St William'S Care Center
103 N Viola St, Milbank, SD, 57252
Get the complete federal record on this facility — full background report, $249.
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
- Non profit - Other
- Certified beds
- 60 · avg 46 residents/day
- Total nursing staff turnover
- 39.1% — lower than most South Dakota nursing homesSouth Dakota avg: 49.0% · National avg: 46.1% · per CMS Care Compare
- Administrators who left
- 0 departed — near the South Dakota averageSouth Dakota avg: 0.3 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $146,129 total
Medicare certification
- CMS Certification Number
- 435122
- Certified beds
- 60 beds · avg 46 residents/day
- Ownership type
- Non profit - Other
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- St Williams Care Center
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (6 on record)
- Mary Walker
Corporate Director · since 2023
- Rene Mary Thrift
W-2 Managing Employee · since 2023
- st Williams Care Center
Other · 100% · since 2012
- Ann Marie Christenson
W-2 Managing Employee · since 2012
- Patricia Mccafferty
Corporate Director · since 2005
- Rita Mary Butler
Corporate Director · since 2005
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 25)
- F0880·Feb 19, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0868·Feb 19, 2026
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- F0812·Feb 19, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F0803·Feb 19, 2026
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E0761·Feb 19, 2026
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- G0686·Feb 19, 2026
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E0658·Feb 19, 2026
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- D0644·Feb 19, 2026
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Federal penalties
By year
- 20261 fine · $79K
- 20242 fines · $54K
- 20231 fine · $13K
Most recent events
- Feb 19, 2026Fine · $79K
- Oct 2, 2024Fine · $12K
- Jul 24, 2024Fine · $42K
- Aug 10, 2023Fine · $13K
Largest single fine on record: $79K.
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Oct 2, 2024. 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 St William's Care Centerinto 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.