Best Nursing Homes in Sioux Falls, SD

Why trust this guide? Our editorial team analyzed 14 nursing homes in Sioux Falls, 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 Sioux Falls, SD our team has analyzed — not a count of every nursing home provider in Sioux Falls, SD.
14 homes
Other senior care options in Sioux Falls:
Avg Overall CMS Rating: 3.3/ 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: 4.5/ 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: 3.0/ 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)

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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over 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.
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.
Bethany Home Sioux Falls/Bethany Home-Brandon
NH
AL
IL
MC
SNF
Sioux Falls
112
Facility 112
SD AVG 71
Rank #5 / 70
--
5.61
Facility 5.61
SD AVG 4.34
Rank #4 / 65
-15%+29%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
12
Facility 12
SD AVG 14.8
Rank #27 / 65
3.0
Facility 3.0
SD AVG 3.3
Rank #35 / 65
-42-
65
Facility 65
SD AVG 43
Rank #14 / 73
Augustana Lutheran Church
$5.9MFiscal year ending 06/2024
Facility $5.9MFiscal year ending 06/2024
SD AVG $7.1M
Rank #30 / 58
$4.1MFiscal year ending 06/2024
Facility $4.1MFiscal year ending 06/2024
SD AVG $4.2M
Rank #21 / 58
68.6%Fiscal year ending 06/2024
Facility 68.6%Fiscal year ending 06/2024
SD AVG 58.6%
Rank #8 / 58
435096
Tuff Memorial Home
NH
SNF
Hills
48 80.4% +3%4.92 -24%+3%$44.4k62.0-39- 8 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 71
Rank #14 / 70
81.7%
Facility 81.7%
SD AVG 84%
Rank #26 / 33
-3%
4.09
Facility 4.09
SD AVG 4.34
Rank #23 / 65
+21%-6%
$11.3k
Facility $11.3k
SD AVG $38.5k
Rank #26 / 67
18
Facility 18
SD AVG 14.8
Rank #29 / 65
3.6
Facility 3.6
SD AVG 3.3
Rank #52 / 65
380-
19
Facility 19
SD AVG 43
Rank #58 / 73
Luke Wanous
$8.1MFiscal year ending 09/2023
Facility $8.1MFiscal year ending 09/2023
SD AVG $7.1M
Rank #15 / 58
$4.5MFiscal year ending 09/2023
Facility $4.5MFiscal year ending 09/2023
SD AVG $4.2M
Rank #15 / 58
56%Fiscal year ending 09/2023
Facility 56%Fiscal year ending 09/2023
SD AVG 58.6%
Rank #27 / 58
435046
Good Samaritan Society Sioux Falls Village
NH
AL
IL
MC
Sioux Falls
177
Facility 177
SD AVG 71
Rank #2 / 70
91.0%
Facility 91.0%
SD AVG 84%
Rank #14 / 33
+8%
4.26
Facility 4.26
SD AVG 4.34
Rank #17 / 65
+5%-2%
$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 43
Rank #73 / 73
Dana Bachmeier
$19.5MFiscal year ending 09/2023
Facility $19.5MFiscal year ending 09/2023
SD AVG $7.1M
Rank #4 / 58
$10.5MFiscal year ending 09/2023
Facility $10.5MFiscal year ending 09/2023
SD AVG $4.2M
Rank #4 / 58
54.1%Fiscal year ending 09/2023
Facility 54.1%Fiscal year ending 09/2023
SD AVG 58.6%
Rank #39 / 58
435045
Avantara Norton-
NH
HOS
SNF
Sioux Falls
110
Facility 110
SD AVG 71
Rank #6 / 70
88.9%
Facility 88.9%
SD AVG 84%
Rank #18 / 33
+6%
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
4.0
Facility 4.0
SD AVG 3.3
Rank #47 / 65
1998-
61
Facility 61
SD AVG 43
Rank #19 / 73
Jeremy Klinkhammer
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
SD AVG $7.1M
Rank #7 / 58
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
SD AVG $4.2M
Rank #19 / 58
42.4%Fiscal year ending 12/2023
Facility 42.4%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #57 / 58
435039

Rank badges are statewide: each nursing home is ranked against every SD nursing home we track that reports that metric, not just the 14 analyzed for Sioux Falls. See how we rank facilities

Overview of Bethany Home Sioux Falls/bethany Home-Brandon

Bethany Home Sioux Falls/bethany Home-Brandon offers nursing home and skilled nursing care, assisted living, independent living, and memory care in Sioux Falls, SD. Nursing home and skilled nursing care provide licensed nursing support around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication. Independent living provides private housing without daily care, and memory care provides a secured setting with supervision for someone at risk of wandering.

