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Best Nursing Homes in Sioux Falls, SD

Why trust this guide? Our editorial team analyzed 15 nursing homes in Sioux Falls, SD using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in SD
Reviewed by
Last updated
Jul 2026
We analyzed
15 homes
Other senior care options in Sioux Falls:
Avg Overall CMS Rating: 2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Sioux Falls, 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: 4.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Sioux Falls, 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: 2.4/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Sioux Falls, 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

Compare Nursing Homes around Sioux Falls (Metro Area)

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

CMS & SD Dept. of Health data

Bethany Home Sioux Falls/Bethany Home-Brandon
NH
AL
IL
MC
SNF
Sioux Falls
112
Facility 112
SD AVG 69
Rank #11 / 117
--
5.47
Facility 5.47
SD AVG 4.34
Rank #5 / 65
-15%+26%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
13
Facility 13
SD AVG 14.8
Rank #27 / 65
3.3
Facility 3.3
SD AVG 3.3
Rank #35 / 65
143-
65
Facility 65
SD AVG 39
Rank #24 / 158
Augustana Lutheran Church
$5.9MFiscal year ending 06/2024
Facility $5.9MFiscal year ending 06/2024
SD AVG $6.7M
Rank #41 / 63
$4.1MFiscal year ending 06/2024
Facility $4.1MFiscal year ending 06/2024
SD AVG $2.6M
Rank #23 / 63
68.6%Fiscal year ending 06/2024
Facility 68.6%Fiscal year ending 06/2024
SD AVG 40.8%
Rank #12 / 63
435096
Tuff Memorial Home
NH
SNF
Sioux Falls
48
Facility 48
SD AVG 69
Rank #76 / 117
79.8%
Facility 79.8%
SD AVG 82.2
Rank #24 / 34
+9%4.78 -24%0%$44.4k133.3-38-
8
Facility 8
SD AVG 39
Rank #138 / 158
Alex Dysthe$4.0MFiscal year ending 09/2023$2.7MFiscal year ending 09/202367.9%Fiscal year ending 09/2023245548
Good Samaritan Society Sioux Falls Center
NH
SNF
Sioux Falls
98
Facility 98
SD AVG 69
Rank #23 / 117
81.6%
Facility 81.6%
SD AVG 82.2
Rank #23 / 34
-1%
3.93
Facility 3.93
SD AVG 4.34
Rank #28 / 65
+21%-9%
$11.3k
Facility $11.3k
SD AVG $38.5k
Rank #26 / 67
14
Facility 14
SD AVG 14.8
Rank #29 / 65
4.7
Facility 4.7
SD AVG 3.3
Rank #52 / 65
180-
19
Facility 19
SD AVG 39
Rank #113 / 158
Luke Wanous
$8.1MFiscal year ending 09/2023
Facility $8.1MFiscal year ending 09/2023
SD AVG $6.7M
Rank #16 / 63
$4.5MFiscal year ending 09/2023
Facility $4.5MFiscal year ending 09/2023
SD AVG $2.6M
Rank #11 / 63
56%Fiscal year ending 09/2023
Facility 56%Fiscal year ending 09/2023
SD AVG 40.8%
Rank #18 / 63
435046
Avantara Norton
NH
HOS
SNF
Sioux Falls
110
Facility 110
SD AVG 69
Rank #12 / 117
90.0%
Facility 90.0%
SD AVG 82.2
Rank #12 / 34
+9%
3.53
Facility 3.53
SD AVG 4.34
Rank #41 / 65
+53%-19%
$153.6k
Facility $153.6k
SD AVG $38.5k
Rank #63 / 67
75
Facility 75
SD AVG 14.8
Rank #64 / 65
4.2
Facility 4.2
SD AVG 3.3
Rank #47 / 65
1899-
61
Facility 61
SD AVG 39
Rank #36 / 158
Jeremy Klinkhammer
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
SD AVG $6.7M
Rank #9 / 63
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
SD AVG $2.6M
Rank #9 / 63
42.4%Fiscal year ending 12/2023
Facility 42.4%Fiscal year ending 12/2023
SD AVG 40.8%
Rank #37 / 63
435039
Good Samaritan Society Sioux Falls Village
NH
AL
IL
MC
Sioux Falls
177
Facility 177
SD AVG 69
Rank #3 / 117
90.7%
Facility 90.7%
SD AVG 82.2
Rank #10 / 34
+10%
4.02
Facility 4.02
SD AVG 4.34
Rank #23 / 65
+5%-7%
$72.8k
Facility $72.8k
SD AVG $38.5k
Rank #56 / 67
43
Facility 43
SD AVG 14.8
Rank #63 / 65
6.1
Facility 6.1
SD AVG 3.3
Rank #62 / 65
5161-
2
Facility 2
SD AVG 39
Rank #147 / 158
Dana Bachmeier
$19.5MFiscal year ending 09/2023
Facility $19.5MFiscal year ending 09/2023
SD AVG $6.7M
Rank #1 / 63
$10.5MFiscal year ending 09/2023
Facility $10.5MFiscal year ending 09/2023
SD AVG $2.6M
Rank #4 / 63
54.1%Fiscal year ending 09/2023
Facility 54.1%Fiscal year ending 09/2023
SD AVG 40.8%
Rank #29 / 63
435045
Overview of Bethany Home Sioux Falls/bethany Home-Brandon

