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Best Nursing Homes in Sioux Falls, SD

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 16 homes in Sioux Falls, SD

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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Video Tour: Top-rated Nursing Homes facilities in Sioux Falls, South Dakota.

Watch this Video to see Sioux Falls's Top-rated Senior Communities

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.

6 facilities compared · CMS & SD Dept. of Health data

Click column headers to sort
Avantara Norton
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
110
Facility 110
SD AVG 61
Rank #3 / 60
91.5%
Facility 91.5%
SD AVG 79.9%
Rank #13 / 55
+14%
3.53
Facility 3.53
SD AVG 4.34
Rank #34 / 58
+34%-19%
$225.2k
Facility $225.2k
SD AVG $38.5k
Rank #59 / 60
75
Facility 75
SD AVG 14.8
Rank #59 / 60
4.2
Facility 4.2
SD AVG 3.3
Rank #42 / 60
18
Facility 18
SD AVG 2.1
95
61
Facility 61
SD AVG 37
Rank #12 / 58
Jeremy Klinkhammer
$16.6M
Facility $16.6M
SD AVG $6.7M
Rank #7 / 55
$7.4M
Facility $7.4M
SD AVG $2.6M
Rank #8 / 55
44.4%
Facility 44.4%
SD AVG 40.8%
Rank #31 / 55
435039
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
48 78.0% -2%4.78 -22%0%$44.4k133.3-37 8 Alex Dysthe$4.3M$2.9M67%245548
Dow Rummel 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
79
Facility 79
SD AVG 61
Rank #18 / 60
93.7%
Facility 93.7%
SD AVG 79.9%
Rank #5 / 55
+17%
5.20
Facility 5.20
SD AVG 4.34
Rank #5 / 58
+2%+20%
$8.0k
Facility $8.0k
SD AVG $38.5k
Rank #10 / 60
7
Facility 7
SD AVG 14.8
Rank #8 / 60
1.2
Facility 1.2
SD AVG 3.3
Rank #2 / 60
3
Facility 3
SD AVG 2.1
47
19
Facility 19
SD AVG 37
Rank #45 / 58
Christopher Hahn
$28.4M
Facility $28.4M
SD AVG $6.7M
Rank #3 / 55
$14.6M
Facility $14.6M
SD AVG $2.6M
Rank #1 / 55
51.4%
Facility 51.4%
SD AVG 40.8%
Rank #19 / 55
435127
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
98
Facility 98
SD AVG 61
Rank #8 / 60
73.2%
Facility 73.2%
SD AVG 79.9%
Rank #39 / 55
-8%
3.93
Facility 3.93
SD AVG 4.34
Rank #23 / 58
-9%-9%
$11.3k
Facility $11.3k
SD AVG $38.5k
Rank #17 / 60
14
Facility 14
SD AVG 14.8
Rank #26 / 60
4.7
Facility 4.7
SD AVG 3.3
Rank #47 / 60
1
Facility 1
SD AVG 2.1
80
19
Facility 19
SD AVG 37
Rank #45 / 58
Luke Wanous
$12.3M
Facility $12.3M
SD AVG $6.7M
Rank #14 / 55
$6.7M
Facility $6.7M
SD AVG $2.6M
Rank #10 / 55
53.9%
Facility 53.9%
SD AVG 40.8%
Rank #15 / 55
435046
Bethany Home Sioux Falls/Bethany Home-Brandon
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
112
Facility 112
SD AVG 61
78.5%
Facility 78.5%
SD AVG 79.9%
-2%
5.47
Facility 5.47
SD AVG 4.34
-17%+26%
$0
Facility $0
SD AVG $38.5k
13
Facility 13
SD AVG 14.8
3.3
Facility 3.3
SD AVG 3.3
1
Facility 1
SD AVG 2.1
42
65
Facility 65
SD AVG 37
Augustana Lutheran Church
$7.1M
Facility $7.1M
SD AVG $6.7M
$4.9M
Facility $4.9M
SD AVG $2.6M
69.2%
Facility 69.2%
SD AVG 40.8%
435096
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
177
Facility 177
SD AVG 61
89.8%
Facility 89.8%
SD AVG 79.9%
+12%
4.02
Facility 4.02
SD AVG 4.34
+29%-7%
$93.1k
Facility $93.1k
SD AVG $38.5k
43
Facility 43
SD AVG 14.8
6.1
Facility 6.1
SD AVG 3.3
5
Facility 5
SD AVG 2.1
160
2
Facility 2
SD AVG 37
Dana Bachmeier
$29.0M
Facility $29.0M
SD AVG $6.7M
$14.5M
Facility $14.5M
SD AVG $2.6M
49.8%
Facility 49.8%
SD AVG 40.8%
435045
Overview of Sunset Manor Avera

Sunset Manor Avera, located in the peaceful town of Irene, South Dakota, is dedicated to providing exceptional care and support. As a reputable skilled nursing facility, they offer a range of services designed to meet the unique needs of each resident. From rehabilitation to assisted living, Sunset Manor Avera ensures that seniors receive the appropriate levels of care in a warm and inviting environment.
Their assisted living homes are thoughtfully designed to create a comfortable and nurturing atmosphere for residents. With a focus on independence and well-being, these homes offer a range of amenities and personalized services to promote a fulfilling lifestyle. From assistance with daily activities to engaging social programs, Sunset Manor Avera strives to enhance the quality of life for every individual under their care.

Contact Sunset Manor Avera

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

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

Overview of Good Samaritan Society Sioux Falls Center

At the Good Samaritan Society Sioux Falls Center, they understand the importance of providing comprehensive care options that meet the diverse needs of seniors. From rehabilitation therapy to long-term care, they are dedicated to ensuring that residents receive the highest quality of support.

 
They gladly accept nursing home insurance, allowing individuals to access the services they need without undue financial burden. Moreover, the Good Samaritan Society Sioux Falls Center is committed to transparency when it comes to nursing home prices. They believe that everyone deserves access to exceptional care, regardless of their financial circumstances. As such, they offer competitive pricing options and work closely with individuals and their families to find a solution that fits their budget.

Contact Good Samaritan Society Sioux Falls Center

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

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

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in 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 16 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.