Total Health inspections
6
33% above South Dakota average
South Dakota average:
4.5
Last Health inspection on Mar 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Avantara Milbank
Avantara Milbank is a Nursing Home in South Dakota
Avantara Milbank is a Nursing Home in South Dakota
Avantara Milbank
Avantara Milbank is a Nursing Home in South Dakota
Avantara Milbank is a Nursing Home in South Dakota
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
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
Proprietary home
Corporation
Home revenue
$7.5M
Operating loss
-$479.0K
Proprietary home
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
License Status
ActiveFacility Type
Nursing Home
License Date
January 7, 2025
License Expiration
June 30, 2026
Additional licensing details
License number:
10650
County:
Grant
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
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
+30%
-14%
+19%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57001
39
No
-
STROSCHEIN PROPERTIES III LLC
94.9%
$2,913,737.00
$1,508,672.00
51.8%
37.10
3.7156
2
11
1
+30%-14%+19%
Avantara Clark City
-22%
-27%
-1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Clark
38
No
31
SCHLOMER, TIFFANY
79.4%
$5,951,228.00
$1,518,009.00
25.5%
30.60
3.1510
1
5
1
-22%-27%-1%
Aurora Brule Nursing Home Inc.
+29%
-20%
-23%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57383
44
No
-
AURORA-BRULE NURSING HOME
61.7%
$2,847,378.00
$1,491,258.00
52.4%
39.60
3.4495
2
16
1
+29%-20%-23%
Avantara Milbank
+12%
-22%
-15%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57252
67
No
27
LOHRE, CELINA
67.7%
$7,521,495.00
$2,046,844.00
27.2%
30.70
3.3791
3
18
6
+12%-22%-15%
Avantara Arrowhead
+52%
-36%
-6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57702
74
No
12
PRESTON, PHILIP
75.2%
$10,728,053.00
$2,930,677.00
27.3%
60.50
2.7955
5
34
9
+52%-36%-6%
Alcester Care and Rehab Center
Type of care:
SNF
AL
Community:
SD 57001
Bed Count:
39
Pets Allowed:
No
Operator:
STROSCHEIN PROPERTIES III LLC
CCN:
435062
Occupancy:
94.9%
Home Revenue:
$2,913,737.00
Payroll Costs:
$1,508,672.00
Payroll %:
51.8%
Avg Residents/Day:
37.10
Overall Rating:
Adj Nurse Hours:
3.7156
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
11
Severe Citations:
1
RN share vs State Avg:
+30%
+30%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+19%
+19%
Avantara Clark City
Type of care:
SNF
AL
Community:
Clark
Bed Count:
38
Pets Allowed:
No
Operator:
SCHLOMER, TIFFANY
CCN:
435058
Occupancy:
79.4%
Home Revenue:
$5,951,228.00
Payroll Costs:
$1,518,009.00
Payroll %:
25.5%
Avg Residents/Day:
30.60
Overall Rating:
Adj Nurse Hours:
3.1510
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
5
Severe Citations:
1
RN share vs State Avg:
-22%
-22%
Staffing vs State Avg:
-27%
-27%
Occupancy vs State Avg:
-1%
-1%
Aurora Brule Nursing Home Inc.