Bethany Home Sioux Falls / Bethany Home-Brandon is a faith-based nursing home in Sioux Falls, South Dakota, offering a continuum of care that includes independent living, assisted living, skilled nursing services, and rehabilitation. The 112-bed community is administered by Amanda Peterson in Minnehaha County, guided by a Christian mission. It also emphasizes support for residents’ physical, emotional, social, and spiritual well-being while also offering independent homes and apartment living as part of its larger campus environment.

The community is currently operating at 78.5%, which is slightly lower than the state average of 79.9%, and suggests availability. Additionally, Medicare accounts for 89% of new residents, with an average stay of 25 days, reflecting a focus on short-term rehabilitation. Meanwhile, private pay new residents are approximately 10%, with an average stay of 7 to 8 months, and 2% of new residents are Medicaid-eligible, with a typical stay of 6 years.

Since 2022, the community has undergone four total health inspections, with the latest conducted in October 2025, which is notably lower than the state average. A total of 13 health citations have been recorded throughout its operational history, which is also lower than the state average, and have been corrected. No penalties have been issued in the past three years.

Confirmed services include skilled nursing care and rehabilitation therapy, along with independent living options designed for older adults who remain largely self-sufficient but prefer a supportive community setting. Its faith-centered approach is a defining aspect of the community’s culture and may be particularly meaningful for individuals and families seeking care rooted in Christian values and holistic support.

Located on the south side of Sioux Falls, the community sits in a moderately walkable area with a Walk Score of 65, allowing access to some nearby services and amenities on foot. Service to the Brandon area also provides additional convenience for families throughout eastern Minnehaha County.

Bethany Home Sioux Falls / Bethany Home-Brandon is an ideal option for families seeking values-based care within a setting that supports aging across different levels of assistance and medical support. The ability to transition from independent living to higher levels of care within the same community can help reduce disruption and provide continuity for older adults as healthcare needs progress.

Contact Bethany Home Sioux Falls/Bethany Home-Brandon

Overview of Tuff Memorial Home

Tuff Memorial Home is a 48-bed nursing home in Hills, Minnesota, a small rural town near the South Dakota state line. The surrounding area is car-dependent, with a Walk Score of 8, which is standard for a community this rural and this size. Rehabilitation services, respite care, and 24-hour staffing are on-site. Medicare, Medicaid, and private pay are all accepted, while the minimum admission age is 50.

At 78% occupancy and an average length of stay of 285 days, the resident population here leans longer-term. The facility handles both extended care and rehabilitation admissions, though the stay-length average suggests the majority of residents are not short-term rehab cases. Total nursing hours are 4 hours and 47 minutes per resident per day; registered nurses account for 43 of those minutes.

Meals are adapted to individual needs, with regular, liberalized, and modified diet options available. Housekeeping and utilities are included, and the facility has a chapel with Sunday morning services.

