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Data / Nursing homes / South Dakota / Avantara Milbank

Avantara Milbank, Milbank, SD: 1 star rating, fined $125,981 across 4 fines

Avantara Milbank in Milbank, SD is owned by Oakway Operations LLC, is rated 1 of 5 stars by Medicare, and was fined $125,981 across 4 fines in the three years to October 1, 2026. CMS lists 30 health citations from inspections in that time, the latest survey on July 9, 2026, and 8 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in South Dakota
Address
1103 South Second Street, Milbank, SD 57252
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
2 of 5
Certified beds
55
Residents per day
36 on average
Ownership type
For profit, limited liability company
Legal business name
Milbank SD Skilled Nursing Facility, LLC
Chain
Legacy Healthcare, 96 facilities
Fines
$125,981 across 4 fines, three years to October 1, 2026
Payment denials
0
Health citations
30, of which 8 with actual harm or immediate jeopardy
Latest survey
July 9, 2026
CMS Certification Number
435009
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
May 7, 2026Fine$70,620Not listeddata.cms.gov
December 18, 2024Fine$28,912Not listeddata.cms.gov
October 8, 2024Fine$15,041Not listeddata.cms.gov
November 8, 2023Fine$11,408Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 9, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 23, 2026data.cms.gov
May 7, 2026F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedJune 6, 2026data.cms.gov
May 7, 2026F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.G: isolated, actual harmCorrectedJune 6, 2026data.cms.gov
May 7, 2026F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 6, 2026data.cms.gov
May 7, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 6, 2026data.cms.gov
May 7, 2026F693Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 6, 2026data.cms.gov
May 7, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 6, 2026data.cms.gov
May 7, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 6, 2026data.cms.gov
May 7, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 6, 2026data.cms.gov
May 7, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 6, 2026data.cms.gov
May 7, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 6, 2026data.cms.gov
May 7, 2026F602Protect each resident from the wrongful use of the resident's belongings or money.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 6, 2026data.cms.gov
May 7, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 6, 2026data.cms.gov
March 13, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 21, 2025data.cms.gov
March 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 21, 2025data.cms.gov
March 13, 2025F675Honor each resident's preferences, choices, values and beliefs.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 21, 2025data.cms.gov
March 13, 2025F625Notify 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 21, 2025data.cms.gov
March 13, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 21, 2025data.cms.gov
December 18, 2024F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedJanuary 17, 2025data.cms.gov
December 18, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
December 18, 2024F585Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
October 8, 2024F692Provide enough food/fluids to maintain a resident's health.G: isolated, actual harmCorrectedNovember 2, 2024data.cms.gov
October 8, 2024F610Respond appropriately to all alleged violations.G: isolated, actual harmCorrectedNovember 2, 2024data.cms.gov
October 8, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.G: isolated, actual harmCorrectedNovember 2, 2024data.cms.gov
August 6, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2024data.cms.gov
November 8, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedDecember 6, 2023data.cms.gov
November 8, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.G: isolated, actual harmCorrectedDecember 6, 2023data.cms.gov
November 8, 2023F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2023data.cms.gov
November 8, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2023data.cms.gov
November 8, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 14 individual or personal trusts (2 owners, 6 managers, 6 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Oakway Operations LLCDirect owner15%July 1, 2019data.cms.gov
Truist BankOperational or managerial controlNot listedApril 1, 2022data.cms.gov
Milbank SD Property Holdings, LLCSecurity interestNot listedJuly 1, 2019data.cms.gov
Truist BankSecurity interestNot listedApril 1, 2022data.cms.gov
Legacy Healthcare Financial Services LLCAdditional disclosable partyNot listedJuly 1, 2019data.cms.gov
Milbank SD Property Holdings, LLCAdditional disclosable partyNot listedJuly 1, 2019data.cms.gov
RSM US LLPAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.