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.
Home Information
AVANTARA MILBANK
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Occupancy trails most facilities in the state, suggesting excess open capacity. The property runs a smaller bed inventory than most peers, focusing on a more intimate census. Residents generally stay for shorter periods than state peers, pointing to quicker turnover.
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Home revenue ranks in the upper tier statewide, reflecting strong billing volume. Payroll outlays align with state averages, keeping staffing resources on par with peers. Total income mirrors statewide norms, reflecting a balanced margin profile.
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Medicare nights track the statewide midpoint, keeping volumes steady. Medicaid nights sit above most state facilities, underscoring deep Title XIX coverage. Private pay nights lead the state, showing strong demand from market-rate residents.
OccupancyBeds
45
Occupancy
68.6%
Total Bed Days Available
24455
Avg. Length of Stay
122 days
Avg. Residents per Day
31
FinanceHome Revenue
$7,356,377.00
Payroll Costs
$1,936,970.00
Profit
$-7,652.00
Total Home Costs
$4,382,684.00
Payroll % of Revenue
Percentage of home revenue spent on payroll costs.
Percentage of home revenue spent on payroll costs.
26.3%
House Specifics:CCN
435009
Owner Name
LOHRE, CELINA
Rural vs. Urban
Rural
County
Grant
Type of Control
Voluntary Nonprofit — Church
OperationsTotal Admissions
134
Total Discharges
138
% Medicaid Admissions
24%
% Medicare Admissions
43%
% Private Pay Admissions
34%
% Medicaid Discharges
41%
% Medicare Discharges
23%
% Private Pay Discharges
36%
Quality Ratings
Overall Rating
CMS 5-star rating based on health inspections, staffing, and quality measures.
CMS 5-star rating based on health inspections, staffing, and quality measures.
1 / 5
Health Inspection Rating
Rating based on deficiencies found during state health inspections.
Rating based on deficiencies found during state health inspections.
2 / 5
Staffing Rating
Rating based on nurse staffing hours per resident per day.
Rating based on nurse staffing hours per resident per day.
2 / 5
QM Rating
Quality Measures rating based on clinical outcomes for residents.
Quality Measures rating based on clinical outcomes for residents.
1 / 5
Nurse Hours / Resident / Day
Total nurse staffing hours per resident per day.
Total nurse staffing hours per resident per day.
3.38 hrs
Number of Fines
3
Medicaid, Medicare & Private
Medicare Nights
Number of resident nights paid by Medicare for short-term or rehab care.
Number of resident nights paid by Medicare for short-term or rehab care.
8699
Medicaid Nights
Resident nights covered by Medicaid for long-term care or support services.
Resident nights covered by Medicaid for long-term care or support services.
2029
Free Market Nights
Nights paid privately by residents or families, without Medicare/Medicaid coverage.
Nights paid privately by residents or families, without Medicare/Medicaid coverage.
6132
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.
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Touring Checklist for Senior Living
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Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
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Places of interest near Avantara Milbank
0.7 miles from city center
1103 South 2nd St. Milbank, SD 57252
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Comparison Chart
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.Compare Nursing Homes around South Dakota
Avantara Huron
AL
For seniors needing help with daily tasks but not full-time nursing.
SD 57350
119
No
27
SOLEM, LAURIE
58.3%
$12,770,546.00
$3,381,366.00
26.5%
64.90
2/5
3.5190
2/5
3/5
2/5
1
Avantara Arrowhead
AL
For seniors needing help with daily tasks but not full-time nursing.
SD 57702
65
No
12
PRESTON, PHILIP
85.9%
$11,497,189.00
$2,845,271.00
24.7%
60.50
1/5
2.7955
1/5
1/5
3/5
5
Avantara Milbank
AL
For seniors needing help with daily tasks but not full-time nursing.
SD 57252
55
No
27
LOHRE, CELINA
68.6%
$7,356,377.00
$1,936,970.00
26.3%
30.70
1/5
3.3791
2/5
2/5
1/5
3
Avantara Groton
AL
For seniors needing help with daily tasks but not full-time nursing.
SD 57445
37
No
32
PETE, JOSHUA
99.2%
$5,391,879.00
$1,403,567.00
26%
35.50
3/5
3.1645
3/5
2/5
2/5
5
Avantara Clark City
AL
For seniors needing help with daily tasks but not full-time nursing.
