Occupancy rate
68%
In line with South Dakota averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Avantara Milbank
Overview of Avantara Milbank
Avantara Milbank boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. As one of South Dakota’s most trusted nursing homes, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Milbank has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life.
The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
45
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
67.7%
Residents per day (avg)
31
Occupancy rate
67.7%
Residents per day (avg)
31
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
48% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
35% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
17% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$7.5M
Operating loss
-$479.0K
Privately-owned community
Operated by a business corporation.
Home revenue
$7,521,519.00
Operating loss
$-478,968.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.0M
45-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 27 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Occupancy
In line with South Dakota averageOccupied beds
30 / 45
Average residents
51 per day
License details
Facility type
Nursing Home
Status
Active
Issuance
January 7, 2025
Expiration
June 30, 2026
County:
Grant
Additional licensing details
License number:
10650
Ownership & operating entity
Avantara Milbank is administrated by Dorscher, Keisha.
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Short-Term Rehabilitation, Post-Surgical Care, Stroke & Other Neurological Conditions, Cardiac Care, Oncology Recovery Care, Wound Care, Orthopedic Rehabilitation, Pulmonary Care
Dining & Nutrition
Food Description
All meals are carefully served using fresh ingredients and healthy recipes, ensuring that all meals are nutritionally balanced.
Meals Included
Yes
Inspection History
In South Dakota, the Department of Health, Office of Health Care Facilities Licensure is the state agency responsible for conducting unannounced surveys and monitoring facility quality.
6 visits/inspections
3 visits/inspections triggered by complaints
4 routine inspections
Results
6 with issues
0 without issues
Show Inspection Reports
Latest inspection
Date:March 13, 2025
Type:Complaint Investigation
22 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
6
South Dakota average 4.5
Last Health inspection on Mar 2025
Total health citations
18
South Dakota average 14.8
Citations per inspection
3
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 18 citations resulted from standard inspections; and 8 of 18 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
6
6
233% worse than South Dakota averageSouth Dakota average: 1.8
0 critical citations
6 serious citations
12 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 13, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 13, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 13, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 13, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 13, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 13, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Mar 13, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Mar 13, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around South Dakota The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Alcester Care and Rehab Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Alcester
39
94.9%
+19%
3.72
-14%
2
11
1
37
-
Stroschein Properties Iii Llc
$2,9M
$1,5M
51.8%
435062
Avantara Clark City
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Clark
38
79.4%
-1%
3.15
-27%
1
5
1
31
31
Schlomer, Tiffany
$6,0M
$1,5M
25.5%
435058
Aurora Brule Nursing Home Inc.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
White Lake
44
61.7%
-23%
3.45
-20%
2
16
1
40
-
Aurora-Brule Nursing Home
$2,8M
$1,5M
52.4%
435132
Avantara Milbank
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
-
67
67.7%
-15%
3.38
-22%
3
18
6
31
27
Lohre, Celina
$7,5M
$2,0M
27.2%
435009
Avantara Arrowhead
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
-
74
75.2%
-6%
2.80
-36%
5
34
9
61
12
Preston, Philip
$10,7M
$2,9M
27.3%
435051
Places of interest near Avantara Milbank
0.7 miles from city center — 1.14 miles to nearest hospital (Milbank Area Hospital Avera)
1103 South 2nd St. Milbank, SD 57252
Calculate Travel Distance to Avantara Milbank
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
74
Employees
42
Contractors
32
Staff to resident ratio
2.11:1
11% better than South Dakota averageSouth Dakota average ratio: 1.91:1
Avg staff/day
17
Average shift
7.6 hours
0% compared with South Dakota averageSouth Dakota average: 7.7 hours
Total staff hours (quarter)
11,807
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
35
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
20.5%
2,416 contractor hours this quarter
Certified Nursing Assistant: 11
Registered Nurse: 5
Physical Therapy Aide: 4
Licensed Practical Nurse: 4
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 2
Speech Language Pathologist: 1
Nurse Practitioner: 1
Qualified Social Worker: 1
Staff by category
| Certified Nursing Assistant | 24 | 11 | 35 | 4,826 | 91 | 100% | 7.4 |
| Licensed Practical Nurse | 3 | 4 | 7 | 1,785 | 91 | 100% | 10.1 |
| Registered Nurse | 4 | 5 | 9 | 1,374 | 82 | 90% | 9.7 |