Two structural details stand out: first, the facility maintains both an Active Resident Council and an Active Family Council, which means there are organized, ongoing forums for raising concerns about care, policies, and daily life. Those aren’t universal in small rural nursing homes. Second, the dietary program specifically accommodates modified diets, which matters for residents with swallowing difficulties or other clinical dietary needs.

At 48 beds in a rural Minnesota town with Medicare, Medicaid, and private pay accepted, Tuff Memorial Home is a small, community-based nursing home that covers the essentials of long-term and rehabilitative care for the region it serves.

Contact Tuff Memorial Home

Overview of Good Samaritan Society Sioux Falls Center

Good Samaritan Society Sioux Falls Center is a nonprofit nursing home in Sioux Falls, South Dakota, that offers long-term care, short-term rehabilitation, occupational therapy, and speech and language therapy. The 98-bed community operates under the Good Samaritan Society’s faith-based nonprofit mission and has received the AHCA Bronze National Quality Award in 2025 in recognition of its commitment to quality improvement and resident care. Medicare, Medicaid, and private-pay residents are all welcome.

The community’s current occupancy rate of 73.2% falls below the state average, which suggests availability for immediate placements. Additionally, the average stay is approximately 68 days, which reflects a balanced mix of post-acute rehabilitation and longer-term skilled nursing support.

Holding a 4-star overall CMS rating, the community performs significantly above South Dakota averages in several major categories. Health inspection scores rank notably higher than statewide benchmarks, while staffing and quality measures also exceed average performance levels. The community also recorded nearly four hours of nursing care per day on average, slightly above the state standard, with consistent weekend nursing coverage helping support continuity of care throughout the week.

The community has recorded a total of 14 health citations throughout its inspection cycle, with the most recent health inspection conducted in September 2025. Notably, all health citations were corrected. 24-hour admissions are also available, which is an important feature for individuals transitioning directly from hospitals or other acute care settings.

Amenities and support services include a dining room, salon, chapel, activity spaces, courtyard areas, housekeeping, maintenance support, and religious and volunteer programs consistent with the organization’s mission-driven philosophy. Therapy services are also provided, including occupational therapy, speech and language therapy, rehabilitation programming, and short-term rehab services. Home-based services and caregiver support resources are also available through broader Good Samaritan Society programs.

Offering skilled nursing care, rehabilitation therapies, or long-term residential support, Good Samaritan Society Sioux Falls Center is a good option for older adults in Sioux Falls who prefer a nonprofit, mission-oriented community that demonstrates above-average performance in health inspections and staffing measures.

Contact Good Samaritan Society Sioux Falls Center

Avantara Norton

3600 South Norton Ave, Sioux Falls, SD 57105
Overview of Avantara Norton

At 92% occupancy less than a year after opening, Avantara Norton has moved quickly from new construction to near-full capacity. The 110-bed nursing home at 3600 South Norton Ave in Sioux Falls, South Dakota, is administered by Ashley Nickel and sits in a moderately walkable part of the city (Walk Score 61), where the nearest hospital is just over a mile away.

The average resident stay of 97 days tells you something useful about how this place functions. This is not a long-term residency setting for most people who come through. It is a structured recovery environment, built around a specific clinical menu: post-surgical care, orthopedic rehabilitation, cardiac care, pulmonary care, oncology recovery, and stroke and other neurological conditions. Respite care is also available for families who need a temporary placement.

Staffing data reported to CMS shows total nursing time at 3 hours and 32 minutes per resident per day. Registered nurses account for 39 minutes of that figure; nurse aides account for 2 hours and 21 minutes. Avantara Norton accepts Medicare, Medicaid, and private pay, which means residents arriving on Medicare for short-term rehab and those transitioning to Medicaid for longer stays both have a coverage path here.

The facility opened recently, and we see a nursing home that filled fast and built its programming around complex post-acute cases rather than general long-term care. Avantara Norton is a reasonable fit for adults who need a defined, clinically supervised recovery period after a major medical event and plan to return home when that period ends.

