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Best Nursing Homes in Rapid City, SD

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 11 homes in Rapid City, SD

Sources: CMS Centers for Medicare and Medicaid Services, and South Dakota Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Nursing Homes facilities in Rapid City, South Dakota.

Watch this Video to see Rapid City's Top-rated Senior Communities

Compare Nursing Homes around Rapid City (Metro Area)

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

7 facilities compared · CMS & SD Dept. of Health data

Click column headers to sort
Westhills Village
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Rapid City (Texas Street)
44
Facility 44
SD AVG 61
Rank #46 / 60
100.0%
Facility 100.0%
SD AVG 79.9%
Rank #1 / 55
+25%
4.59
Facility 4.59
SD AVG 4.34
Rank #11 / 58
+10%+6%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 60
9
Facility 9
SD AVG 14.8
Rank #16 / 60
3.0
Facility 3.0
SD AVG 3.3
Rank #27 / 60
1
Facility 1
SD AVG 2.1
38
21
Facility 21
SD AVG 37
Rank #44 / 58
Bradley Archer
$28.5M
Facility $28.5M
SD AVG $6.7M
Rank #2 / 55
$8.6M
Facility $8.6M
SD AVG $2.6M
Rank #6 / 55
30%
Facility 30%
SD AVG 40.8%
Rank #55 / 55
435033
Avantara Mountainview
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Rapid City (Mountain View Road)
95
Facility 95
SD AVG 61
Rank #9 / 60
80.9%
Facility 80.9%
SD AVG 79.9%
Rank #31 / 55
+1%
3.41
Facility 3.41
SD AVG 4.34
Rank #38 / 58
+34%-21%
$9.3k
Facility $9.3k
SD AVG $38.5k
Rank #13 / 60
16
Facility 16
SD AVG 14.8
Rank #27 / 60
4.0
Facility 4.0
SD AVG 3.3
Rank #38 / 60
2
Facility 2
SD AVG 2.1
87
55
Facility 55
SD AVG 37
Rank #18 / 58
-
$15.2M
Facility $15.2M
SD AVG $6.7M
Rank #9 / 55
$6.2M
Facility $6.2M
SD AVG $2.6M
Rank #11 / 55
40.6%
Facility 40.6%
SD AVG 40.8%
Rank #42 / 55
435040
Fountain Springs Healthcare Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Rapid City
10
Facility 10
SD AVG 61
Rank #60 / 60
87.3%
Facility 87.3%
SD AVG 79.9%
Rank #21 / 55
+9%
3.82
Facility 3.82
SD AVG 4.34
Rank #26 / 58
-1%-12%
$32.3k
Facility $32.3k
SD AVG $38.5k
Rank #44 / 60
11
Facility 11
SD AVG 14.8
Rank #19 / 60
1.6
Facility 1.6
SD AVG 3.3
Rank #12 / 60
2
Facility 2
SD AVG 2.1
86
16
Facility 16
SD AVG 37
Rank #49 / 58
-
$8.8M
Facility $8.8M
SD AVG $6.7M
Rank #23 / 55
$4.4M
Facility $4.4M
SD AVG $2.6M
Rank #22 / 55
50.3%
Facility 50.3%
SD AVG 40.8%
Rank #25 / 55
435110
Avantara North
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Rapid City (North 7Th Street)
68
Facility 68
SD AVG 61
Rank #22 / 60
87.3%
Facility 87.3%
SD AVG 79.9%
Rank #21 / 55
+9%
3.12
Facility 3.12
SD AVG 4.34
Rank #50 / 58
+1%-28%
$12.3k
Facility $12.3k
SD AVG $38.5k
Rank #19 / 60
20
Facility 20
SD AVG 14.8
Rank #36 / 60
4.0
Facility 4.0
SD AVG 3.3
Rank #38 / 60
2
Facility 2
SD AVG 2.1
65
39
Facility 39
SD AVG 37
Rank #28 / 58
-
$11.4M
Facility $11.4M
SD AVG $6.7M
Rank #17 / 55
$4.7M
Facility $4.7M
SD AVG $2.6M
Rank #20 / 55
40.8%
Facility 40.8%
SD AVG 40.8%
Rank #40 / 55
435064
Spearfish Canyon Healthcare
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Spearfish (North 10Th Street)
105
Facility 105
SD AVG 61
Rank #6 / 60
68.6%
Facility 68.6%
SD AVG 79.9%
Rank #43 / 55
-14%
3.37
Facility 3.37
SD AVG 4.34
Rank #38 / 58
-56%-22%
$3.3k
Facility $3.3k
SD AVG $38.5k
Rank #9 / 60
20
Facility 20
SD AVG 14.8
Rank #36 / 60
3.3
Facility 3.3
SD AVG 3.3
Rank #34 / 60
1
Facility 1
SD AVG 2.1
76
50
Facility 50
SD AVG 37
Rank #21 / 58
-
$11.6M
Facility $11.6M
SD AVG $6.7M
Rank #16 / 55
$6.0M
Facility $6.0M
SD AVG $2.6M
Rank #14 / 55
51.6%
Facility 51.6%
SD AVG 40.8%
Rank #18 / 55
435043
Avantara Arrowhead
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Rapid City (Broadmoor Subdivision)
68
Facility 68
SD AVG 61
Rank #22 / 60
75.2%
Facility 75.2%
SD AVG 79.9%
Rank #38 / 55
-6%
2.80
Facility 2.80
SD AVG 4.34
Rank #55 / 58
+52%-36%
$61.0k
Facility $61.0k
SD AVG $38.5k
Rank #52 / 60
34
Facility 34
SD AVG 14.8
Rank #54 / 60
3.8
Facility 3.8
SD AVG 3.3
Rank #37 / 60
9
Facility 9
SD AVG 2.1
61
12
Facility 12
SD AVG 37
Rank #53 / 58
Philip Preston
$10.7M
Facility $10.7M
SD AVG $6.7M
Rank #22 / 55
$4.7M
Facility $4.7M
SD AVG $2.6M
Rank #19 / 55
44.1%
Facility 44.1%
SD AVG 40.8%
Rank #33 / 55
435051
Avantara Saint Cloud
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Rapid City
78
Facility 78
SD AVG 61
Rank #20 / 60
96.2%
Facility 96.2%
SD AVG 79.9%
Rank #2 / 55
+20%
2.95
Facility 2.95
SD AVG 4.34
Rank #52 / 58
+30%-32%
$11.4k
Facility $11.4k
SD AVG $38.5k
Rank #18 / 60
18
Facility 18
SD AVG 14.8
Rank #32 / 60
3.0
Facility 3.0
SD AVG 3.3
Rank #27 / 60
2
Facility 2
SD AVG 2.1
73
0
Facility 0
SD AVG 37
Laura Henney
$11.1M
Facility $11.1M
SD AVG $6.7M
Rank #21 / 55
$4.4M
Facility $4.4M
SD AVG $2.6M
Rank #23 / 55
39.4%
Facility 39.4%
SD AVG 40.8%
Rank #48 / 55
435060
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.

