nursing home in Milbank, SD
St William's Care Center
103 N Viola St, Milbank, SD 57252 · (605) 432-5811
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
St William's Care Center at a glance
St William's Care Center is a 60-bed non-profit nursing home in Milbank, South Dakota (Grant County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the South Dakota average of 2.9.
Residents receive about 3.1 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (February 19, 2026) found 10 health citations. The South Dakota average is 6.7.
Federal regulators fined it 3 times in the past three years, totaling $132,723.
Nursing staff turnover is 39.1% per year (state average 48.2%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Other
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- March 15, 2005
- Resident/family council
- Resident
- County
- Grant County
- CMS Certification Number
- 435122
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.5 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 2.6 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.11 hrs | 3.79 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.48 hrs | 0.80 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.02 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.53 hrs | 3.26 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 39.1% | 48.2% | 45.8% | Better |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 101 | 72.2 | 80.6 | Worse |
Penalties
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $132,723 | $40,815 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 61 | 107 | |
| Average residents per day | 50 | 52 | 86 | |
| Occupancy | 82.8% | 85.2% | 80.9% |
Long-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.4% | 5.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.5% | 4.6% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 23.4% | 24.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.1% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 30.2% | 21.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 19.9% | 19.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.5% | 5.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 9% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 23.2% | 17.4% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 28.5% | 25.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.4% | 94.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 85% | 78.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 86.5% | 83.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 2 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 19, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected March 31, 2026 |
| February 19, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected April 1, 2026 |
| February 19, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 1, 2026 |
| February 19, 2026 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | F Potential harm, widespread | Corrected April 1, 2026 |
| February 19, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected March 31, 2026 |
| February 19, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected March 31, 2026 |
| February 19, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected March 31, 2026 |
| February 19, 2026 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | D Potential harm, isolated | Corrected March 31, 2026 |
| February 19, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 1, 2026 |
| February 19, 2026 Standard | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Tag F0635 | D Potential harm, isolated | Corrected March 31, 2026 |
| October 2, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected November 4, 2024 |
| October 2, 2024 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | C No harm, widespread | Corrected October 24, 2024 |
| October 2, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected November 5, 2024 |
| October 2, 2024 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | E Potential harm, pattern | Corrected October 28, 2024 |
| October 2, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected October 27, 2024 |
| October 2, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected October 27, 2024 |
| October 2, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected October 27, 2024 |
| July 24, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | H Actual harm, pattern | Corrected August 16, 2024 |
| July 24, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected August 16, 2024 |
| July 24, 2024 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected August 16, 2024 |
| July 24, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected August 16, 2024 |
| July 24, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected July 22, 2024 |
| August 10, 2023 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | G Actual harm, isolated | Corrected September 1, 2023 |
| August 10, 2023 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | G Actual harm, isolated | Corrected September 1, 2023 |
| August 10, 2023 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected September 1, 2023 |
| August 10, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 1, 2023 |
| August 10, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected September 1, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $132,723 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 19, 2026 | Fine | $78,750 |
| October 2, 2024 | Fine | $12,048 |
| July 24, 2024 | Fine | $41,925 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BUTLER, RITA Individual | adp of the snf | NOT APPLICABLE | 03/04/2005 |
| CHRISTENSON, ANN Individual | adp of the snf | NOT APPLICABLE | 08/17/2012 |
| DENNA, PAUL Individual | adp of the snf | NOT APPLICABLE | 01/26/2023 |
| THRIFT, RENE Individual | adp of the snf | NOT APPLICABLE | 01/26/2023 |
| WALKER, MARY Individual | adp of the snf | NOT APPLICABLE | 05/26/2026 |
| BUTLER, RITA Individual | corporate director | NOT APPLICABLE | 03/04/2005 |
| KOSMAN, JANET Individual | corporate director | NOT APPLICABLE | 05/26/2026 |
| WILLIAMS, SHARON Individual | corporate officer | NOT APPLICABLE | 02/06/2025 |
| CHRISTENSON, ANN Individual | operational/managerial control | NOT APPLICABLE | 08/17/2012 |
| DENNA, PAUL Individual | operational/managerial control | NOT APPLICABLE | 01/26/2023 |
| THRIFT, RENE Individual | operational/managerial control | NOT APPLICABLE | 01/26/2023 |
Other nursing homes near St William's Care Center
Avantara Milbank
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★★★★★2Below averageWilmot Care Center INC
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★★★★★1Much below averageEssentia Health Grace Home
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★★★★★5Much above average- ★★★★★4Above average
Browns Valley Health Center
114 Jefferson Street South, Browns Valley, MN 56219 · 27.4 mi
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- Abuse citation
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Frequently asked questions
What is St William's Care Center's rating?
St William's Care Center has 2 out of 5 stars on the CMS overall star rating. The average for South Dakota nursing homes is 2.9 stars.
How many inspection citations did St William's Care Center receive?
Its most recent standard health inspection found 10 citations, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does St William's Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns St William's Care Center?
It is non profit - other. The ownership section on this page lists the owners and managers reported to CMS.
Where is St William's Care Center and how do I contact it?
St William's Care Center is at 103 N Viola St, Milbank, SD 57252. Phone: (605) 432-5811.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.