Best Nursing Homes in Rapid City, SD

Why trust this guide? Our editorial team analyzed 13 nursing homes in Rapid City, SD using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in SD
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Last updated
We analyzed These are the facilities in Rapid City, SD our team has analyzed — not a count of every nursing home provider in Rapid City, SD.
13 homes
Other senior care options in Rapid City:

Compare Nursing Homes around Rapid City (Metro Area)

Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we do not publish a grade for that facility: either its public record is too thin to be fair, or we hold nothing for it at all.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Dakota average is: 58.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Westhills Village
NH
AL
HC
IL
PC
SNF
Rapid City
44
Facility 44
SD AVG 71
Rank #55 / 70
93.4%
Facility 93.4%
SD AVG 84%
Rank #9 / 33
+11%
4.26
Facility 4.26
SD AVG 4.34
Rank #17 / 65
- +31%-2%
$8.8k
Facility $8.8k
SD AVG $38.5k
Rank #21 / 67
11
Facility 11
SD AVG 14.8
Rank #17 / 65
3.7
Facility 3.7
SD AVG 3.3
Rank #36 / 65
141-
21
Facility 21
SD AVG 43
Rank #56 / 73
Bradley Archer
$6.7MFiscal year ending 09/2023
Facility $6.7MFiscal year ending 09/2023
SD AVG $7.1M
Rank #27 / 58
$8.6MFiscal year ending 09/2023
Facility $8.6MFiscal year ending 09/2023
SD AVG $4.2M
Rank #5 / 58
128.7%Fiscal year ending 09/2023
Facility 128.7%Fiscal year ending 09/2023
SD AVG 58.6%
Rank #1 / 58
435033
Avantara North
NH
HOS
MC
SNF
Rapid City
68
Facility 68
SD AVG 71
Rank #28 / 70
96.6%
Facility 96.6%
SD AVG 84%
Rank #1 / 33
+15%
2.99
Facility 2.99
SD AVG 4.34
Rank #58 / 65
B+ +43%-31%
$24.1k
Facility $24.1k
SD AVG $38.5k
Rank #43 / 67
17
Facility 17
SD AVG 14.8
Rank #25 / 65
3.4
Facility 3.4
SD AVG 3.3
Rank #31 / 65
266-
39
Facility 39
SD AVG 43
Rank #38 / 73
-
$7.1MFiscal year ending 12/2023
Facility $7.1MFiscal year ending 12/2023
SD AVG $7.1M
Rank #21 / 58
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
SD AVG $4.2M
Rank #24 / 58
53.3%Fiscal year ending 12/2023
Facility 53.3%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #40 / 58
435064
Fountain Springs Healthcare Center
NH
MC
RC
SNF
Rapid City
10
Facility 10
SD AVG 71
Rank #70 / 70
--
3.46
Facility 3.46
SD AVG 4.34
Rank #41 / 65
- -2%-20%
$22.5k
Facility $22.5k
SD AVG $38.5k
Rank #40 / 67
18
Facility 18
SD AVG 14.8
Rank #31 / 65
2.3
Facility 2.3
SD AVG 3.3
Rank #13 / 65
282-
16
Facility 16
SD AVG 43
Rank #61 / 73
-$10.4M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$4.2M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.40.8%*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.435110
Avantara Mountain View
NH
SNF
Rapid City
95
Facility 95
SD AVG 71
Rank #15 / 70
--
3.53
Facility 3.53
SD AVG 4.34
Rank #41 / 65
B+ -15%-19%
$9.3k
Facility $9.3k
SD AVG $38.5k
Rank #24 / 67
21
Facility 21
SD AVG 14.8
Rank #37 / 65
4.2
Facility 4.2
SD AVG 3.3
Rank #45 / 65
289-
83
Facility 83
SD AVG 43
Rank #6 / 73
-
$9.5MFiscal year ending 12/2023
Facility $9.5MFiscal year ending 12/2023
SD AVG $7.1M
Rank #10 / 58
$5.2MFiscal year ending 12/2023
Facility $5.2MFiscal year ending 12/2023
SD AVG $4.2M
Rank #14 / 58
54.7%Fiscal year ending 12/2023
Facility 54.7%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #35 / 58
435040
Avantara Saint Cloud
NH
MC
SNF
Rapid City
78
Facility 78
SD AVG 71
Rank #26 / 70
96.2%
Facility 96.2%
SD AVG 84%
Rank #2 / 33
+15%
2.97
Facility 2.97
SD AVG 4.34
Rank #58 / 65
B+ +43%-31%
$24.8k
Facility $24.8k
SD AVG $38.5k
Rank #46 / 67
17
Facility 17
SD AVG 14.8
Rank #25 / 65
2.4
Facility 2.4
SD AVG 3.3
Rank #16 / 65
375--Laura Henney
$6.9MFiscal year ending 12/2023
Facility $6.9MFiscal year ending 12/2023
SD AVG $7.1M
Rank #23 / 58
$3.6MFiscal year ending 12/2023
Facility $3.6MFiscal year ending 12/2023
SD AVG $4.2M
Rank #29 / 58
51.7%Fiscal year ending 12/2023
Facility 51.7%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #43 / 58
435060
Avantara Arrowhead
NH
HOS
SNF
Rapid City (Broadmoor Subdivision)
68
Facility 68
SD AVG 71
Rank #28 / 70
87.2%
Facility 87.2%
SD AVG 84%
Rank #21 / 33
+4%
3.22
Facility 3.22
SD AVG 4.34
Rank #54 / 65
C +68%-26%
$82.9k
Facility $82.9k
SD AVG $38.5k
Rank #59 / 67
37
Facility 37
SD AVG 14.8
Rank #61 / 65
3.7
Facility 3.7
SD AVG 3.3
Rank #36 / 65
959-
12
Facility 12
SD AVG 43
Rank #65 / 73
Philip Preston
$6.6MFiscal year ending 12/2023
Facility $6.6MFiscal year ending 12/2023
SD AVG $7.1M
Rank #29 / 58
$3.4MFiscal year ending 12/2023
Facility $3.4MFiscal year ending 12/2023
SD AVG $4.2M
Rank #31 / 58
52.6%Fiscal year ending 12/2023
Facility 52.6%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #42 / 58
435051

