F

St William's Care Center

103 N VIOLA ST, MILBANK, SD 57252
Score: 39 / 100

St William'S Care Center has received an F grade based on CMS data, with a score of 39/100 — 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 3.19 total nurse hours per resident per day, St William'S Care Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 23 deficiencies at St William'S Care Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.19 3.8 Below Average
Registered Nurses (RN) 0.39 0.7 Below Average
Licensed Practical Nurses (LPN) 0.77 0.7 Average
Certified Nursing Assistants (CNA) 2.04 2.4 Below Average
Weekend Total Nursing 2.55 3.8 Below Average
Weekend RN Hours 0.24 0.7 Below Average

🔍 Inspection & Deficiency History

23
Total Deficiencies
Oct 1, 2024
Most Recent Inspection
🟠 23 Moderate
View recent deficiencies (5 shown)
  • Tag 0600 Severity G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Oct 1, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0582 Severity E
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    Oct 1, 2024 · Resident Rights Deficiencies
  • Tag 0759 Severity E
    Ensure medication error rates are not 5 percent or greater.
    Oct 1, 2024 · Pharmacy Service Deficiencies
  • Tag 0804 Severity E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    Oct 1, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0625 Severity D
    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 hospi
    Oct 1, 2024 · 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 4.9% 4.5% Average
Falls with major injury 5.3% 3.0% Worse
On antipsychotic medication 21.8% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 24.4% 14.0% Worse
Excessive weight loss 3.5% 7.5% Better
New/worsened incontinence 26.7% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $67,379

How This Grade Was Calculated

This facility's grade of F is based on a score of 39 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -6 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Other
Certified Beds
60
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Oct 1, 2024
Deficiencies (Cycle 1)
4