Type of care:
SNF
AL
Community:
SD 57383
Bed Count:
44
Pets Allowed:
No
Operator:
AURORA-BRULE NURSING HOME
CCN:
435132
Occupancy:
61.7%
Home Revenue:
$2,847,378.00
Payroll Costs:
$1,491,258.00
Payroll %:
52.4%
Avg Residents/Day:
39.60
Overall Rating:
Adj Nurse Hours:
3.4495
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
16
Severe Citations:
1
RN share vs State Avg:
+29%
+29%
Staffing vs State Avg:
-20%
-20%
Occupancy vs State Avg:
-23%
-23%
Avantara Milbank
Type of care:
SNF
AL
Community:
SD 57252
Bed Count:
67
Pets Allowed:
No
Operator:
LOHRE, CELINA
CCN:
435009
Occupancy:
67.7%
Home Revenue:
$7,521,495.00
Payroll Costs:
$2,046,844.00
Payroll %:
27.2%
Avg Residents/Day:
30.70
Overall Rating:
Adj Nurse Hours:
3.3791
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
18
Severe Citations:
6
RN share vs State Avg:
+12%
+12%
Staffing vs State Avg:
-22%
-22%
Occupancy vs State Avg:
-15%
-15%
Avantara Arrowhead
Type of care:
SNF
AL
Community:
SD 57702
Bed Count:
74
Pets Allowed:
No
Operator:
PRESTON, PHILIP
CCN:
435051
Occupancy:
75.2%
Home Revenue:
$10,728,053.00
Payroll Costs:
$2,930,677.00
Payroll %:
27.3%
Avg Residents/Day:
60.50
Overall Rating:
Adj Nurse Hours:
2.7955
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
5
Citations:
34
Severe Citations:
9
RN share vs State Avg:
+52%
+52%
Staffing vs State Avg:
-36%
-36%
Occupancy vs State Avg:
-6%
-6%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
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
74
Total Staff
42
Employees
32
Contractors
11,807
Total Hours (Quarter)
17
Avg Staff/Day
7.6
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 9.7 | Yes |
| Licensed Practical Nurse | 7 | 10.1 | Yes |
| Certified Nursing Assistant | 35 | 7.4 | Yes |
Staff by Category
Administration ⓘ
3 staff
8hs shift avg
Nursing Staff ⓘ
51 staff
8.2hs shift avg
Physicians & Practitioners ⓘ
5 staff
8.4hs shift avg
Therapy Services ⓘ
10 staff
4.7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
2.7hs shift avg
Dietary Services ⓘ
3 staff
5.9hs shift avg
Other Services ⓘ
1 staff
7.9hs shift avg
Contractor Analysis
20.5%
of total hours from contractors
2,416 contractor hours this quarter
Certified Nursing Assistant: 11
Physical Therapy Assistant: 2
Physical Therapy Aide: 4
Respiratory Therapy Technician: 3
Licensed Practical Nurse: 4
Registered Nurse: 5
Speech Language Pathologist: 1
Nurse Practitioner: 1
Qualified Social Worker: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Total Health citations
18
22% above South Dakota average
South Dakota average:
14.8
3 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
10 citations
Complaint investigations
8 citations
Breakdown of citations
Critical Health citations
0
100% below South Dakota average
South Dakota average:
0.3
Serious Health citations
6
233% above South Dakota average
South Dakota average:
1.8
Moderate Health citations
12
Minor Health citations
0
Citations history (last 3 years)
Nutrition moderate citation
Mar 13, 2025
Corrected
Quality of Care moderate citation
Mar 13, 2025
Corrected
Quality of Care moderate citation
Mar 13, 2025
Corrected
Resident Rights moderate citation
Mar 13, 2025
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: Legacy Healthcare
Resident Census by Payment Source
35
Total Residents
Medicare
2
(5.7%)
ⓘ
Medicaid
25
(71.4%)
ⓘ
Private Pay/Other
8
(22.9%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Member Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Family Council
ⓘ
Active
Resident Council
ⓘ
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
17.6
46% worse than South Dakota average
South Dakota average:
12.0
Functional decline score
29.8
25% worse than South Dakota average
South Dakota average:
23.9
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
27.2%
22% above South Dakota average.
Walking Ability Worsened
39.8%
74% above South Dakota average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
22.5%
16% below South Dakota average.
Safety & clinical stability
Falls with Major Injury
4.4%
13% below South Dakota average.
High Risk Residents with Pressure Ulcers
9.8%
119% above South Dakota average.
Urinary Tract Infection
3.0%
14% below South Dakota average.
Emotional & behavioral wellbeing
Depressive Symptoms
8.2%
101% above South Dakota average.
Antipsychotic Use
27.3%
12% above South Dakota average.
Preventive care
Pneumococcal Vaccine
68.6%
28% below South Dakota average.
Influenza Vaccine
97.3%
0% above South Dakota average.
Nutrition & physical health
Lost Too Much Weight
6.8%
24% above South Dakota average.Short-stay resident measures
Pneumococcal Vaccine
30.9%
63% worse than South Dakota average
Antipsychotic medication increase
3.7%
111% worse than South Dakota average 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
This home paid 98% more in fines than the state average.
South Dakota average:
$40K
Number of Fines
3
This home received 48% more fines than the state average.
South Dakota average:
2.0
Payment Denials
0
This home is near the state average.
South Dakota average:
0.0
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Dec 18, 2024
$44K
Civil Money Penalty
Oct 8, 2024
$23K
Civil Money Penalty
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
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
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
Get financial aid guidanceContact Us
Who we are
Your Senior Care Partner, Every Step of the Way
We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.
Contact us Today
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Avantara Milbank
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
