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Best Nursing Homes in Sioux Falls, SD

Reviewed by Dr. Jordan Weiss
Updated Mar 2026
12 homes analyzed

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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Sioux Falls is a city in South Dakota that is home to “The Falls” of the Big Sioux River, a waterway system that has been flowing in its present course for thousands of years. The city strikes the ideal balance between a small-town feel and urban amenities, making it an appealing retirement destination. With a low cost of living and beautiful natural sceneries that allow for plenty of recreational opportunities, seniors can comfortably enjoy their golden years. Several nursing homes are also scattered throughout the city to ensure senior residents are provided with all that they need to enjoy their later years.

Compare Nursing Homes around Sioux Falls

7 facilities compared · CMS & SD Dept. of Health data · Updated Mar 2026

Click column headers to sort
Bethesda of Beresford
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.

Sioux Falls
85.1%
3.67
1
0
0
34
39
Bethesda Of Beresford
$3,4M
$1,3M
38.7%
435080
Tuff Memorial Home
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.

Sioux Falls
78.0%
4.78
12
0
0
37
8
Dysthe, Alex
$4,0M
$2,1M
53%
245548
Palisade 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.

Sioux Falls
83.5%
4.03
1
0
0
49
31
-
$2,3M
$0,8M
33%
435115
Bethany Home Sioux Falls
-
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.

Sioux Falls
-
-
-
-
-
0
0
0
-
41
-
-
-
-
-
Sunset Manor Avera
-
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.

Sioux Falls
-
-
-
-
-
0
0
0
-
11
-
-
-
-
-
Good Samaritan Society Sioux Falls 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.

Sioux Falls
-
-
-
-
-
0
0
0
-
73
-
-
-
-
-
Good Samaritan Society Sioux Falls 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.

Sioux Falls
89.8%
4.02
5
43
5
160
-
Bachmeier, Dana
$27,2M
$8,9M
32.6%
435045
Compare Communities
No communities selected

Beds shows the number of beds currently filled in each community agianst the total number of beds. Higher occupied beds usually indicates strong demand and reputation, while lower occupancy may suggest more availability for new residents.

No data selected

Bethesda of Beresford has earned a sterling reputation in nursing home care, consistently receiving glowing reviews from residents and their families. Since 1914, this esteemed facility has been a beacon of excellence in South Dakota, known for its commitment to providing top-quality care in a compassionate and nurturing environment. Residents and their loved ones praise the unwavering dedication of the staff, which includes highly skilled Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and nursing assistants.
With a team of experienced physical, occupational, and speech therapists, residents receive tailored rehabilitation programs that promote healing, recovery, and improved independence. The positive impact of these therapies is reflected in the testimonials of residents who have experienced remarkable progress during their stay. In addition to the superb medical and therapeutic care, Bethesda of Beresford excels in creating a warm and inviting atmosphere. The reviews frequently highlight the cleanliness and comfort of the facility, thanks to the meticulous housekeeping and laundry services. Residents also appreciate the in-house beauty shop, which adds a touch of pampering and enhances their overall well-being.

Overview of Bethesda of Beresford

Bethesda of Beresford has earned a sterling reputation in nursing home care, consistently receiving glowing reviews from residents and their families. Since 1914, this esteemed facility has been a beacon of excellence in South Dakota, known for its commitment to providing top-quality care in a compassionate and nurturing environment. Residents and their loved ones praise the unwavering dedication of the staff, which includes highly skilled Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and nursing assistants.
With a team of experienced physical, occupational, and speech therapists, residents receive tailored rehabilitation programs that promote healing, recovery, and improved independence. The positive impact of these therapies is reflected in the testimonials of residents who have experienced remarkable progress during their stay. In addition to the superb medical and therapeutic care, Bethesda of Beresford excels in creating a warm and inviting atmosphere. The reviews frequently highlight the cleanliness and comfort of the facility, thanks to the meticulous housekeeping and laundry services. Residents also appreciate the in-house beauty shop, which adds a touch of pampering and enhances their overall well-being.

Contact Bethesda of Beresford

Tuff Memorial Home, located in Hills, Minnesota, just outside of Sioux Falls, is an exceptional senior living community that goes above and beyond to provide unparalleled care to its residents. This haven of support and compassion not only offers comprehensive senior living services but also stands as a memory care center. Their specialized care is designed to cater to the specific needs of residents dealing with memory loss, providing them with a safe and nurturing environment where they can thrive.
With a focus on creating a familiar and comforting atmosphere, Tuff Memorial Home is thoughtfully designed to support residents’ cognitive functioning. Every aspect, from the layout of the center to the engaging activities offered, is carefully curated to stimulate memory, foster meaningful connections, and preserve a sense of identity and purpose. By incorporating tailored therapies, engaging social interactions, and memory-enhancing programs, Tuff Memorial Home ensures that residents receive the highest quality of care. Families can find peace of mind knowing that their loved ones are in a secure and nurturing environment where their memory care needs are met with compassion and expertise.

Overview of Tuff Memorial Home

Tuff Memorial Home, located in Hills, Minnesota, just outside of Sioux Falls, is an exceptional senior living community that goes above and beyond to provide unparalleled care to its residents. This haven of support and compassion not only offers comprehensive senior living services but also stands as a memory care center. Their specialized care is designed to cater to the specific needs of residents dealing with memory loss, providing them with a safe and nurturing environment where they can thrive.
With a focus on creating a familiar and comforting atmosphere, Tuff Memorial Home is thoughtfully designed to support residents’ cognitive functioning. Every aspect, from the layout of the center to the engaging activities offered, is carefully curated to stimulate memory, foster meaningful connections, and preserve a sense of identity and purpose. By incorporating tailored therapies, engaging social interactions, and memory-enhancing programs, Tuff Memorial Home ensures that residents receive the highest quality of care. Families can find peace of mind knowing that their loved ones are in a secure and nurturing environment where their memory care needs are met with compassion and expertise.

Contact Tuff Memorial Home

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How Assisted Living Magazine Evaluates & Scores Nursing Homes

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence.
Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest share of every nursing home’s score — 45% of the total weighting — comes from clinical and regulatory indicators, including:

  • Overall, staffing, and inspection ratings
  • Long-stay and short-stay quality measures
  • Nurse-to-resident and staff-to-resident ratios
  • Health deficiencies and regulatory history
  • Accreditations and positive local news reporting

These factors directly reflect resident safety, care quality, and compliance.

Operational Stability & Resident Support

Another 35% of the score comes from operational and stability signals, such as:

  • Nurse hours per patient per day
  • Occupancy levels and cleanliness citations
  • Administrative stability and ownership quality
  • Readmission rates and registered-nurse turnover
Balancing Additional Factors

The remaining 20% of the score includes contextual elements such as:

  • Year built or renovated
  • Penalties, fines, and preventable readmissions
  • Revenue per bed
  • Administrator tenure

These factors help round out the overall picture but carry less weight because our methodology prioritizes clinical outcomes and regulatory consistency above all else.
The result is a clear, data-driven ranking system that elevates nursing homes delivering exceptional care and long-term resident safety.

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
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