Home›South Dakota›Grant County›St William's Care Center
D
Poor

St William's Care Center

103 N VIOLA ST · MILBANK, SD 57252

6054325811 · Non profit - Other

60 beds48.1 residents84 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

St William's Care Center receives an overall staffing grade of D (Poor). With 3.1938 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3941 HPRD, below the recommended 0.75. It is 0.70 HPRD below the national average.

Weekend staffing drops significantly — dropping 26.12% compared to weekdays. The facility uses a moderate level of agency staff (8.25% of hours), suggesting some reliance on temporary workers.

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

🔍 Areas of Concern (4)

⚠️Had 2 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1938 HPRD — needs 0.29 more hours per resident per day.
⚠️RN staffing (0.3941 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 26.12% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (0)

Limited strengths identified for this quarter.

Total Nurse HPRD
3.1938hrs/resident/day▼ 0.70
CMS benchmark: 3.48
RN HPRD
0.3941hrs/resident/day▼ 0.29
Recommended: 0.75
Weekend Drop-off
26.12%
3.4483 weekday → 2.5477 weekend
⚠ Significant weekend reduction
Agency Staff
8.25%
1.76% of RN hours from contractors
Days with Zero RN
2days this quarter
4+ days = auto 1-star
CNA HPRD
2.0067hrs/resident/day
Direct care aides
LPN HPRD
0.7642hrs/resident/day
Licensed practical nurses
Consistency
0.5815std 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-0.70 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
St William's Care Center ★
MILBANK · This facility
—
D
3.19380.3941★★★☆☆
AVANTARA MILBANK
MILBANK
0.9 mi
C
3.18570.7741★☆☆☆☆
Wilmot Care Center Inc
WILMOT
17.3 mi
A
4.59051.0014★★☆☆☆
AVANTARA WATERTOWN
WATERTOWN
31.9 mi
B
3.61551.158★★★☆☆
JENKIN'S LIVING CENTER
WATERTOWN
32.6 mi
B
3.5490.695★☆☆☆☆
TEKAKWITHA LIVING CENTER
SISSETON
36.9 mi
—
00★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
23
Total Deficiencies
$67,379
Fines Assessed
Oct 2, 2024Health
5 deficiencies cited· Includes actual harm
▼
Jul 24, 2024Health
5 deficiencies cited· Includes actual harm
▼
Aug 10, 2023Health
5 deficiencies cited· Includes actual harm
▼
Mar 1, 2022Health
8 deficiencies cited
▼

Penalty History

Oct 2, 2024Fine
$12,048
Jul 24, 2024Fine
$41,925
Aug 10, 2023Fine
$13,406
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.