AVANTARA MILBANK

MILBANK, SD · 55 beds · For profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 6 citation(s) where residents suffered actual harm
  • $55,361 in fines
  • 82% total nursing staff turnover

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
5
0.7x state avg
Deficiencies
$55,361
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

March 12, 2025

10 deficiencyies
F0689 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0675 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Honor each resident's preferences, choices, values and beliefs.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0689 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0675 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

Show details

Honor each resident's preferences, choices, values and beliefs.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

December 17, 2024

6 deficiencyies
F0585 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0760 Actual Harm Scope/Severity: G

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0585 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0760 Actual Harm Scope/Severity: G

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

October 7, 2024

3 deficiencyies
F0692 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide enough food/fluids to maintain a resident's health.

F0609 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0609 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

August 5, 2024

1 deficiency
F0677 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

See full violation history →

Staffing

0.77
RN hrs/res/day
0.48
LPN hrs/res/day
1.91
CNA hrs/res/day
2.91
Weekend hrs/res/day
83%
Total nurse turnover
77%
RN turnover

A nurse checks on each resident roughly every 7.6 hours on average.

Fines & Penalties

  • Fine Dec 17, 2024
    $28,912
  • Fine Oct 7, 2024
    $15,041
  • Fine Nov 7, 2023
    $11,408
Total $55,361

Ownership

For profit - Corporation Chain: LEGACY HEALTHCARE
  • DOROS GENERATION TRUST U/A/D 1/3/12

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 07/01/2019

    50% Organization
  • GPN FAM TR UA 04282008

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 07/01/2019

    50% Organization
  • LEGACY HEALTHCARE FINANCIAL SERVICES LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2019

    Organization
  • RAJCHENBACH, CHAIM

    CORPORATE OFFICER

    Since since 07/01/2019

    Individual
  • SHABAT, MENACHEM

    CORPORATE OFFICER

    Since since 07/01/2019

    Individual
  • LOHRE, CELINA

    W-2 MANAGING EMPLOYEE

    Since since 07/01/2019

    Individual
  • CIBC BANK USA

    5% OR GREATER SECURITY INTEREST

    Since since 06/01/2019

    Organization

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