Page 2 of 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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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 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 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 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

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

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.