Rank badges are statewide and care-type specific: each nursing home is ranked against every other SD nursing home we track that reports that metric, not just the 13 analyzed for Rapid City. See how we rank facilities

Overview of Westhills Village

Westhills Village sits at 255 Texas St in Rapid City, South Dakota, in a stretch of the city that’s firmly car-dependent. The Walk Score here comes in at 21, so anyone visiting should plan on driving. There’s not much within walking distance, and that’s just the nature of this part of town.

The facility has 44 beds, and right now every single one is filled. A full house at one year of operation says something on its own; this is a place that filled up fast. Rehabilitation services and respite care are both available here, meaning residents can come in for short-term recovery work or for a temporary stay while family caregivers get a break.

Staffing runs around the clock, and the numbers back that up with real specificity. Registered nurses put in about 1 hour and 13 minutes per resident each day, while licensed practical nurses contribute another 28 minutes. Add nurse aide time, and the total nursing care residents receive averages 4 hours and 36 minutes per resident, per day.

Financially, Westhills Village takes Medicare and private pay, so there’s more than one route to covering costs depending on a family’s situation. There’s also a volunteer program woven into daily life here, which tends to matter more than people expect once they’re actually living somewhere.

South Dakota’s Department of Health, Office of Health Care Facilities Licensure oversees inspections, and the recurring focus areas, medication management, infection control, and resident rights, are the same categories regulators lean on everywhere. Between the full occupancy, the staffing hours, and the rehab and respite options on the table, Westhills Village reads as a facility that’s found its footing quickly and is running at real capacity.

Contact Westhills Village

Overview of Avantara North

Located in Rapid City, South Dakota, Avantara North is a 68-bed nursing home administered by Celina Block that offers memory care, rehabilitation, and skilled nursing. Rehabilitation services cover a wide range of needs, particularly those in need of recovery as part of their care plan. Furthermore, short-term rehabilitation can support a time-limited recovery, while respite care offers a short stay when the primary caregiver needs to travel or recover.

Medicare, Medicaid, and private pay are accepted, with Medicare covering eligible short-term skilled care after a hospital stay and Medicaid helping when savings may not cover a long stay. Meanwhile, private pay allows a family to pay directly. Total nurse staffing is 3 hours per resident per day, representing the daily nursing time provided for each resident.

The area has a Walk Score of 39 and is car-dependent, so most errands require a car or a ride. This indicates that a resident who no longer drives would need one for those trips. Avantara North may be a good fit for those living with dementia who need a secure, supervised setting, people recovering after surgery, stroke, or orthopedic treatment, or a family caregiver who needs temporary support.

