# Avantara Milbank

Avantara Milbank is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Milbank, SD, CMS Certification Number 435009, with 55 certified beds and about 36 residents per day. CMS rates it 1/5 overall (health inspections 1/5, staffing 2/5, quality measures 2/5).

## Key facts
- Status: Active CMS certification
- Address: 1103 South Second Street, Milbank, SD 57252 (Grant County)
- Ownership type: For profit - Limited Liability company

- Operator (legal business name): [Milbank Sd Skilled Nursing Facility, LLC](https://carefield.site/operator/op-milbank-sd-skilled-nursing-facility-llc)
- CMS chain: [Legacy Healthcare](https://carefield.site/chain/cms-chain-306) — 96 facilities

- Phone: 6054324556
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/435009

## Inspection record
10 inspections in the CMS window (latest 2026-07-09); 39 citations (30 health, 9 fire safety); 8 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2026-05-07 — [F-0740](https://carefield.site/deficiency/cms-f0740) Ensure each resident must receive and the facility must provide necessary behavioral health care and services. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2026-05-07 — [F-0760](https://carefield.site/deficiency/cms-f0760) Ensure that residents are free from significant medication errors. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2024-12-18 — [F-0760](https://carefield.site/deficiency/cms-f0760) Ensure that residents are free from significant medication errors. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2024-10-08 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2024-10-08 — [F-0610](https://carefield.site/deficiency/cms-f0610) Respond appropriately to all alleged violations. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2024-10-08 — [F-0692](https://carefield.site/deficiency/cms-f0692) Provide enough food/fluids to maintain a resident's health. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2023-11-08 — [F-0658](https://carefield.site/deficiency/cms-f0658) Ensure services provided by the nursing facility meet professional standards of quality. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected
- 2023-11-08 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected
- 2026-07-09 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-07-09 — [K-0911](https://carefield.site/deficiency/cms-k0911) Meet requirements for the installation and maintenance of electrical systems. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-07-09 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-05-07 — [F-0550](https://carefield.site/deficiency/cms-f0550) Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-05-07 — [F-0602](https://carefield.site/deficiency/cms-f0602) Protect each resident from the wrongful use of the resident's belongings or money. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-05-07 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-05-07 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-05-07 — [F-0658](https://carefield.site/deficiency/cms-f0658) Ensure services provided by the nursing facility meet professional standards of quality. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-05-07 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-05-07 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-05-07 — [F-0693](https://carefield.site/deficiency/cms-f0693) Ensure 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-05-07 — [F-0755](https://carefield.site/deficiency/cms-f0755) Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- …and 19 more on the source page.

## Penalties
- 2026-05-07 — Civil money penalty (fine): $70,620
- 2024-12-18 — Civil money penalty (fine): $28,912
- 2024-10-08 — Civil money penalty (fine): $15,041
- 2023-11-08 — Civil money penalty (fine): $11,408

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.35285 (state avg 3.85636, US 3.90085)
- RN: 0.71613
- Nursing staff turnover: 91.8%

## Owners and managers of record (CMS disclosures)
- [Doros Generation Trust U/a/D 1/3/12](https://carefield.site/owner/org-doros-generation-trust-u-a-d-1-3-12) — Direct owner, 43%, since 2019-07-01
- [Gpn Family Trust U/a/D 4/28/08](https://carefield.site/owner/org-gpn-family-trust-u-a-d-4-28-08) — Direct owner, 43%, since 2019-07-01
- [Oakway Operations LLC](https://carefield.site/owner/org-oakway-operations-llc) — Direct owner, 15%, since 2019-07-01
- Chaim Rajchenbach — Operational / managerial control, since 2019-07-01
- Menachem Shabat — Operational / managerial control, since 2019-07-01
- [Truist Bank](https://carefield.site/owner/org-truist-bank) — Operational / managerial control, since 2022-04-01
- Austin Eggers — Operational / managerial control, since 2025-01-01
- Rebecca Pulse — Operational / managerial control, since 2024-01-02
- Chaim Rajchenbach — Operational / managerial control, since 2019-07-01
- Menachem Shabat — Operational / managerial control, since 2019-07-01

## Nearby nursing homes
- [St William's Care Center](https://carefield.site/facility/cms-435122) — 1.5 km, CMS overall 1/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=435009&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=435009&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=435009&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=435009&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=435009&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=435009&conditions%5B0%5D%5Boperator%5D=%3D

---
Source page: https://carefield.site/facility/cms-435009 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.