Home›South Dakota›Grant County›AVANTARA MILBANK
C
Below Standard

AVANTARA MILBANK

1103 SOUTH SECOND STREET · MILBANK, SD 57252

6054324556 · For profit - Corporation

55 beds37.2 residents103 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AVANTARA MILBANK receives an overall staffing grade of C (Below Standard). With 3.1857 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.71 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 10.33% compared to weekdays. The facility relies heavily on temporary agency staff (39.66% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1857 HPRD — needs 0.29 more hours per resident per day.
⚠️39.66% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.1857hrs/resident/day▼ 0.71
CMS benchmark: 3.48
RN HPRD
0.7741hrs/resident/day▲ 0.09
Recommended: 0.75
Weekend Drop-off
10.33%
3.2816 weekday → 2.9424 weekend
Agency Staff
39.66%
50.19% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9278hrs/resident/day
Direct care aides
LPN HPRD
0.4838hrs/resident/day
Licensed practical nurses
Consistency
0.3905std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Grant County Average-0.00 HPRD
3.19
03.19 HPRD
vs. South Dakota State Average-0.64 HPRD
3.83
03.19 HPRD
vs. National Average-0.71 HPRD
3.90
03.19 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
AVANTARA MILBANK ★
MILBANK · This facility
—
C
3.18570.7741★☆☆☆☆
St William's Care Center
MILBANK
0.9 mi
D
3.19380.3941★★★☆☆
Wilmot Care Center Inc
WILMOT
17.6 mi
A
4.59051.0014★★☆☆☆
AVANTARA WATERTOWN
WATERTOWN
31 mi
B
3.61551.158★★★☆☆
JENKIN'S LIVING CENTER
WATERTOWN
31.7 mi
B
3.5490.695★☆☆☆☆
TEKAKWITHA LIVING CENTER
SISSETON
37.4 mi
—
00★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
18
Total Deficiencies
$55,361
Fines Assessed
Mar 13, 2025Health
5 deficiencies cited
▼
Dec 18, 2024Health
3 deficiencies cited· Includes actual harm
▼
Oct 8, 2024Health
3 deficiencies cited· Includes actual harm
▼
Aug 6, 2024Health
1 deficiency cited
▼
Nov 8, 2023Health
5 deficiencies cited· Includes actual harm
▼
Sep 1, 2022Health
1 deficiency cited
▼

Penalty History

Dec 18, 2024Fine
$28,912
Oct 8, 2024Fine
$15,041
Nov 8, 2023Fine
$11,408
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.