Contact Avantara North

Overview of Fountain Springs Healthcare Center

In Rapid City, South Dakota, Fountain Springs Healthcare Center is a haven for healing and compassionate care. Whether residents require transitional care following hospitalization or seek long-term support due to safety concerns at home, Fountain Springs offers a serene refuge. The center has garnered acclaim for its successful patient transitions back home or to a lower level of care, earning the prestigious 2018 Pinnacle Customer Experience Award for its exceptional senior healthcare services.

At Fountain Springs, individuals receive personalized care through an interdisciplinary approach to skilled nursing. The recreation department fosters a sense of community and home by organizing various activities and outings. Whether it’s assisted living, skilled nursing, memory support, or respite stays, Fountain Springs Healthcare Center remains steadfast in delivering 5-star quality care to its residents. 

Contact Fountain Springs Healthcare Center

Overview of Avantara Mountain View

At Avantara Mountain View in Rapid City, South Dakota, six recovery programs are named: post‑surgical care, stroke and other neurological conditions, cardiac care, oncology recovery, orthopedic rehabilitation, and pulmonary care. That level of specificity is emphasized, since the work of recovering from a stroke is not the same as the work of recovering from a knee injury; one involves rebuilding strength, while the other may require relearning speech, swallowing, or the use of one side of the body.

The 95‑bed nursing home and skilled nursing facility is arranged to support residents who need ongoing clinical oversight and daily assistance, with licensed nursing care made available at every hour. Short-term rehab sits inside that structure for someone whose stay has an end in view.

Nursing time per resident works out to 3 hours and 32 minutes daily. Medicare, Medicaid, and private pay are all accepted here, with Medicare covering skilled care after a hospital admission, Medicaid entering when savings will not carry a long stay, and families paying directly for the rest. Laura Karlson serves as the administrator.

Contact Avantara Mountain View

Overview of Avantara Saint Cloud

Operated under owner Laura Henney, Avantara Saint Cloud is a nursing home in Rapid City, South Dakota. The facility is located at 302 St Cloud Street. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover care costs. The 78-bed home has a current occupancy rate of 96%. Residents stay an average of 333 days, including people receiving short-term rehabilitation and those needing longer-term care.

The community provides 24-hour staffing. Nurse staffing averages 2 hours and 57 minutes of nursing care each day. Registered nurses, licensed practical nurses, and nurse aides are part of the care team. Rehabilitation services are available, and the home also offers respite care for families needing temporary placement for a loved one.

State inspections have reviewed areas such as staffing records, infection control, and care practices. These are important parts of daily operations in a nursing home. Families considering the facility should ask how regulatory engagement is overseen and how these areas are managed daily.

Meals are prepared with fresh ingredients to meet residents’ nutritional needs. Amenities on-site include salon services, high-speed Wi-Fi, and community spaces where residents and families can spend time together. The surrounding area has a Walk Score of 0, so it’s car-dependent. Most visits and errands require transportation.

Contact Avantara Saint Cloud

Overview of Avantara Arrowhead

Seventy-five percent occupancy, or 51 of 68 beds, at a nursing home positioned in Rapid City’s Broadmoor Subdivision, about 2.3 miles from the city center and less than a mile from the nearest hospital. The address is 2500 Arrowhead Dr, and the surrounding area is car-dependent (Walk Score 12). Sharon Martin administers the facility, which operates within the Avantara network.

The average length of stay is 174 days. That number places Avantara Arrowhead in a middle zone: not a pure short-stay rehab operation, but not configured primarily around indefinite long-term residence either. Rehabilitation services and short-term rehab are the confirmed service lines, with orthopedic care listed as a clinical program.

Staffing reported to CMS totals 2 hours and 48 minutes of nursing care per resident per day. Registered nurses account for 47 minutes; nurse aides account for 2 hours and 2 minutes. Medicare, Medicaid, and private pay are all accepted.

Avantara Arrowhead is a mid-sized nursing home serving residents in post-acute and transitional care, with orthopedic rehabilitation among its confirmed clinical offerings and full coverage across Medicare, Medicaid, and private pay.

