Avantara Milbank
1103 SOUTH SECOND STREET, Milbank, SD 57252
Milbank, South Dakota · CMS verdict
CMS rates Avantara Milbank at 1 of 5 stars overall - below-average on the federal scale, and below the South Dakota average of 2.9.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Avantara Milbank in Milbank, South Dakota holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 27 of 100 (grade F). The 55-bed facility operates where a semi-private nursing-home room in South Dakota runs a median of $9,444 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lower star tercile)
This facility's 1/5 CMS overall rating sits in the lower U.S. star tercile (≤2/5). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 27 is built
Each segment is a dimension's weighted points toward the score, summing to 27.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Avantara Milbank's lower-tercile CMS stars
Quality ratings
Avantara Milbank holds a CMS overall quality rating of 1 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (2/5), staffing (2/5), and quality measures (1/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Milbank, South Dakota, this facility operates 55 certified beds with an average daily census of roughly 37 residents - an occupancy rate of about 67%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 67% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (18 total). CMS has levied 3 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Avantara Milbank's lower-tercile stars compare to South Dakota
CMS five-star sub-ratings (0–5) for this facility against the South Dakota facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = South Dakota state average. Higher is better on all four CMS measures.
Where Avantara Milbank ranks in South Dakota
Among the 95 CMS-rated nursing homes in South Dakota, Avantara Milbank’s 1-star overall rating is higher than 0% of them. The bars show how all South Dakota homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
20 South Dakota homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 55 |
| Residents | 37 |
| Ownership | For profit - Corporation |
| County | Grant |
| Penalties | 3 |
| Deficiencies | 18 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Avantara Milbank? ▾
Avantara Milbank has an overall CMS quality rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 1/5.
How much does a nursing home cost per month in South Dakota? ▾
The median cost for a semi-private nursing home room in South Dakota is $9,444 per month ($113,333 annually). A private room averages $10,190 per month. Costs are from the CareScout 2025 survey.
What services does Avantara Milbank offer? ▾
Avantara Milbank is a skilled nursing facility with 55 beds with approximately 37 current residents. It operates under for profit - corporation ownership. The facility has recorded 18 deficiencies and 3 penalties in CMS inspections.
Does Avantara Milbank have any deficiencies or penalties? ▾
Avantara Milbank has multiple deficiencies (18 total) and 3 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in South Dakota? ▾
In South Dakota, alternatives include assisted living ($4,900/mo), home health aides ($8,437/mo), and adult day care (N/A/mo).
Keep reading
Also see the South Dakota elder-care overview and highest-rated states. Provider ID: 435009.
Read our methodology - how this data is sourced, computed, and verified.