Avantara Milbank
1103 South Second Street, Milbank, SD, 57252
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Legacy Healthcare
- Certified beds
- 55 · avg 41 residents/day
- Total nursing staff turnover
- 86.4% — higher than most South Dakota nursing homesSouth Dakota avg: 49.0% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 87.5% — higher than most South Dakota nursing homesSouth Dakota avg: 37.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the South Dakota averageSouth Dakota avg: 0.3 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $55,361 total
Medicare certification
- CMS Certification Number
- 435009
- Certified beds
- 55 beds · avg 41 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Milbank Sd Skilled Nursing Facility, Llc
- Chain affiliation
- Legacy Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Legacy Healthcare chain — 89 facilities across 3 states. Chain-wide average overall rating 2.9 / 5.
Disclosed owners (15 on record)
- Austin j Eggers
Operational/managerial Control · since 2025
- Rebecca Pulse
Operational/managerial Control · since 2024
- Rsm us Llp
Adp of The Snf · since 2024
- Truist Bank
5% or Greater Security Interest · 100% · since 2022
- Chaim Rajchenbach Descendants tr ua 04282008
5% or Greater Direct Ownership Interest · 43% · since 2019
- Chaim z Rajchenbach
Operational/managerial Control · since 2019
+ 9 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 18)
- E0689·Mar 13, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0812·Mar 13, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0675·Mar 13, 2025
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
- D0625·Mar 13, 2025
Resident Rights Deficiencies
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 hospital or therapeutic leave.
- D0623·Mar 13, 2025
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- G0760·Dec 18, 2024Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0609·Dec 18, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0585·Dec 18, 2024Complaint
Resident Rights Deficiencies
Honor 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.
Federal penalties
By year
- 20242 fines · $44K
- 20231 fine · $11K
Most recent events
- Dec 18, 2024Fine · $29K
- Oct 8, 2024Fine · $15K
- Nov 8, 2023Fine · $11K
Largest single fine on record: $29K.
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Mar 13, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Avantara Milbankinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.