Avantara Milbank has received an F grade based on CMS data, with a score of 9/100 — placing it among the lowest-rated nursing facilities in South Dakota. Families considering this Milbank facility should carefully review its inspection history and quality metrics.
With 3.18 total nurse hours per resident per day, Avantara Milbank falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 18 deficiencies at Avantara Milbank. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.18 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.78 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.48 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.93 | 2.4 | Below Average |
| Weekend Total Nursing | 2.94 | 3.8 | Below Average |
| Weekend RN Hours | 0.70 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Mar 12, 2025 · Nutrition and Dietary Deficiencies
- Tag 0689 Severity EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Mar 12, 2025 · Quality of Life and Care Deficiencies
- Tag 0675 Severity EHonor each resident's preferences, choices, values and beliefs.Mar 12, 2025 · Quality of Life and Care Deficiencies
- Tag 0623 Severity DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including aMar 12, 2025 · Resident Rights Deficiencies
- Tag 0625 Severity DNotify 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 hospiMar 12, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 10.5% | 4.5% | Worse |
| Falls with major injury | 3.1% | 3.0% | Average |
| On antipsychotic medication | 23.3% | 14.5% | Worse |
| Urinary tract infections | 2.3% | 2.5% | Average |
| ADL decline (daily activities) | 29.6% | 14.0% | Worse |
| Excessive weight loss | 2.7% | 7.5% | Better |
| New/worsened incontinence | 18.3% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $55,361
How This Grade Was Calculated
This facility's grade of F is based on a score of 9 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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