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Nursing homeFAID #11651

Avantara Milbank

1103 SOUTH SECOND STREET, MILBANK, SD, 57252

(605) 432-4556

55 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

1103 South Second Street

Milbank, SD 57252

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

435009

Care type

Nursing home

County

Grant

Facility name

Avantara Milbank

Street address

1103 SOUTH SECOND STREET

City / state / ZIP

Milbank, SD 57252

Phone

(605) 432-4556

About this facility — Avantara Milbank

Avantara Milbank is a Medicare/Medicaid-certified skilled nursing facility in Milbank, South Dakota. It is licensed for 55 beds — close to the median for skilled nursing facilities in South Dakota (52 beds).

It is one of 6 senior care facilities in Milbank and 96 skilled nursing facilities across South Dakota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Avantara Milbank 41 times across 11 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $55,361 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Legacy Healthcare

Ownership type

For profit - Corporation

Registered owners & officers

Doros Generation Trust U/a/d 1/3/12

Direct owner · Additional disclosable party — 43% stake — since 2019

Gpn Family Trust U/a/d 4/28/08

Direct owner · Additional disclosable party — 43% stake — since 2019

Oakway Operations Llc

Direct owner — 15% stake — since 2019

Eggers, Austin

Operational control · Additional disclosable party — since 2025

Legacy Healthcare Financial Services Llc

Additional disclosable party — since 2019

Milbank Sd Property Holdings, Llc

Security-interest holder · Additional disclosable party — since 2019

Pulse, Rebecca

Operational control · Additional disclosable party — since 2024

Rajchenbach, Chaim

Governing body · Operational control · Additional disclosable party — since 2019

Rsm Us Llp

Additional disclosable party — since 2024

Shabat, Menachem

Governing body · Operational control · Additional disclosable party — since 2019

Truist Bank

Security-interest holder · Operational control — since 2022

Regulatory standing

Federal court records

20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1967-02-01

CMS overall rating

1 of 5 stars

Health deficiencies

16 at the last standard inspection

Federal fines

$55,361 total

Last standard inspection

2025-03-13

Nurse staffing

3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$454 per day (≈ $13,800/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

59% Medicaid · 13% Medicare · 29% private/other

Occupancy

68% (fiscal year 2023)

Vs. state median

10% above the SD median of $412/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-05-07Health inspectionComplaint-triggered12 citations

F-0550

E · No harm foundFrom a complaint

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

Corrected 2026-06-06

F-0602

E · No harm foundFrom a complaint

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

Corrected 2026-06-06

F-0609

D · No harm foundFrom a complaint

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

Corrected 2026-06-06

F-0657

D · No harm foundFrom a complaint

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

Corrected 2026-06-06

F-0658

D · No harm foundFrom a complaint

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

Corrected 2026-06-06

F-0684

E · No harm foundFrom a complaint

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

Corrected 2026-06-06

F-0689

E · No harm foundFrom a complaint

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

Corrected 2026-06-06

F-0693

D · No harm foundFrom a complaint

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.

Corrected 2026-06-06

F-0740

G · Actual harmFrom a complaint

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

Corrected 2026-06-06

F-0755

D · No harm foundFrom a complaint

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

Corrected 2026-06-06

F-0760

G · Actual harmFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2026-06-06

F-0761

E · No harm foundFrom a complaint

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.

Corrected 2026-06-06

2025-03-13Health inspectionComplaint-triggered5 citations

F-0623

D · No harm found

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

Corrected 2025-04-21

F-0625

D · No harm found

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.

Corrected 2025-04-21

F-0675

E · No harm found

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

Corrected 2025-04-21

F-0689

E · No harm foundFrom a complaint

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

Corrected 2025-04-21

F-0812

F · No harm foundFood safety

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

Corrected 2025-04-21

8 earlier / fire-safety inspections (24 citations)

2024-12-18Health inspectionComplaint-triggered3 citations

F-0585

D · No harm foundFrom a complaint

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-01-17

F-0609

D · No harm foundFrom a complaint

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

Corrected 2025-01-17

F-0760

G · Actual harmFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-01-17

2024-10-08Health inspectionComplaint-triggered3 citations

F-0609

G · Actual harmFrom a complaint

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

Corrected 2024-11-02

F-0610

G · Actual harmFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-11-02

F-0692

G · Actual harmFrom a complaint

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-11-02

2024-08-06Health inspectionComplaint-triggered1 citation

F-0677

E · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-09-10

2023-11-08Health inspection5 citations

F-0550

E · No harm found

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

Corrected 2023-12-06

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-12-06

F-0658

G · Actual harm

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

Corrected 2023-12-06

F-0689

G · Actual harm

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

Corrected 2023-12-06

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-12-06

2022-09-01Health inspection1 citation

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-10-21

2025-03-13Fire-safety inspection4 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-06-19

K-0351

D · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-03-18

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-04-18

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-03-24

2023-11-08Fire-safety inspection3 citations

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-11-24

K-0363

C · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-11-24

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-12-04

2022-09-01Fire-safety inspection4 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-10-21

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2022-10-21

K-0325

E · No harm found

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2022-10-21

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-10-21

Federal penalties

2024-12-18Fine$28,912

2024-10-08Fine$15,041

2023-11-08Fine$11,408

Total fines$55,361

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 435009.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 41 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered