Best Nursing Homes in Rapid City, SD

Overview of Westhills Village

Relish a life filled with enriching experiences and a supportive environment. Nestled in Rapid City, South Dakota, Westhills Village Health Care Facility provides a range of options tailored to meet the needs of seniors such as independent senior living and retirement community to assisted living and health care services. This assisted living community has a vibrant and engaging atmosphere, ensuring residents feel right at home.
With an unwavering dedication to surpassing the needs and expectations of retirees, Westhills Village offers a comprehensive care program. Westhills Village seamlessly combines comfort, care, and convenience, making it an ideal destination for senior residents seeking an independent lifestyle and those who require additional support.

Overview of Avantara Mountainview

Avantara Mountainview boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. One of the most trusted nursing homes in South Dakota, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Mountainview has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. 

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. 

Overview of Avantara North

Operating a 68-bed nursing home at 1620 North 7th Street in Rapid City’s North 7th Street neighborhood, Avantara North serves residents under administrator Celina Block’s leadership.

The privately owned facility, operational since early 2025, accepts Medicare, Medicaid, and private-pay residents and maintains 87% occupancy; exceeding South Dakota’s average of 79.9%. Average resident stay extends to 151 days.

CMS assigns a 2-star overall rating, 20.3% below state average, driven by health inspection performance rated 2 stars (21.6% below state) and below-average quality measures.

Conversely, staffing earns a 3-star rating, 4.5% above state benchmarks, as does quality measures at 3 stars with 9.9% above-state performance. Total nursing care averages 3 hours 7 minutes per resident daily, falling 17% below the state average. Weekend nursing drops to 2 hours 32 minutes daily, 23% below state norms. Staff-to-resident ratio of 1.32:1 underperforms the state standard of 1.93:1 by 31%, indicating concentrated staffing constraints.

Rehabilitation programming encompasses post-surgical recovery, short-term skilled rehabilitation, stroke and neurological care, cardiac services, oncology recovery, orthopedic rehabilitation, and pulmonary support. Respite care and on-site salon services complement clinical offerings. Wi-Fi access and community spaces support resident engagement.

Five inspections since 2022 identified 20 health citations with no critical findings. One $12,000 federal penalty was imposed in October 2024.

Clinical strengths include zero reported depressive symptoms and minimal antipsychotic use (10.0%, well below state average of 24.4%). Walking ability decline at 37.2% significantly exceeds state benchmarks.

The location sits 1.4 miles from downtown and adjacent to Black Hills Urgent Care (0.37 miles). Walk score of 39 indicates somewhat walkable surroundings dependent on transportation for most errands.

Avantara North operates as a newly established short-stay rehabilitation facility managing competing staffing constraints against selected clinical outcome advantages.

The Good Samaritan Society in St. Martin Village is one of the trusted senior living communities in Rapid City.  They provide a range of comprehensive care that focuses on assisted living places and various assisted living levels of care which includes independent living. Many families have trusted the quality service the community has continuously provided for many seniors over the years. As a Good Samaritan Society, seniors can expect a worry-free lifestyle during their stay.

The Good Samaritan’s all-inclusive services and amenities include home-cooked meals, maintenance-free living, and housekeeping; social activities include gatherings at the community room, dining room, o r chapel; wellness programs, religious services, an emergency response system, and housekeeping services are also offered.

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.

Overview of Avantara Arrowhead

Avantara Arrowhead boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. The community boasts its merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Arrowhead has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. 

Overview of Westhills Village Health Care Facility

Westhills Village Health Care Facility is a nursing home in Rapid City, South Dakota, that offers short-term rehabilitation, respite care, and supportive health care services. Administered by Kelsey Bertsch, this 44-bed community provides multiple levels of care that include rehabilitation therapies, structured recovery programs, and short-term stays designed for those recovering after hospitalization or medical treatment in Pennington County.

The community holds a 3-star rating for short-stay resident outcomes, supported by above-average discharge performance metrics. Nearly 70% of residents also achieve their expected self-care goals by discharge, outperforming the South Dakota average by a substantial margin. In addition, more than 60% of short-stay residents successfully transition back home or to a community-based setting following care. These outcomes reflect the community’s strong focus on post-acute rehabilitation and recovery-centered programming rather than long-term custodial support.