Clark
35
No
31
SCHLOMER, TIFFANY
92.9%
$5,795,941.00
$1,384,748.00
23.9%
30.60
3/5
3.1510
4/5
3/5
1/5
1
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
Source: CMS Health Citations (Sep 2022 – Mar 2025)
6
Inspections
18
Total Citations
0
Critical (J-L)
6
Serious (G-I)
3
Citations/Inspection
Mar 2025
Last Inspection
Citation Severity Distribution
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
5
28% of total
Resident Rights
4
22% of total
Abuse, Neglect & Exploitation
3
17% of total
Infection Control
2
11% of total
Pharmacy Services
1
6% of total
Citation Sources
Standard Inspections
10
Complaint Investigations
8
State Comparison (SD)
Avg Citations (State)
14.8
This Facility: 18
Avg Critical (State)
0.3
This Facility: 0
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Mar 13, 2025 | F | Nutrition | F0812 | Corrected |
| Mar 13, 2025 | E | Quality of Care | F0675 | Corrected |
| Mar 13, 2025 | E | Quality of Care | F0689 | Corrected |
| Mar 13, 2025 | D | Resident Rights | F0623 | Corrected |
| Mar 13, 2025 | D | Resident Rights | F0625 | Corrected |
| Dec 18, 2024 | D | Abuse/Neglect | F0609 | Corrected |
| Dec 18, 2024 | G | Pharmacy | F0760 | Corrected |
| Dec 18, 2024 | D | Resident Rights | F0585 | Corrected |
| Oct 08, 2024 | G | Abuse/Neglect | F0609 | Corrected |
| Oct 08, 2024 | G | Abuse/Neglect | F0610 | Corrected |
| Oct 08, 2024 | G | Quality of Care | F0692 | Corrected |
| Aug 06, 2024 | E | Quality of Care | F0677 | Corrected |
| Nov 08, 2023 | D | Infection Control | F0880 | Corrected |
| Nov 08, 2023 | G | Quality of Care | F0689 | Corrected |
| Nov 08, 2023 | D | Care Planning | F0656 | Corrected |
| Nov 08, 2023 | G | Care Planning | F0658 | Corrected |
| Nov 08, 2023 | E | Resident Rights | F0550 | Corrected |
| Sep 01, 2022 | E | Infection Control | F0880 | 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
ⓘ
Guides for Better Senior Living
From costs to care, explore the most important topics to make informed decisions about your future.
Claim What’s Yours: Financial Aid for South Dakota Seniors
Program
State Program Name
Eligibility
Benefits
Home and Community Based Services Waiver
SD Medicaid HCBS Waiver
Official government program page
- General: Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- SD Specifics: Sparse population aids rural access; limited providers.
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
South Dakota Elderly Services Program
SD ESP
- General: Age 60+, South Dakota resident, at risk of decline.
- Income Limits: ~$1,732/month (individual, varies).
- Asset Limits: $5,000 (individual).
- SD Specifics: Limited funding; rural focus.
- Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
Medicare Savings Program (MSP)
South Dakota Medicare Savings Program
- General: Age 65+ or disabled, SD resident, Medicare Part A/B.
- Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits: $9,430 (individual), $14,130 (couple).
- SD Specifics: Three tiers; includes Extra Help for Part D; no waitlist.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Low-Income Home Energy Assistance Program (LIEAP)
South Dakota LIEAP
Official government program page
- General: Age 60+ prioritized, SD resident, low-income household.
- Income Limits (2025): ~$3,970/month (individual, 185% FPL).
- Asset Limits: Not assessed; income-focused.
- SD Specifics: Covers gas, electric, propane; weatherization add-on available.
- Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Family Caregiver Support Program (FCSP)
South Dakota Family Caregiver Support Program
- General: Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
- Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).
- Asset Limits: Not assessed; need-based.
- SD Specifics: Rural emphasis; includes grandparent caregivers.
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
South Dakota SCSEP
Official government program page
- General: Age 55+, unemployed, low-income, SD resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified; income-focused.
- SD Specifics: Priority for veterans, rural residents; AARP partnership.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
South Dakota VA Aid and Attendance/Housebound
- General: Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits: ~$155,356 (net worth limit).
- SD Specifics: Supports rural veterans; high demand near Sioux Falls VA.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Property Tax Reduction Program
South Dakota Property Tax Reduction from Municipal Taxes
Official government program page
- General: Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.
- Income Limits (2025): ~$20,192/year (single), ~$24,679/year (multiple-member household).
- Asset Limits: Not assessed; income-focused.
- SD Specifics: Refunds up to $575; ~10,000 seniors benefit annually.
- Services: Tax refund (~$250-$575/year based on income).
Senior Farmers’ Market Nutrition Program (SFMNP)
South Dakota SFMNP
Official government program page
- General: Age 60+, SD resident, low-income.
- Income Limits (2025): ~$2,322/month (individual, 185% FPL).
- Asset Limits: Not assessed.
- SD Specifics: Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.
- Services: Vouchers (~$50/season) for fresh produce at approved markets.
Freeze on Assessments for Dwellings of Disabled and Senior Citizens
South Dakota Property Tax Freeze
Official government program page
- General: Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.
