Senior Home Review
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Nursing homeFAID #11723

St William's Care Center

103 N VIOLA ST, MILBANK, SD, 57252
(605) 432-5811
60 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
60
CMS facility ID
435122
Care type
Nursing home
County
Grant
Facility name
St William's Care Center
Street address
103 N VIOLA ST
City / state / ZIP
Milbank, SD 57252
Phone
(605) 432-5811

About this facility — St William's Care Center

St William's Care Center is a Medicare/Medicaid-certified skilled nursing facility in Milbank, South Dakota. It is licensed for 60 beds — above 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 St William's Care Center 27 times across 9 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $132,723 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

Operator / owner
Rene Thrift
Ownership type
Non profit - Other

Registered owners & officers

Butler, Rita
Director · Additional disclosable party — since 2005
Christenson, Ann
Operational control · Additional disclosable party — since 2012
Denna, Paul
Operational control · Additional disclosable party — since 2023
Kosman, Janet
Director — since 2026
Thrift, Rene
Operational control · Additional disclosable party — since 2023
Walker, Mary
Additional disclosable party — since 2026
Williams, Sharon
Officer — since 2025

Regulatory standing

Licensed / certified since
2005-03-15
CMS overall rating
2 of 5 stars
Health deficiencies
10 at the last standard inspection
Federal fines
$132,723 total
Last standard inspection
2026-02-19
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$412 per day (≈ $12,520/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
94% Medicaid · 6% Medicare · 1% private/other
Occupancy
52% (fiscal year 2024)
Vs. state median
right at the SD median of $412/day — full state cost breakdown

Services & coverage

Licensed beds
60
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 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-02-19Health inspectionComplaint-triggered10 citations
F-0635
D · No harm found
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2026-03-31
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-03-31
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-03-31
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-03-31
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-04-01
F-0761
E · No harm found
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 2026-03-31
F-0803
F · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2026-04-01
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 2026-04-01
F-0868
D · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2026-03-31
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-01
2024-10-02Health inspectionComplaint-triggered5 citations
F-0582
E · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-10-28
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-11-05
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 2024-10-27
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-27
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-10-27
3 earlier / fire-safety inspections (12 citations)
2024-07-24Health inspectionComplaint-triggered5 citations
F-0600
H · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-16
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-07-22
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 2024-08-16
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-08-16
F-0761
D · 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 2024-08-16
2023-08-10Health inspection5 citations
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-09-01
F-0609
G · Actual harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-01
F-0610
G · Actual harm
Respond appropriately to all alleged violations.
Corrected 2023-09-01
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-09-01
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-09-01
2024-10-02Fire-safety inspection2 citations
K-0325
C · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-10-24
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-04

Federal penalties

2026-02-19Fine$78,750
2024-10-02Fine$12,048
2024-07-24Fine$41,925
Total fines$132,723
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 435122.

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 27 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
Unlock the full file
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
Federal NPI Registry (NPPES)
NPI 1376583799
Monthly federal file
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