Staffing levels exceed many regional benchmarks, particularly in registered nursing and physical therapy coverage. RN support per day and physical therapy hours are both significantly higher than the statewide average. Weekend nursing coverage also remains above average, helping maintain continuity of care throughout the week. This stronger staffing profile, combined with enhanced therapy programming, reinforces the community’s emphasis on rehabilitation and recovery services.

Services include short-term rehabilitation, respite care, therapy programming, support services, and online wellness classes designed to encourage recovery and overall well-being. The community also operates from 7:30 A.M. to 7:30 P.M. on weekdays and from 8:30 A.M. to 5:30 P.M. on weekends.

Westhills Village Health Care Facility is best suited for those seeking short-term rehabilitative care after hospitalization, surgery, or illness, with services and staffing structured to support recovery goals and a timely return home or to a community-based living environment.

Overview of Good Samaritan Society – St Martin Village

Good Samaritan Society – St. Martin Village is a nursing home in Rapid City, South Dakota, offering independent living, assisted living, long-term care, rehabilitation, and respite care. This 60-bed community is operating as part of the Evangelical Lutheran Good Samaritan Society, one of the nation’s largest nonprofit senior care organizations. This reflects a mission-centered approach focused on compassionate care and supportive living.

The community received the Bronze National Quality Award from the American Health Care Association in both 2023 and 2024, recognizing ongoing efforts toward performance improvement and quality care standards. On the other hand, registered nurse staffing significantly exceeds South Dakota averages, with both weekday and weekend RN coverage standing well above statewide benchmarks. Physical therapy staffing is also notably strong, offering therapy hours substantially higher than average and supporting residents recovering from illness, surgery, or hospitalization. Nursing and nurse aide overall hours also remain below state averages.

For a community of its size, the community’s amenities are notably extensive, which include walking trails, a wellness center, guest housing, and private dining spaces. Three daily meals are included, while volunteer opportunities and religious services are aligned with its faith-based mission. Studio, one-bedroom, and two-bedroom options are available, with monthly pricing varying based on apartment style and level of care. Rehabilitation therapy and respite care are also offered.

Located in a highly walkable area of Rapid City with a Walk Score of 83, the community has convenient access to nearby services, amenities, and neighborhood destinations, making it one of the more accessible senior living campuses in western South Dakota.

Good Samaritan Society – St. Martin Village is well-suited for older adults seeking a faith-oriented community that combines multiple levels of care, strong RN oversight, rehabilitation support, and a broad range of lifestyle amenities under one roof.

Overview of Avantara North

Avantara North is a nursing home in Rapid City, South Dakota, that offers skilled rehabilitation and specialized medical support. This privately owned community focuses on post-acute recovery services, including short-term rehabilitation, orthopedic care, cardiac recovery, wound care management, and memory care programming. With a 68-bed capacity, it is currently operating at an 87% occupancy rate, which exceeds the South Dakota average. This reflects a strong local demand and supports Medicare patients on shorter recovery-focused stays averaging 151 days.

Over the past seven years, the community underwent five inspections and received 20 citations, ranking 35th among South Dakota’s 64 nursing homes and placing slightly above the statewide median. Two citations were classified as serious, while the remainder were moderate in scope, and no immediate jeopardy or critical-level findings were reported. During the most recent inspection in August 2025, four moderate deficiencies were identified related to infection control, nursing services, and quality of care, all of which were later corrected. In October 2024, the community received a $12,000 federal fine, which is significantly lower than the South Dakota average and indicative of a comparatively lower compliance burden.

Staffing levels operate below the state average, with nursing hours totaling approximately 3 hours and 7 minutes per resident daily, which is slightly below South Dakota’s average of 3 hours and 46 minutes. This staffing structure aligns with the community’s emphasis on short-term post-acute rehabilitation, where many residents recover and return home within a relatively limited timeframe. Quality metrics also point to strengths in preventive and supportive care, including low rates of depressive symptoms and new antipsychotic medication use, alongside positive outcomes in fall prevention efforts. Medicare, Medicaid, and private-pay are also accepted.

Avantara North is designed primarily for those recovering from hospitalization who require skilled nursing oversight, rehabilitation therapies, and short-term medical support before transitioning back home or to a lower level of care. It has also earned the 2023 AHCA Bronze Award, reflecting its commitment to quality care.