| Administrator | 3 | 0 | 3 | 568 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 565 | 51 | 56% | 8.6 |
| Nurse Practitioner | 1 | 1 | 2 | 563 | 64 | 70% | 8.1 |
| Dental Services Staff | 1 | 0 | 1 | 475 | 60 | 66% | 7.9 |
| Dietitian | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 446 | 64 | 70% | 7 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 225 | 53 | 58% | 4.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 209 | 53 | 58% | 3.7 |
| Physical Therapy Aide | 0 | 4 | 4 | 179 | 48 | 53% | 3.6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 80 | 29 | 32% | 2.7 |
| Qualified Social Worker | 0 | 1 | 1 | 65 | 24 | 26% | 2.7 |
35 Certified Nursing Assistant
% of Days
100%
7 Licensed Practical Nurse
% of Days
100%
9 Registered Nurse
% of Days
90%
3 Administrator
% of Days
70%
3 Clinical Nurse Specialist
% of Days
56%
2 Nurse Practitioner
% of Days
70%
1 Dental Services Staff
% of Days
66%
1 Dietitian
% of Days
62%
1 Speech Language Pathologist
% of Days
70%
3 Respiratory Therapy Technician
% of Days
58%
2 Other Dietary Services Staff
% of Days
58%
4 Physical Therapy Aide
% of Days
53%
2 Physical Therapy Assistant
% of Days
32%
1 Qualified Social Worker
% of Days
26%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
35 residents
Residents by payment source
Medicare
2 residents (5.7%)
Medicaid
25 residents (71.4%)
Private pay or other
8 residents (22.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.6
46% worse than South Dakota averageSouth Dakota average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.8
25% worse than South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
27.2%
Percent of long-stay residents whose need for help with daily activities has increased
27.2%
22% worse than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
39.8%
Percent of long-stay residents whose ability to move independently worsened
39.8%
74% worse than South Dakota averageSouth Dakota average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.5%
16% better than South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
13% better than South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.8%
Percent of long-stay high risk residents with pressure ulcers
9.8%
119% worse than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.0%
Percent of long-stay residents with a urinary tract infection
3.0%
14% better than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.8%
Percent of long-stay residents who lose too much weight
6.8%
24% worse than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
8.2%
Percent of long-stay residents who have depressive symptoms
8.2%
101% worse than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
27.3%
Percent of long-stay residents who received an antipsychotic medication
27.3%
12% worse than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
68.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
68.6%
28% worse than South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
In line with South Dakota averageSouth Dakota average: 96.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.75
Number of hospitalizations per 1,000 long-stay resident days.
0.75
50% better than South Dakota averageSouth Dakota average: 1.51
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.77
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.77
In line with South Dakota averageSouth Dakota average: 1.85
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
30.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
30.9%
63% worse than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.7%
Percent of short-stay residents who newly received an antipsychotic medication
3.7%
111% worse than South Dakota averageSouth Dakota average: 1.8%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
4.4%
Percentage of SNF residents who experience falls with major injury during their stay.
4.4%
465% worse than South Dakota averageSouth Dakota average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
20.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
20.0%
63% worse than South Dakota averageSouth Dakota average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
35.1%
Rate of successful return to home or community from a skilled nursing facility.
35.1%
31% worse than South Dakota averageSouth Dakota average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$79K
98% higher than South Dakota averageSouth Dakota average: $40K
Number of fines
3
48% more fines than South Dakota averageSouth Dakota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with South Dakota averageSouth Dakota average: 0.0
Fines amount comparison
Fines amount comparison
This facility
$79K
South Dakota average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 18, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 18, 2024
$44K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 8, 2024
$23K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 8, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 8, 2023
$11K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Avantara Milbank based on CMS SNF Cost Reports.
Occupancy Rate
67.7%
↓ 1.2pp vs 2022
Net Income
-$478,968
↓ ~$471K vs 2022
Total Payroll
$3,224,914
↑ ~$221K vs 2022
Profit Margin
-6.4%
↓ 6.3pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for South Dakota Seniors
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