Contact Westhills Village

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. 

Contact Avantara Mountainview

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. 

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Contact Fountain Springs Healthcare Center

Overview of Avantara North

Avantara North 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. As one of South Dakota’s most trusted nursing homes, 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 North 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. 

Contact Avantara North

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.

What does this home offer?

Building type icon
Building type icon

Building Type: Single-story

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Contact Spearfish Canyon Healthcare

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. 

Contact Avantara Arrowhead

Overview of Westhills Village Health Care Facility
Westhills Village offers choices for Independent Senior Living, Retirement Community, Assisted Living and Health Care Services in Rapid City, South Dakota. The facility provides a community of care and a continuing care program to meet the needs of its residents. It is recognized as one of the top retirement communities in South Dakota.

Contact Westhills Village Health Care Facility

Overview of Good Samaritan Society – St Martin Village
Good Samaritan Society - St. Martin Village is a senior living community in Rapid City, SD. It offers a range of services including assisted living, independent living, long-term care, and rehabilitation therapy. The community features beautiful walking trails and a variety of amenities to support an active lifestyle.

Contact Good Samaritan Society – St Martin Village

Overview of Avantara North
Avantara North is a rehabilitation facility in Rapid City, South Dakota. It offers a range of healthcare services including memory care, post-surgical care, short-term rehabilitation, and specialized programs for various medical conditions. The facility prides itself on providing quality medical care with a personal touch.

Contact Avantara North

Overview of Avantara Mountain View
Avantara Mountain View is a rehabilitation facility located in Rapid City, South Dakota. It offers a range of healthcare services including post-surgical care, short-term rehabilitation, and specialized programs for stroke and cardiac recovery. The facility is committed to providing personalized care in a supportive environment.

Contact Avantara Mountain View

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.

  • 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
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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 11 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.