- Income Limits (2025): ~$35,000/year (single), ~$45,000/year (multiple-member household).
- Asset Limits: Property value < $250,000 (single), $300,000 (multiple).
- SD Specifics: Saves ~$300-$600/year avg.; applies to primary residence.
- Services: Assessment freeze (~$300-$600/year savings).
Older Americans Act (OAA) Services
South Dakota OAA Services
- General: Age 60+, SD resident (or spouse of any age); no income/asset limits.
- Income Limits (2025): None; donations encouraged for some services.
- Asset Limits: Not assessed.
- SD Specifics: 6 AAAs; rural focus due to sparse population.
- Services: Meals (home-delivered or congregate, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Claim What’s Yours Financial Aid for South Dakota Seniors
SD Medicaid HCBS Waiver
Home and Community Based Services Waiver
Requirements:
- General:Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.
- Income Limits (2025):~$2,829/month (300% FBR, individual).
- Asset Limits:$2,000 (individual), $3,000 (couple).
- SD Specifics:Sparse population aids rural access; limited providers.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
SD ESP
South Dakota Elderly Services Program
Requirements:
- General:Age 60+, South Dakota resident, at risk of decline.
- Income Limits:~$1,732/month (individual, varies).
- Asset Limits:$5,000 (individual).
- SD Specifics:Limited funding; rural focus.
Benefits without Contact:
- Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
South Dakota Medicare Savings Program
Medicare Savings Program (MSP)
Requirements:
- General:Age 65+ or disabled, SD resident, Medicare Part A/B.
- Income Limits (2025):~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits:$9,430 (individual), $14,130 (couple).
- SD Specifics:Three tiers; includes Extra Help for Part D; no waitlist.
Benefits without Contact:
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
South Dakota LIEAP
Low-Income Home Energy Assistance Program (LIEAP)
Requirements:
- General:Age 60+ prioritized, SD resident, low-income household.
- Income Limits (2025):~$3,970/month (individual, 185% FPL).
- Asset Limits:Not assessed; income-focused.
- SD Specifics:Covers gas, electric, propane; weatherization add-on available.
Benefits without Contact:
- Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
South Dakota Family Caregiver Support Program
Family Caregiver Support Program (FCSP)
Requirements:
- General:Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
- Income Limits (2025):No strict cap; prioritizes low-income (~$24,980/year).
- Asset Limits:Not assessed; need-based.
- SD Specifics:Rural emphasis; includes grandparent caregivers.
Benefits without Contact:
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
South Dakota SCSEP
Senior Community Service Employment Program (SCSEP)
Requirements:
- General:Age 55+, unemployed, low-income, SD resident.
- Income Limits (2025):~$1,983/month (125% FPL).
- Asset Limits:Not specified; income-focused.
- SD Specifics:Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
South Dakota VA Aid and Attendance/Housebound
VA Aid and Attendance (A&A) and Housebound Benefits
Requirements:
- General:Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025):Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits:~$155,356 (net worth limit).
- SD Specifics:Supports rural veterans; high demand near Sioux Falls VA.
Benefits without Contact:
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
South Dakota Property Tax Reduction from Municipal Taxes
Property Tax Reduction Program
Requirements:
- General:Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.
- Income Limits (2025):~$20,192/year (single), ~$24,679/year (multiple-member household).
- Asset Limits:Not assessed; income-focused.
- SD Specifics:Refunds up to $575; ~10,000 seniors benefit annually.
Benefits without Contact:
- Services: Tax refund (~$250-$575/year based on income).
South Dakota SFMNP
Senior Farmers’ Market Nutrition Program (SFMNP)
Requirements:
- General:Age 60+, SD resident, low-income.
- Income Limits (2025):~$2,322/month (individual, 185% FPL).
- Asset Limits:Not assessed.
- SD Specifics:Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.
Benefits without Contact:
- Services: Vouchers (~$50/season) for fresh produce at approved markets.
South Dakota Property Tax Freeze
Freeze on Assessments for Dwellings of Disabled and Senior Citizens
Requirements:
- General:Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.
- Income Limits (2025):~$35,000/year (single), ~$45,000/year (multiple-member household).
- Asset Limits:Property value < $250,000 (single), $300,000 (multiple).
- SD Specifics:Saves ~$300-$600/year avg.; applies to primary residence.
Benefits without Contact:
- Services: Assessment freeze (~$300-$600/year savings).
South Dakota OAA Services
Older Americans Act (OAA) Services
Requirements:
- General:Age 60+, SD resident (or spouse of any age); no income/asset limits.
- Income Limits (2025):None; donations encouraged for some services.
- Asset Limits:Not assessed.
- SD Specifics:6 AAAs; rural focus due to sparse population.
Benefits without Contact:
- Services: Meals (home-delivered or congregate, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
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