Contact Avantara Norton

Overview of Good Samaritan Society Sioux Falls Village

Good Samaritan Society Sioux Falls Village is a nonprofit nursing home in Sioux Falls, South Dakota, offering assisted living, independent living, memory care, rehabilitation therapy, and long-term nursing support. With 177 licensed beds, this church-operated community is one of the largest senior care campuses in South Dakota and operates under the Good Samaritan Society’s faith-based nonprofit mission. Medicare, Medicaid, and private-pay are also accepted.

The community currently holds a 1-star overall CMS rating, with health inspection and quality measure scores falling below South Dakota averages. On the other hand, staffing levels compare more favorably and are among the community’s stronger operational areas. Nursing care per day is recorded at over four hours on average, placing the community above statewide benchmarks. Licensed practical nurse coverage and weekend nursing hours also exceed state averages, while registered nurse and nurse aide staffing remain modestly below benchmark levels.

Occupancy remains high at nearly 90%, reflecting stable demand and an established reputation within the region. Additionally, the resident population includes a mix of short-term rehabilitation patients, private-pay residents, and Medicaid-supported long-term care residents. Medicare residents typically stay for shorter rehabilitation-focused periods, while private-pay and Medicaid residents often remain for several months. The broad continuum of care available, ranging from independent living to memory care, allows residents to transition between care levels as needs evolve.

Good Samaritan Society Sioux Falls Village is ideal for older adults and families seeking a large nonprofit community with multiple living and care options, strong overall staffing investment, and the ability to support both short-term rehabilitation and long-term residential care under one roof.

Contact Good Samaritan Society Sioux Falls Village

Dow Rummel Village

1321 W Dow Rummel St, Sioux Falls, SD 57104
Overview of Dow Rummel Village

Dow Rummel Village is an extraordinary nonprofit organization in Sioux Falls, South Dakota, dedicated to providing a premier life plan retirement community that encompasses assisted living levels of care. With a remarkable 60-year history of service, they offer a comprehensive range of services under one roof, including independent living, memory care, assisted living, skilled nursing, respite care, and more.
Residents in this assisted living home have the opportunity to choose different levels of care that best suit their needs. Whether they opt for independent living, where they can enjoy the freedom and autonomy of a vibrant community, or require the specialized support and assistance provided in memory care or assisted living, every aspect is thoughtfully tailored to enhance their well-being. Discover a variety of floor plans, including spacious studios, comfortable one-bedroom suites, and inviting two-bedroom options. From personal assistance with daily living to weekly housekeeping and convenient transportation services, residents can truly embrace a worry-free lifestyle.

Contact Dow Rummel Village

Overview of Bethany Home Sioux Falls

Bethany Home Sioux Falls stands out as a beacon of exceptional care, firmly rooted in Christian values and boundless love. With a rich heritage of providing outstanding services, this home offers an array of amenities that elevate the senior living experience. Here, residents savor the delights of chef-prepared meals, tantalizing their taste buds and nourishing their bodies. The carefully curated social and recreational programs provide ample opportunities for residents to engage in meaningful interactions, fostering a vibrant community spirit. Safety is paramount, as evidenced by the round-the-clock emergency response system and meticulous medication administration, giving residents and their families peace of mind.

The home proudly extends its heartfelt commitment to serving seniors through their exceptional assisted living services. They diligently uphold all nursing home rules and regulations. They adhere to the highest standards of care and operate with strict compliance to ensure the safety, well-being, and comfort of every resident. By following these comprehensive guidelines, they create an environment where residents can thrive, families can trust, and quality of care remains paramount. Bethany Home Sioux Falls stands as a shining example of a compassionate and well-regulated senior living community. With also a focus on assisted living for veterans and an unwavering commitment to upholding nursing home standards, they ensure that residents receive the utmost care and support they deserve.

Contact Bethany Home Sioux Falls

Dow Rummel Village

1321 W Dow Rummel Street, Sioux Falls, SD 57104
Overview of Dow Rummel Village

Dow Rummel Village is a nonprofit life plan retirement community in Sioux Falls, South Dakota, providing a full continuum of care that includes independent living, assisted living, memory care, skilled nursing, rehabilitation, and respite care services. Serving the region since 1958, the community is recognized as one of the more established senior living providers in South Dakota. Medicare, Medicaid, and private-pay are also accepted, offering flexibility for families with varying financial and healthcare needs.

