520
Avera Maryhouse Long Term Care
CCN 435034
Pierre, SD555Not shown$0
Rolling Hills Healthcare
CCN 435035
Belle Fourche, SD111Not shown$94,359

Related research

Frequently asked questions

What is Avantara Milbank's CMS rating?

Avantara Milbank has a 2-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 2 for health inspections, 2 for staffing, and 2 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.

Where is Avantara Milbank located?

Avantara Milbank is located at 1103 South Second Street, Milbank, SD, 57252 in Grant County, and CMS lists 55 certified beds.

Does Avantara Milbank have federal penalties or payment denials on record?

The CMS data includes $55,361 in federal fine amounts and 0 payment-denial records for Avantara Milbank over roughly the past three years. These are CMS-reported records; see CMS Care Compare for the details and context.

How does Avantara Milbank's rating compare to nearby facilities?

Avantara Milbank's CMS overall rating is 2 of 5. For comparison, the average CMS overall rating is 2 across 2 facilities in Grant County, and 2.81 across South Dakota. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.

How can I verify Avantara Milbank's current information?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Avantara Milbank's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.

Technical appendix

Record identifiers

CMS provider number (CCN)
435009
Ownership type
For profit - Corporation
Certified beds
55
Data snapshot
2026-07-17
All 18 citation records
DateCMS tagSeverityTypeCMS deficiency statusCorrection date
Mar 13, 20250623DStandardDeficient, Provider has date of correctionApr 21, 2025
Mar 13, 20250625DStandardDeficient, Provider has date of correctionApr 21, 2025
Mar 13, 20250675EStandardDeficient, Provider has date of correctionApr 21, 2025
Mar 13, 20250812FStandardDeficient, Provider has date of correctionApr 21, 2025
Mar 13, 20250689EComplaintDeficient, Provider has date of correctionApr 21, 2025
Dec 18, 20240585DComplaintDeficient, Provider has date of correctionJan 17, 2025
Dec 18, 20240609DComplaintDeficient, Provider has date of correctionJan 17, 2025
Dec 18, 20240760GComplaintDeficient, Provider has date of correctionJan 17, 2025
Oct 8, 20240609GComplaintDeficient, Provider has date of correctionNov 2, 2024
Oct 8, 20240610GComplaintDeficient, Provider has date of correctionNov 2, 2024
Oct 8, 20240692GComplaintDeficient, Provider has date of correctionNov 2, 2024
Aug 6, 20240677EComplaintDeficient, Provider has date of correctionSep 10, 2024
Nov 8, 20230550EStandardDeficient, Provider has date of correctionDec 6, 2023
Nov 8, 20230656DStandardDeficient, Provider has date of correctionDec 6, 2023
Nov 8, 20230658GStandardDeficient, Provider has date of correctionDec 6, 2023
Nov 8, 20230689GStandardDeficient, Provider has date of correctionDec 6, 2023
Nov 8, 20230880DStandardDeficient, Provider has date of correctionDec 6, 2023
Sep 1, 20220880EStandardDeficient, Provider has date of correctionOct 21, 2022

How to verify this data

  • The current CMS profile on Medicare’s Care Compare
  • Your state survey agency’s latest inspection reports
  • Any recent complaint investigations
  • Current ownership and license status

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.

SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.