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Other Senior care options in Rapid City:

Best Nursing Homes in Rapid City, SD

Reviewed by
Last updated
May 2026
We analyzed
12 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.

Other Senior care options in Rapid City:

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.

6 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 69
Rank #90 / 117
100.0%
Facility 100.0%
SD AVG 79.9%
Rank #1 / 54
+25%
4.59
Facility 4.59
SD AVG 4.34
Rank #12 / 57
+31%+6%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 59
9
Facility 9
SD AVG 14.8
Rank #16 / 59
3.0
Facility 3.0
SD AVG 3.3
Rank #26 / 59
138
21
Facility 21
SD AVG 39
Rank #111 / 159
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
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 69
Rank #116 / 117
87.3%
Facility 87.3%
SD AVG 79.9%
Rank #21 / 54
+9%
3.82
Facility 3.82
SD AVG 4.34
Rank #27 / 57
-2%-12%
$32.3k
Facility $32.3k
SD AVG $38.5k
Rank #43 / 59
11
Facility 11
SD AVG 14.8
Rank #19 / 59
1.6
Facility 1.6
SD AVG 3.3
Rank #12 / 59
286
16
Facility 16
SD AVG 39
Rank #120 / 159
-
$8.8M
Facility $8.8M
SD AVG $6.7M
Rank #21 / 55
$4.4M
Facility $4.4M
SD AVG $2.6M
Rank #21 / 55
50.3%
Facility 50.3%
SD AVG 40.8%
Rank #27 / 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 69
Rank #45 / 117
87.3%
Facility 87.3%
SD AVG 79.9%
Rank #21 / 54
+9%
3.12
Facility 3.12
SD AVG 4.34
Rank #49 / 57
+43%-28%
$12.3k
Facility $12.3k
SD AVG $38.5k
Rank #19 / 59
20
Facility 20
SD AVG 14.8
Rank #35 / 59
4.0
Facility 4.0
SD AVG 3.3
Rank #38 / 59
265
39
Facility 39
SD AVG 39
Rank #77 / 159
-
$11.4M
Facility $11.4M
SD AVG $6.7M
Rank #15 / 55
$4.7M
Facility $4.7M
SD AVG $2.6M
Rank #19 / 55
40.8%
Facility 40.8%
SD AVG 40.8%
Rank #42 / 55
435064
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 69
Rank #45 / 117
75.2%
Facility 75.2%
SD AVG 79.9%
Rank #37 / 54
-6%
2.80
Facility 2.80
SD AVG 4.34
Rank #54 / 57
+68%-36%
$61.0k
Facility $61.0k
SD AVG $38.5k
Rank #51 / 59
34
Facility 34
SD AVG 14.8
Rank #53 / 59
3.8
Facility 3.8
SD AVG 3.3
Rank #37 / 59
961
12
Facility 12
SD AVG 39
Rank #127 / 159
Philip Preston
$10.7M
Facility $10.7M
SD AVG $6.7M
Rank #20 / 55
$4.7M
Facility $4.7M
SD AVG $2.6M
Rank #18 / 55
44.1%
Facility 44.1%
SD AVG 40.8%
Rank #35 / 55
435051
Avantara Mountain View
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
95
Facility 95
SD AVG 69
Rank #25 / 117
80.9%
Facility 80.9%
SD AVG 79.9%
Rank #30 / 54
+1%
3.41
Facility 3.41
SD AVG 4.34
Rank #38 / 57
-15%-21%
$9.3k
Facility $9.3k
SD AVG $38.5k
Rank #14 / 59
16
Facility 16
SD AVG 14.8
Rank #27 / 59
4.0
Facility 4.0
SD AVG 3.3
Rank #38 / 59
287
83
Facility 83
SD AVG 39
Rank #8 / 159
-
$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 #44 / 55
435040
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 69
Rank #38 / 117
96.2%
Facility 96.2%
SD AVG 79.9%
Rank #2 / 54
+20%
2.95
Facility 2.95
SD AVG 4.34
Rank #51 / 57
+43%-32%
$11.4k
Facility $11.4k
SD AVG $38.5k
Rank #18 / 59
18
Facility 18
SD AVG 14.8
Rank #31 / 59
3.0
Facility 3.0
SD AVG 3.3
Rank #26 / 59
273
0
Facility 0
SD AVG 39
Rank #149 / 159
Laura Henney
$11.1M
Facility $11.1M
SD AVG $6.7M
Rank #19 / 55
$4.4M
Facility $4.4M
SD AVG $2.6M
Rank #22 / 55
39.4%
Facility 39.4%
SD AVG 40.8%
Rank #48 / 55
435060
Overview of Avantara Mountain View

Avantara Mountain View is a nursing home in Rapid City, South Dakota, offering skilled nursing and post-acute rehabilitation. Privately operated by Mountain View SD Skilled Nursing Facility, LLC, this 95-bed community is currently operating at 81% occupancy rate, which is similar to the state average and reflects local demand.

Operating under federal CMS guidelines and South Dakota state licensure, the community features a robust multi-disciplinary care framework. The clinical support specializes in high-acuity post-surgical care, stroke and neurological recovery, cardiac rehabilitation, and orthopedic stabilization. A defining structural strength of the community is its physical therapy staffing ratio, which tracks 33% above the South Dakota state average. While average nursing hours sit slightly below state benchmarks at 3 hours and 25 minutes per resident daily, the overall care matrix successfully minimizes long-stay risks, achieving a major injury fall rate that is 66% lower than the state average and maintaining exceptionally low indicators for resident depressive symptoms.

The community consistently maintains an above-average performance track, with a 3-star overall CMS rating, where quality measures and health inspection scores outperform the state average. In its past inspection cycles, a localized cluster of moderate citations tied to routine pharmacy services and infection control protocols has been identified, which resulted in a single minor federal fine in mid-2024 that is 77% below regional averages. However, all findings were systematically resolved under approved plans of correction.

Positioned in a well-established neighborhood pocket, the community achieves a walk score of 83, ranking eighth highest among similar communities statewide, giving visiting families and ambulatory residents excellent pedestrian access to local pharmacies, retail centers, and restaurants.

Avantara Mountain View’s unique combination of high physical therapy concentration, strong short-term rehabilitation metrics, and an exceptionally walkable urban location makes it a practical option for post-hospitalization care in Rapid City and the broader Black Hills.

Contact Avantara Mountain View

Overview of Avantara Saint Cloud
Avantara Saint Cloud offers a range of services to support residents living with dementia and Alzheimer’s disease. The facility provides specialized secured memory care and cutting-edge robotics to enhance the quality of life for residents. It is dedicated to fostering a serene environment with extensive amenities for comfort and support.

Contact Avantara Saint Cloud

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 12 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.