Because the community offers several care levels, it may be a good fit for a resident whose needs could grow over time and who may be able to remain in the same community as care needs change. The community has 112 beds, and total nurse staffing is 5h 36m per resident per day, representing the daily nursing time allocated to each resident. Amanda Peterson serves as the administrator.

The Independent Homes & Apartments program supports the independent living offering with housing for residents who do not need daily care. Rehabilitation services are available, giving residents access to therapy through the community. Medicare, Medicaid, and private pay are accepted as payment methods.

A Walk Score of 65 places the area in the somewhat walkable category, meaning some errands can be done on foot and a resident who no longer drives may still reach some nearby destinations independently.

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 provides nursing home and skilled nursing care in Sioux Falls, SD. Skilled nursing includes licensed nursing care on site around the clock for residents who need ongoing clinical support. The community has 98 beds, with 4 hours and 5 minutes of nurse staffing per resident each day, representing the daily hands-on nursing time allocated per resident.

Short-term rehabilitation can suit someone who needs a temporary setting for rehabilitation rather than ongoing residence. Occupational therapy, speech and language therapy, and other rehabilitation services support residents who need therapy as part of their care. Medicare covers short-term skilled care after a hospital stay, Medicaid can help when savings may not cover a long stay, and private pay means the family pays directly.

A salon provides personal grooming within the community, while the chapel and religious services offer access to worship on site. Home-based services and caregiver support address care needs beyond the daily residential setting. Luke Wanous is the administrator.

Contact Good Samaritan Society Sioux Falls Center

Overview of Good Samaritan Society Sioux Falls Village

Good Samaritan Society Sioux Falls Village offers nursing home care, assisted living, independent living, and memory care in Sioux Falls, South Dakota. Nursing home care provides ongoing nursing support for residents who need a higher level of medical care, while assisted living helps with dressing, bathing, medication, and other daily tasks without giving up an apartment. Independent living provides private living with community services and no daily care. Memory care provides supervision for residents living with dementia.

The range of care levels may suit a resident whose needs could grow over time and who may move between care settings without leaving the community. The home has 177 beds. Medicaid, Medicare, and private pay are accepted. Medicaid may help eligible residents whose savings do not cover a long stay, while Medicare applies to short term skilled care after a hospital stay rather than long term residence.

Total nurse staffing is 4 hours and 15 minutes per resident per day, representing the daily nurse staffing time allocated to each resident. Thomas Fraser serves as the administrator. One bedroom and two bedroom units are available, with a two bedroom layout able to suit a couple moving together or someone who wants a companion.

Inpatient and outpatient rehabilitation services give residents access to therapy at the community, and local transportation is available for medical appointments. A salon, wellness center, whirlpool, chapel, and religious services provide places for personal care, wellness activities, bathing or relaxation, and worship.

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

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 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

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 Center

Good Samaritan Society Sioux Falls Center is a nursing home and skilled nursing community in Sioux Falls, SD. Skilled nursing provides licensed nursing care around the clock, while respite care offers a short stay that may suit a family caregiver who needs time to travel or recover.

Medicare, Medicaid, and private pay are accepted, giving families options for covering short-term skilled care, eligible Medicaid services, or direct payment. Occupational therapy and speech and language therapy support rehabilitation needs, and caregiver support addresses the needs of family caregivers.

Residents have access to a salon, chapel, and religious services for personal grooming and worship at the community. The dining room provides a place to sit for a meal or coffee with friends, while home-based services extend beyond the facility setting.

Contact Good Samaritan Society Sioux Falls Center

Overview of Bethesda of Beresford

Bethesda of Beresford operates a compact 39-bed skilled nursing facility on West Cedar Street in Beresford, South Dakota, about thirty miles south of Sioux Falls. Established originally in 1914 as a regional care resource, the property functions under a local government facility district setup. The surrounding neighborhood carries a walk score of 39, reflecting a spread-out layout where visiting family members and local relatives will require a car to manage regular trips and errands outside the grounds.

The home runs close to its operational limit, maintaining an average occupancy rate of roughly 85 percent and hosting an average resident stay of 329 days. Floor nurses provide an average of three hours and forty minutes of daily direct care to each individual, with registered nurses contributing over an hour of that personal time.

Weekend scheduling stands out with Saturday and Sunday registered nurse coverage tracking 86 percent higher than typical state benchmarks. Clinical programs focus on post-acute physical rehabilitation and therapy services, with measured outcomes for hospital readmissions, fall prevention, and pressure ulcer care outperforming standard state averages.

Interested individuals can call to inquire about current bed vacancies or to verify clinical entry parameters. The business coordinators can outline how they handle medical invoices across Medicare, state Medicaid, and out-of-pocket private payments, and they can schedule a time for you to view the therapy spaces and resident wings.

Contact Bethesda of Beresford

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 14 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.