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Avantara Milbank
Nursing Home, Hospice Care & Memory Care · Milbank, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Exterior view of Avantara Milbank with signs in the yard Cozy resident room with a bed and seating area Dining area with neatly set tables and flowers Cozy resident room with a single bed and chair A table set with refreshments and snacks in a common area Private resident room with a bed and decor Interior view of a therapy room with equipment Avantara Milbank, Nursing Home in Milbank, SD — Reception area with modern furniture and decor Avantara Milbank, Nursing Home in Milbank, SD — Caregiver assisting elderly man in a cozy living room Avantara Milbank, Nursing Home in Milbank, SD — Senior resident interacting with a caregiver in a cozy setting Avantara Milbank, Nursing Home in Milbank, SD — Caregiver assisting a smiling elderly woman in a room Avantara Milbank, Nursing Home in Milbank, SD — Senior man participating in a physical therapy session Residents celebrating with balloons and decorations in a common area Staff members at an event booth for Avantara Milbank

Avantara Milbank

Nursing Home, Hospice Care & Memory Care · Milbank, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1103 South 2Nd St, Milbank, SD 57252 View map Calculator: See prices in your area
Avantara Milbank accepts Medicare, Medicaid, and private pay.
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Avantara Milbank accepts Medicare, Medicaid, and private pay.

Overview of Avantara Milbank

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Avantara Milbank sits on South 2nd Street in Milbank, South Dakota, a small city where most errands mean getting in a car (Walk Score 27). Keisha Dorscher administers the 45-bed nursing home, which opened about a year ago and currently has 30 of its beds occupied.

The clinical range here is notable for a facility this size. Residents recovering from cardiac events, orthopedic procedures, pulmonary conditions, oncology treatment, post-surgical care, and stroke or other neurological conditions all have dedicated recovery tracks. Total nursing coverage is 3 hours and 23 minutes per resident per day; registered nurses account for 59 minutes of that. Suites are available in private and semi-private configurations.

Meals are prepared from fresh ingredients with nutritional balance as the stated standard. Family and community amenities include gathering spaces for events, an on-site salon, and Wi-Fi throughout the building. The facility accepts Medicare, Medicaid, and private pay, which means it can accommodate both the short-term rehab resident arriving on Medicare benefits and the longer-stay resident whose coverage eventually transitions to Medicaid.

At 127 days average length of stay and a program roster built around post-acute recovery, Avantara Milbank is oriented toward people who need a structured clinical bridge between a hospital discharge and a return home, not toward those seeking a long-term residential placement.

Facility Direct Line (605) 432-4556
Facility Direct Line (605) 432-4556
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 23m per day
Rank #44 / 65Nurse hours — State benchmarkedThis home is ranked 44th out of 65 homes in South Dakota. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

3 of 6 metrics below state avg

Standout metric Weekend RN is +36% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 59m per day ▲ 22% State avg: 48m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 14m per day ▼ 51% State avg: 29m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 47m per day ▼ 32% State avg: 2h 37m per day · National avg: 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 45m per day ▼ 17% State avg: 3h 19m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 3m per day ▲ 4% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 42m per day ▲ 36% State avg: 31m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay
127 days
Bed community size
45-bed community Rank #82 / 117Bed count — State benchmarkedThis home is ranked 82nd out of 117 homes in South Dakota. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation Rank #14 / 51Years in operation — State benchmarkedThis home is ranked 14th out of 51 homes in South Dakota. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 27 / 100 Rank #102 / 159Walk Score — State benchmarkedThis home is ranked 102nd out of 159 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
68%
Rank #49 / 62Occupancy rate — State benchmarkedThis home is ranked 49th out of 62 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the South Dakota average: 79.9%
Occupied beds
30 / 45
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJanuary 7, 2025
ExpirationJune 30, 2026 Expires in 1 day
CountyGrant
License Number10650

Ownership & Operating Entity

Avantara Milbank is administered by Keisha Dorscher.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Additional Services

1 service
Short-Term Rehabilitation

Amenities & Lifestyle

Private And Semi-Private Suites
Community Spaces For Family Gathering Or Special Events
High-Speed Wi-Fi
On-Site Salon Services
Specific ProgramsPost-Surgical Care, Stroke & Other Neurological Conditions, Cardiac Care, Oncology Recovery Care, Orthopedic Rehabilitation, Pulmonary Care

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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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Significantly below average State avg: 2.6 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.75
50% better than State average

State average: 1.51

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.77
In line with State average

State average: 1.85

Short-stay resident measures
Significantly below average State avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 4.4%
465% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 20.0%
63% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 35.1%
31% worse than State average

State average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$479.0K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.4M Rank #34 / 63Revenue — State benchmarkedThis home is ranked 34th out of 63 homes in South Dakota. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$479.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$24
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #38 / 63Payroll — State benchmarkedThis home is ranked 38th out of 63 homes in South Dakota. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.5M 57.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #42 / 63Payroll % — State benchmarkedThis home is ranked 42nd out of 63 homes in South Dakota. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.9M
How we calculate these figures

This home is administered by Keisha Dorscher.

This home is owned by Celina Lohre

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435009

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (48% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
121 total

Coverage residents most often arrive under.

Medicare 48%
Private pay 35%
Medicaid 17%
Discharges
130 total

Coverage residents most often leave under.

Medicare 25%
Private pay 47%
Medicaid 28%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Avantara Milbank

Address 0.7 miles from city center Info Estimated distance in miles from Milbank's city center to Avantara Milbank's address, calculated via Google Maps. — 1.14 miles to nearest hospital (Milbank Area Hospital Avera)

Calculate Travel Distance to Avantara Milbank

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The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

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Frequently Asked Questions about Avantara Milbank

Is Avantara Milbank in a walkable area?

Avantara Milbank has a walk score of 27. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Avantara Milbank?

According to SD state health department records, Avantara Milbank's license number is 10650.

When does Avantara Milbank's license expire?

According to SD state health department records, Avantara Milbank's license expires on June 30, 2026.

What is the occupancy rate at Avantara Milbank?

Avantara Milbank's occupancy is 68%.

Does Avantara Milbank operate as a for-profit or non-profit?

Avantara Milbank is registered as a for-profit in SD.

Who is the administrator of Avantara Milbank?

Keisha Dorscher is the administrator of Avantara Milbank.

How many beds does Avantara Milbank have?

Avantara Milbank has 45 beds.

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