With a 79-bed capacity, the community is currently operating at a 94% occupancy rate, which is higher than the state average. Additionally, most of the community’s admissions are Medicare-funded rehabilitation stays focused on recovery and therapy services, while longer-term residents remain for multiple years through different stages of care. Rehabilitation, memory care, and skilled nursing services are also provided, allowing residents to access additional support without relocating.

The community maintains strong performance metrics compared to statewide averages, with a 4-star overall rating from the Centers for Medicare & Medicaid Services (CMS). This reflects above-average scores in health inspections, staffing, and quality measures. Staffing levels are also a particular differentiator, with nursing care hours significantly exceeding South Dakota averages. Physical therapy staffing also exceeds state benchmarks, an important consideration for residents recovering from surgery, illness, or hospitalization.

The community also offers studio, one-bedroom, and two-bedroom floor plans. Services also include housekeeping, transportation, dining, wellness programming, and assistance with activities of daily living.

With a combination of rehabilitation resources, memory care services, skilled nursing support, and independent living options, Dow Rummel Village is well-suited for older adults and families seeking a financially stable nonprofit community with strong staffing levels, established clinical infrastructure, and the flexibility of multiple care levels within one campus.

Contact Dow Rummel Village

Overview of Good Samaritan Society Sioux Falls Center

The mean residency duration at Good Samaritan Society Sioux Falls Center is 68 days, indicating a high throughput rate. This metric, when correlated with the availability of on-site rehabilitation, occupational, and speech-language therapies, suggests an operational focus on post-acute recovery. While the care model supports long-term residents, the functional emphasis remains on short-term clinical intervention.

Located in Sioux Falls, South Dakota, the facility occupies a site with a Walk Score of 73. Although walkability is a secondary concern for non-ambulatory residents, it provides significant logistical benefits for staff and visiting families. The score confirms the facility’s integration into a developed urban framework as opposed to an isolated peripheral location.

Nursing resources are allocated at a rate of approximately four hours per resident per day, with registered nurse coverage accounting for 49 minutes of that total. Operations are sustained by a 24-hour staffing cycle, and the current occupancy rate is 73.2 percent. Physical infrastructure includes a salon, chapel, activity room, and courtyard, while social operations are centralized in a communal dining space. Specialized protocols exist for caregiver support and transitions to home-based care.

The financial model incorporates Medicare, Medicaid, and private pay. The convergence of a brief average stay, comprehensive rehabilitative services, and caregiver support infrastructure defines a system optimized for transitional care. The facility is strategically organized to facilitate rapid patient stabilization and discharge, while maintaining essential services for the permanent resident population.

Contact Good Samaritan Society Sioux Falls Center

Overview of Sunset Manor Avera

Sunset Manor Avera operates a skilled nursing and physical rehabilitation community on East Clay Street in Irene, South Dakota. The property manages the Sunrise Villa Rehabilitative Program, providing medical recovery care for seniors transitioning out of hospital stays after severe strokes, major surgeries, or acute illnesses. Carrying a neighborhood walk score of 11, the rural facility grounds are entirely car-dependent, meaning local relatives and out-of-town visitors will need a vehicle to travel to the campus or handle retail errands.

The therapy department organizes care targets based on individual recovery trajectories and long-term medical needs. The clinical floor provides combined daily support averaging 35 minutes of direct attention from registered nurses, 52 minutes from licensed practical nurses, and three hours and 30 minutes from certified nurse aides per resident. This continuous staffing mix forms the baseline for the facility’s daily medication administration, wound care, and personal hygiene assistance.

Prospective families can call the administrative office to verify open bed numbers or to discuss the clinical admission criteria. The front desk team can explain how their billing system integrates different public or private payment pathways and help you set up an appointment to see the rehabilitation gym and resident spaces.

Contact Sunset Manor Avera

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
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 Sioux Falls, 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 15 nursing homes in Sioux Falls, SD. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Sioux Falls, 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 Sioux Falls, 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 Sioux Falls, 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.