Nursing homes › South Dakota › Avantara Milbank
1103 South Second Street, Milbank, SD 57252 · 6054324556 · 55 certified beds
Per CMS filings, this facility is affiliated with Legacy Healthcare, a group operating 89 facilities in 3 states. Group record: average rating 3.0/5, 7 abuse citation icons, 4 facilities on the Special Focus list, $3,703,514 in federal fines. This facility rates below its group average (3.0/5).
Total nurse staffing: 3.23 (South Dakota median: 3.63). RN hours: 0.96. Weekend total: 2.94. Nursing staff turnover: 92%.
All-time on record: 30 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-07 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | complaint | corrected 2026-06-06 |
| 2026-05-07 | Ensure that residents are free from significant medication errors. | G | complaint | corrected 2026-06-06 |
| 2026-05-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2026-06-06 |
| 2026-05-07 | Protect each resident from the wrongful use of the resident's belongings or money. | E | complaint | corrected 2026-06-06 |
| 2026-05-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2026-06-06 |
| 2026-05-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2026-06-06 |
| 2026-05-07 | 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. | E | complaint | corrected 2026-06-06 |
| 2026-05-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-06-06 |
| 2026-05-07 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2026-06-06 |
| 2026-05-07 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-06-06 |
| 2026-05-07 | 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. | D | complaint | corrected 2026-06-06 |
| 2026-05-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-06-06 |
| 2025-03-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-04-21 |
| 2025-03-13 | Honor each resident's preferences, choices, values and beliefs. | E | Health | corrected 2025-04-21 |
| 2025-03-13 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2025-04-21 |
| 2025-03-13 | 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. | D | Health | corrected 2025-04-21 |
| 2025-03-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2025-04-21 |
| 2024-12-18 | Ensure that residents are free from significant medication errors. | G | complaint | corrected 2025-01-17 |
| 2024-12-18 | 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. | D | complaint | corrected 2025-01-17 |
| 2024-12-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-01-17 |
| 2024-10-08 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | complaint | corrected 2024-11-02 |
| 2024-10-08 | Respond appropriately to all alleged violations. | G | complaint | corrected 2024-11-02 |
| 2024-10-08 | Provide enough food/fluids to maintain a resident's health. | G | complaint | corrected 2024-11-02 |
| 2024-08-06 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2024-09-10 |
| 2023-11-08 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Health | corrected 2023-12-06 |
| 2023-11-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2023-12-06 |
| 2023-11-08 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2023-12-06 |
| 2023-11-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-12-06 |
| 2023-11-08 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-12-06 |
| Date | Type | Amount |
|---|---|---|
| 2024-12-18 | Fine | $28,912 |
| 2024-10-08 | Fine | $15,041 |
| 2023-11-08 | Fine | $11,408 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% Or Greater Direct Ownership Interest | Organization | 43% | since 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% Or Greater Direct Ownership Interest | Organization | 43% | since 07/01/2019 |
| OAKWAY OPERATIONS LLC | 5% Or Greater Direct Ownership Interest | Organization | 15% | since 07/01/2019 |
| RAJCHENBACH, CHAIM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2019 |
| TRUIST BANK | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2022 |
| EGGERS, AUSTIN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| PULSE, REBECCA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/02/2024 |
| RAJCHENBACH, CHAIM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2019 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 435009. Corrections: data@carerecords.org.