St William's Care Center
103 N Viola St · Milbank, SD · 57252 · 6054325811
60 certified beds Non profit - Other
Why this verdict
- Federal penalties on record: $132,723 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
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Red flags
4 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$132,723 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.26 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 2.61 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 4 · $146,129 |
Inspection citations (25 in the current record)
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Actual harm · G February 19, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 31, 2026 · Quality of Life and Care
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Potential for harm · D February 19, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D February 19, 2026
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected March 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 19, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 19, 2026
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.
Corrected March 31, 2026 · Pharmacy Service
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Potential for harm · F February 19, 2026
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.
Corrected April 1, 2026 · Nutrition and Dietary
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Potential for harm · F February 19, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 1, 2026 · Nutrition and Dietary
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Potential for harm · D February 19, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected March 31, 2026 · Administration
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Potential for harm · F February 19, 2026
Provide and implement an infection prevention and control program.
Corrected April 1, 2026 · Infection Control
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Actual harm · G October 2, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 2, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected October 28, 2024 · Resident Rights
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Potential for harm · D October 2, 2024
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.
Corrected October 27, 2024 · Resident Rights
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Potential for harm · E October 2, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected October 27, 2024 · Pharmacy Service
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Potential for harm · E October 2, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 27, 2024 · Nutrition and Dietary
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Actual harm · H July 24, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 24, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 24, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 24, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 24, 2024 · found via 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.
Corrected August 16, 2024 · Pharmacy Service
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Actual harm · G August 10, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 1, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G August 10, 2023
Respond appropriately to all alleged violations.
Corrected September 1, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 10, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 1, 2023 · Resident Rights
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Potential for harm · D August 10, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 1, 2023 · Pharmacy Service
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Potential for harm · D August 10, 2023
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.
Corrected September 1, 2023 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 19, 2026 | Fine | $78,750 |
| October 2, 2024 | Fine | $12,048 |
| July 24, 2024 | Fine | $41,925 |
| August 10, 2023 | Fine | $13,406 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435122 · certified since March 15, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.