Contact Avantara Arrowhead

Overview of Westhills Village Health Care Facility

Westhills Village Health Care Facility provides independent living, assisted living, home care, and skilled nursing in Rapid City, SD. Independent living offers private living with community services and no daily care, while assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident keeps their own living space. Home care supports a resident in their own home, and skilled nursing provides licensed nursing care on site around the clock. The range of care may suit someone whose needs change over time because the facility offers both daily living support and skilled nursing.

With 44 beds, Westhills Village Health Care Facility is a smaller community where staff and residents get to know each other. Medicare can help cover short-term skilled care after a hospital stay, while private pay means the resident or family funds care directly. Kelsey Bertsch serves as the administrator.

Rehabilitation services and short-term rehab give residents access to therapy during a time-limited recovery stay. Respite care provides a short stay for someone whose usual caregiver needs to travel or recover.

Contact Westhills Village Health Care Facility

Spearfish Canyon Healthcare

1020 N 10Th St, Spearfish, SD 57783
Overview of Spearfish Canyon Healthcare

Spearfish Canyon Healthcare, located in beautiful Spearfish, South Dakota, offers a range of skilled care services for seniors. With skilled nursing, long term & short term care, and a variety of therapies including physical, occupational, and speech, this community ensures comprehensive care. Seniors can enjoy the serene surroundings and the sense of community as they work on regaining their independence and well-being.

Fostering compassionate, individualized care to each resident, Spearfish Canyon Healthcare offers various amenities and programs designed for residents wellness and healing, such as pain management, wound care, and social services. With specialized therapies for post-surgical recovery, stroke recovery, and cardiac care, residents receive the support they need. Additional services like dental care, dialysis, and hospice care further enhance the quality of life, making Spearfish Canyon Healthcare a place where seniors can thrive.

Contact Spearfish Canyon Healthcare

Overview of Avantara North

Avantara North provides nursing home and skilled nursing care, memory care, and hospice care in Rapid City, SD. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while memory care offers a secured setting with supervision for a resident living with dementia who may be at risk of wandering. Hospice care focuses on comfort for someone receiving end-of-life care, and the combination of services may suit a resident whose needs change over time without requiring a move to another community.

Avantara North has 68 beds. Rehabilitation services include short-term rehabilitation for recovery after a hospital stay or procedure, with programs for post-surgical care, stroke and other neurological conditions, cardiac care, oncology recovery, orthopedic rehabilitation, and pulmonary care.

Medicare, Medicaid, and private pay are accepted. Medicare applies to short-term skilled care after a hospital stay rather than long-term residence, Medicaid may help a family whose savings do not cover a long stay, and private pay allows a family to pay directly for care. Celina Block serves as the administrator.

Contact Avantara North

Overview of Good Samaritan Society – St Martin Village

Good Samaritan Society, St Martin Village provides nursing home, assisted living, independent living, memory care, and respite care in Rapid City, SD. Assisted living provides help with daily tasks while a resident maintains an apartment, memory care offers supervision in a secured setting for someone at risk of wandering, and nursing home care provides licensed nursing care around the clock. Independent living supports private living with community services and no daily care, while respite care offers a short stay for a family whose usual caregiver needs to travel or recover.

With several care levels in one community, Good Samaritan Society, St Martin Village can suit a resident whose needs may grow over time without requiring a move to a different community. The community has 60 beds, and Jana McCroden serves as administrator. Rehabilitation services are available for residents who need therapy during recovery or ongoing care.

A swimming pool and wellness center support exercise and water-based activities, while walking trails and a community garden provide outdoor spaces for recreation. The community also has a salon, chapel, library, coffee house, woodshop, and scheduled activities, giving residents places for personal care, worship, hobbies, and social time. Home-based services and caregiver support are also available for residents and families who need assistance beyond the community setting.

The area has a Walk Score of 83, making it very walkable, with most errands possible on foot. Shops and other daily destinations within a short walk can help a resident who no longer drives get out independently.

Contact Good Samaritan Society – St Martin Village

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Rapid City, SD

What's the difference between assisted living and a nursing home in South Dakota?

Assisted living in South Dakota is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does South Dakota Medicaid cover nursing home care?

Yes — South Dakota Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 13 nursing homes in Rapid City, SD. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Rapid City, SD?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Rapid City, SD, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Rapid City, SD?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.

Nursing Homes in Rapid City at a glance

Avg Overall CMS Rating: 2.5/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Rapid City, SD. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.5/ 5The average Staffing Rating across all CMS-certified nursing homes in Rapid City, SD. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.5/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Rapid City, SD. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5