Nursing HomeInspections

St William's Care Center

Nursing home in Milbank, SD

Medicare & Medicaid certified2★ overall (CMS)

Call (605) 432-5811Send a messageMap ↗

Public-record details

Address
103 N Viola St, Milbank, SD 57252
Phone
(605) 432-5811
Listed under
Nonprofit
Medicare CCN
435122
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
60
Average residents per day
50
Ownership
Nonprofit, other
Legal business name
St Williams Care Center
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 15, 2005
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 435122. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 19, 2026. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 10, 2023 to Feb 19, 2026): 7 from complaint inspections, 5 at the “actual harm” level or higher.

InspectionCitationSeverity
Feb 19, 2026Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 19, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 19, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 19, 2026Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration		D
Potential for more than minimal harm, isolated
Feb 19, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Feb 19, 2026Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Feb 19, 2026Ensure 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		F
Potential for more than minimal harm, widespread
Feb 19, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Feb 19, 2026Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread
Feb 19, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		G
Actual harm, isolated
Oct 2, 2024Notify 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		D
Potential for more than minimal harm, isolated
Oct 2, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $132,723 in the last three years.

Feb 19, 2026Fine: $78,750
Oct 2, 2024Fine: $12,048
Jul 24, 2024Fine: $41,925

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.11 hours
Registered nurse (RN) time per resident per day
0.48 hours
Nurse aide time per resident per day
2.02 hours
Total nurse staffing on weekends
2.53 hours
Nursing staff turnover (yearly)
39%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Milbank

Avantara Milbank1103 South Second Street · Milbank, SD 57252 · (605) 432-4556 · For-profit30 health citations in 3 inspection cycles · last standard inspection Mar 13, 2025 · $55,361 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 2 in Milbank →