Other senior care options in Sioux Falls:

Page 2 of 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 Good Samaritan Society – Sioux Falls Village

Good Samaritan Society in Sioux Falls Village is an incredible senior living community that offers a comprehensive range of care services, including assisted living places and various assisted living levels of care. From affordable housing and independent living to rehabilitation and memory care, they cater to the diverse needs of seniors at every stage of life.
This exceptional home ensures that residents have access to the support they require, whether it’s in the form of personalized assistance with daily activities or specialized memory care for those facing cognitive challenges. Residents can enjoy the freedom and flexibility to personalize their living spaces within the assisted living places, adding their own cherished furnishings and personal touches. In addition to the comfortable and inviting accommodations, the community offers a wealth of amenities, including a well-stocked library, a serene chapel, and a refreshing indoor pool. For those seeking to prioritize their well-being, a state-of-the-art wellness center provides opportunities for fitness and personal growth.

Contact Good Samaritan Society – Sioux Falls Village

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

Overview of Avantara Norton

Avantara Norton is a nursing home in Sioux Falls, South Dakota, offering skilled nursing and post-acute rehabilitation. As one of the larger options in the Sioux Falls market, this 110-bed community is one of the larger senior providers in the state. The community also accepts Medicare, Medicaid, and private pay, providing access to families from a wide range of financial backgrounds.

The community features a distinct balance of nursing resources and clinical oversight, with 3 hours and 32 minutes of total nursing care per resident per day, which sits 6% below the state average. Licensed Practical Nurse (LPN) coverage is a notable operational strength, averaging 44 minutes per day, which is 52% above the state average, indicating solid, hands-on daily bedside support. Conversely, daily RN hours average 35 minutes, and weekend RN coverage stands at 22 minutes per day, both falling below the state average. Additionally, both physical therapist hours and general weekend staffing closely track South Dakota state averages.

Notably, the community currently holds a 1-star overall CMS rating, placing it below state averages for health inspections and quality measures, while its staffing metrics sit approximately 30% below average.

A wide range of specialized nursing capabilities and post-surgical recovery resources is provided, including on-site infrastructure such as dedicated physical therapy equipment, full-time therapists, and standardized home assessments. The care team delivers tailored treatments across multiple fields, including cardiac care, stroke recovery, memory care, orthopedic care, oncology care, wound care, IV therapy, G-tube management, and bariatric care. This extensive clinical reach primarily serves a short-stay population, with Medicare admissions making up roughly 47% of incoming residents and averaging a short-term stay of 27 days.

The community primarily serves short-stay individuals, with an overall average length of stay of 97 days. Located in a moderately walkable Sioux Falls neighborhood, it features a Walk Score of 61. It remains a strong option for local families looking for extensive post-acute rehab and diverse, specialized clinical capabilities in a modern setting.

Providing a wide range of clinical specialties, Avantara Norton is ideal for families in Sioux Falls requiring complex medical nursing care, post-surgical recovery, or specialized rehabilitation. However, families are advised to take into consideration its newer status and CMS rating.

Contact Avantara Norton

Overview of Palisade Healthcare Center

Tucked in the charming town of Garretson, South Dakota, Palisade Healthcare Center is a haven dedicated to providing exceptional care that combines the best aspects of hospital care and the comfort of home. With a team of highly skilled professionals, they cater to the needs of individuals seeking short-term rehabilitation or long-term care, ensuring a comprehensive approach to healthcare. Setting themselves apart, they proudly offer on-site dialysis services, a rarity in the area, further enhancing their commitment to meeting diverse healthcare needs.

 
Palisade Healthcare Center boasts a vibrant recreation department that organizes a wide array of engaging activities and exciting outings. These opportunities are designed to promote a healthier mind, body, and spirit, fostering a sense of fulfillment and joy among residents. Additionally, they understand the unique needs of individuals with memory impairments and provide specialized memory care services, offering a safe and supportive environment for those living with conditions such as dementia or Alzheimer’s. The home also recognizes that choosing the right nursing home is an important decision, and they are dedicated to addressing any concerns or questions you may have. Their knowledgeable staff is available to provide information and guidance, ensuring that you have a clear understanding of their services and the exceptional care they provide.

Contact Palisade Healthcare Center

LifeScape

2501 W 26Th St, Sioux Falls, SD 57105
Overview of LifeScape

LifeScape is an independent nonprofit organization in Sioux Falls, South Dakota, providing specialized residential, therapeutic, educational, and rehabilitation services for children and adults with intellectual and developmental disabilities, as well as those with complex medical and rehabilitation needs. Administered by Kimberly Marso, this 96-bed community is licensed by the state of South Dakota as an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID). Unlike a traditional assisted living or nursing home setting, the community operates as a mission-focused disability services provider with an extensive continuum of clinical, educational, and residential support programs.

Since the community operates under ICF/IID licensure and federal Medicaid certification standards, it is regulated differently from conventional nursing homes and is not evaluated through the CMS Nursing Home Five-Star Rating System. Oversight instead follows state and federal standards specific to developmental disability care and rehabilitation services.

The scope of services available is notably broad and reflects decades of nonprofit investment in specialized disability support throughout South Dakota. Confirmed programs include a Children’s Specialty Hospital, Medically Complex Program, inpatient rehabilitation services, LifeScape Schools and Specialty School, children’s and adult residential services, Community Life and Day Services, Supported Employment, and Conflict-Free Case Management. Outpatient therapy services, autism support programs, clinical psychology, physician services, speech-language pathology, feeding and swallowing therapy, orthotics and prosthetics, wheelchair and mobility solutions, assistive technology, and a Center for the Arts are also offered. This level of integrated programming is uncommon and positions the community as one of the most comprehensive disability care providers in the region.

LifeScape’s residential and therapeutic environment is best suited for children and adults who require ongoing developmental disability support, structured residential care, rehabilitation therapies, or medically specialized services. It is also one of the most comprehensive disability care organizations in South Dakota for families, caregivers, and advocates supporting individuals with intellectual, developmental, or medically complex disabilities in the Sioux Falls area.

Contact LifeScape

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.