Milbank Care and Rehabilitation Center
1103 South Second Street, Milbank SD 57252 · (605) 432-4556 · 92.16% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
With an address in Milbank, South Dakota, Milbank Care and Rehabilitation Center is one of a mere two nursing homes in the city. This nursing home was awarded an overall grade of B, which is a quality score. At the end of the day, this facility is a good fit for most people. This nursing home's impressive profile was highlighted by its inspection reports, which we will address in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 60 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
On top of being a strong nursing home overall, this nursing home especially excelled in our inspections category, where it earned an A+. Few nursing homes fared better in that category. Our inspection grades account for a host of factors included in a facility's inspection reports. One of the most important criteria we consider is the number and severity of deficiencies. Nursing homes with higher scores in this category usually have few severe deficiencies. Although this place had a few deficiencies on its inspection report, none were serious based on CMS' deficiency scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
Another quality feature for this nursing home is that it received a favorable long-term care score. In fact, this turned out to be its second best category score. In this area, we awarded this facility a grade of B. When nursing homes receive this type of score in this category it is typically a good sign for resident care and suggests that the facility is well-staffed with nurses and aids. Once we concluded our assessment of the amount of care provided by nurses, we then looked at the nursing home's vaccination data. This facility vaccinated 98.52941 percent of its residents for pneumonia, which is what we like to see. Pneumonia can be a life threatening illness for nursing home patients so we like it when a nursing home does not leave its residents vulnerable. Lastly, this nursing home was able to limit hospitalizations. It had only 0.98 hospitalizations per 1,000 long-term resident days, which is an impressively low number.
Nurse Quality
The next highest grade we gave this nursing home came in the category of nursing, where we gave it a grade of B-. This wasn't quite as good as some of its other scores, but a grade in this range is not the end of the world. Nursing ratings are based largely on nurse staffing levels. This facility averages 2.9 hours of nursing care per resident daily, which is well below average. Lastly, we like to look at quality-based statistics, such as the percentage of residents who experienced pressure ulcers and major falls. These metrics are measures of the quality of nursing care.
Short-term Care Quality
Moving on to our next category, this nursing home received an acceptable short-term care score of C. Our short-term care scores are vital for patients seeking rehabilitation. Rehabilitation usually requires more skilled nursing. Skilled nursing means a broad scope of services, spanning from registered nurses to physical and speech therapists, as well as other types of therapy. Fortunately, it looks like this nursing home employs registered nurses. Not all nursing homes employs these skilled professionals. However, based on the information this nursing home provided, it does not look like the facility employs physical therapists. The last measure we assessed in this category is the percentage of residents that eventually returned home from the nursing home. We found that just 42.2 percent of this nursing home's patients returned home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Milbank Care and Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
This is the percent of patients that sustained a pressure ulcer. Pressure ulcers are considered to be a measure of nursing care at a nursing home. Pressure ulcers, also known as bed sores, are routinely the result of residents not being moved frequently enough.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percent of residents that suffered from a fall which caused serious injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This gauges the percentage of long-term care patients which have sustained UTI's. While more of these infections could reflect poorly on a facility's cleanliness, it is problematic to compare between facilities due to facilities having varying reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percentage of patients given antipsychotic medications. While antipsychotic medications may be vital to many residents, it is important to make sure these drugs are being used appropriately. In some situations, increased usage of these drugs may suggest a facility is using these medications to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percentage of residents who were prescribed antianxiety medications. These drugs are typically prescribed to patients suffering from anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint measures the percentage of long-term stay patients who are demonstrating symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This datapoint is a measure of the percentage of long-term care residents who received the flu and pneumonia vaccines.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percentage of patients that required additional assistance with activities of daily living over time.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is the percent of patients that retained mobility levels over time. Preserving mobility is often a great sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of times residents are hospitalized per thousand days of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This indicates the number of rehospitalizations per thousand days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric is a measure of the number of emergency room visits per thousand days of short-term care. Avoiding emergency medical situations is one way to measure short-term care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This datapoint is a measure of the percentage of short-term stay residents who saw functional improvements, such as enhanced ability to perform activities of daily living. Many argue that this is a measure of rehabilitation performance.
Percentage of Resident
Higher is Better