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Avantara Milbank

Nursing Home Facility

1103 South Second Street, Milbank, SD 57252

Nursing Home Care Senior Living
Avantara Milbank

Our Golden LivingCenter would like to extend you a warm welcome. Your doctor has recommended that you receive certain care, and we are happy that you chose us to provide you with that care. Our staff will review your doctor’s orders, and then you and your family will have an opportunity to help us plan how you can get the care that your doctor has ordered. Our comprehensive approach ensures our residents receive the most innovative and expert care possible, while our compassion and dedication keeps our focus exclusively on the individual.

Operated by Legacy Healthcare, which runs 80 communities in our directory.

Avantara Milbank is licensed for 55 beds.

Federal reporting puts occupancy at about 69% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in March 2025 and recorded 16 deficiencies.

Residents receive about 3.2 hours of nursing care per day on average, including 1.0 hours from a registered nurse. Nursing staff turnover over the past year was about 92%, which is high and can affect continuity of care.

The community is located in Grant County, SD.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 30 problems at Avantara Milbank. 8 findings involved harm to a resident. 20 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 3 times, a total of $55,361.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Inspected May 2026, after a complaint. Corrected by June 6, 2026.

  • Caused harm to a resident, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected May 2026, after a complaint. Corrected by June 6, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected May 2026, after a complaint. Corrected by June 6, 2026.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from the wrongful use of the resident's belongings or money.

    Inspected May 2026, after a complaint. Corrected by June 6, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected May 2026, after a complaint. Corrected by June 6, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected May 2026, after a complaint. Corrected by June 6, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Inspected May 2026, after a complaint. Corrected by June 6, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected May 2026, after a complaint. Corrected by June 6, 2026.

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  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected May 2026, after a complaint. Corrected by June 6, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected May 2026, after a complaint. Corrected by June 6, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Inspected May 2026, after a complaint. Corrected by June 6, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected May 2026, after a complaint. Corrected by June 6, 2026.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected March 2025. Corrected by April 21, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Honor each resident's preferences, choices, values and beliefs.

    Inspected March 2025. Corrected by April 21, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Inspected March 2025. Corrected by April 21, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Inspected March 2025. Corrected by April 21, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Avantara Milbank offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 55
  • Occupancy 69%
  • Nursing hours per resident/day 3.2
  • Annual staff turnover 92%
  • Last health inspection March 2025

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