Best Nursing Homes in South Dakota

Known for its iconic Mount Rushmore, South Dakota features an ideal blend of natural beauty and rich cultural history. The state offers an adventurous lifestyle with its beautiful natural landscapes that offers an ideal setting for various outdoor activities. Known for its warm hospitality, tranquil setting, and affordable cost of living, South Dakota makes a comfortable and ideal environment for people of all ages, including seniors who are looking for a peaceful place to live in. Numerous nursing homes are scattered throughout the state to make sure seniors have access to the care and support they need to and live well.

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    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.

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    Full View
    Community
    Occupancy
    Beds
    Home Revenue
    Owner
    CCN
    ABERDEEN HEALTH & REHAB CENTER 89.0% 75 $6,753,859.00 GLASER, KRISTOPHER 435041
    ABERDEEN NURSING AND REHAB CENTER LL 57.8% 99 $13,451,786.00 435004
    ALCESTER NURSING & REHAB CENTER 88.8% 41 $3,014,300.00 STROSCHEIN PROPERTIES III LLC 435062
    AURORA BRULE NURSING HOME 99.1% 40 $3,356,269.00 AURORA-BRULE NURSING HOME 435132
    AVANTARA ARLINGTON 52 $4,391,319.00 #N/A 435050
    AVANTARA ARMOUR 45 $2,162,899.00 #N/A 435057
    AVANTARA ARROWHEAD 85.9% 74 $11,497,189.00 PRESTON, PHILIP 435051
    AVANTARA CLARK CITY 92.9% 38 $5,795,941.00 SCHLOMER, TIFFANY 435058
    AVANTARA GROTON 99.2% 49 $5,391,879.00 PETE, JOSHUA 435048
    AVANTARA HURON 58.3% 105 $12,770,546.00 SOLEM, LAURIE 435020

    Want to See More Data?

    Access the full set of official government statistics on nursing homes by using the link below.

    Rolling Hills Healthcare

    2200 13th Ave, Belle Fourche, SD 57717

    Situated in the gorgeous town of Belle Fourche, South Dakota, Rolling Hills Healthcare offers a wide range of care options for seniors, including long term & short term care and rehab therapies. Whether you need physical, occupational, or speech therapy, their dedicated team is there to help. Seniors can enjoy the peaceful surroundings and friendly atmosphere of the community, making it a great place to relax and focus on wellness.

    Rolling Hills Healthcare goes above and beyond in providing high-quality care with a personal touch. They aim to make every resident feel respected and well-cared-for by offering tailored care plans. The community features a variety of programs and amenities, including advanced therapies, pain management, dental care, dialysis, hospice services, and more. With a focus on individual wellness and rehabilitation, Rolling Hills Healthcare ensures that each resident receives the best possible care in a supportive and compassionate environment.

    Description

    Situated in the gorgeous town of Belle Fourche, South Dakota, Rolling Hills Healthcare offers a wide range of care options for seniors, including long term & short term care and rehab therapies. Whether you need physical, occupational, or speech therapy, their dedicated team is there to help. Seniors can enjoy the peaceful surroundings and friendly atmosphere of the community, making it a great place to relax and focus on wellness.

    Rolling Hills Healthcare goes above and beyond in providing high-quality care with a personal touch. They aim to make every resident feel respected and well-cared-for by offering tailored care plans. The community features a variety of programs and amenities, including advanced therapies, pain management, dental care, dialysis, hospice services, and more. With a focus on individual wellness and rehabilitation, Rolling Hills Healthcare ensures that each resident receives the best possible care in a supportive and compassionate environment.

    What does this home offer?

    Building Type: Single-story

    Fitness and Recreation

    Type of Care Avalable

    Skilled Nursing

    Avantara Huron is one of the premier communities with  care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. Proudly being a community that provides an unparalleled level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Huron has the privilege of maximizing advanced medical services paired with essential amenities that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care.

    Description

    Avantara Huron is one of the premier communities with  care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. Proudly being a community that provides an unparalleled level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Huron has the privilege of maximizing advanced medical services paired with essential amenities that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care.

    Phone: =+1 605-224-8628
    Contact Avantara Pierre

    Avantara Mountainview boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. One of the most trusted nursing homes in South Dakota, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Mountainview has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. 

    Description

    Avantara Mountainview boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. One of the most trusted nursing homes in South Dakota, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Mountainview has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. 

    Phone: =+1 605-343-8577
    Contact Avantara Mountainview

    Avantara Lake Norden boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. There is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Lake Norden has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as; cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. The list of accommodations extends to the comprehensive care plan physical therapy equipment, a team of full-time therapists on-site, and a home assessment completed.

    Description

    Avantara Lake Norden boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. There is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Lake Norden has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as; cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. The list of accommodations extends to the comprehensive care plan physical therapy equipment, a team of full-time therapists on-site, and a home assessment completed.

    Phone: =+1 605-785-3654
    Contact Avantara Lake Norden

    Avantara Watertown is one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. As one of South Dakota’s most trusted rehabilitative homes, there is a merit of an incomparable level of care that provoke quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual; with that merit comes a two-time recognition as the ‘Best Nursing Homes – Long-Term Care’ by the U.S. News and World Report. Avantara Watertown has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as; cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. The list of accommodations extends to the comprehensive care plan physical therapy equipment, a team of  full-time therapists on-site, and a home assessment completed. 

    Description

    Avantara Watertown is one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. As one of South Dakota’s most trusted rehabilitative homes, there is a merit of an incomparable level of care that provoke quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual; with that merit comes a two-time recognition as the ‘Best Nursing Homes – Long-Term Care’ by the U.S. News and World Report. Avantara Watertown has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as; cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. The list of accommodations extends to the comprehensive care plan physical therapy equipment, a team of  full-time therapists on-site, and a home assessment completed. 

    Phone: =+1 605-886-8431
    Contact Avantara Watertown

    Avantara Arrowhead boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. The community boasts its merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Arrowhead has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. 

    Description

    Avantara Arrowhead boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. The community boasts its merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Arrowhead has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. 

    Phone: =+1 605-348-0285
    Contact Avantara Arrowhead

    Avantara North boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. As one of South Dakota’s most trusted nursing homes, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara North has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. 

    Description

    Avantara North boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. As one of South Dakota’s most trusted nursing homes, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara North has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. 

    Phone: =+1 605-343-4958
    Contact Avantara North

    Avantara Clark is one of the only exclusive communities with top-notch care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. Considered one of the premier rehabilitation centers in the city, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Clark has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. 

    Description

    Avantara Clark is one of the only exclusive communities with top-notch care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. Considered one of the premier rehabilitation centers in the city, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Clark has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. 

    Phone: =+1 605-532-3431
    Contact Avantara Clark City

    Avantara Groton takes pride in being a community that is a serene and nurturing environment that is ideal for comfort and security for a distinct living focused on relaxation and recovery. As one of the city’s most trusted nursing homes, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Groton has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care.

    Description

    Avantara Groton takes pride in being a community that is a serene and nurturing environment that is ideal for comfort and security for a distinct living focused on relaxation and recovery. As one of the city’s most trusted nursing homes, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Groton has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care.

    Phone: =+1 605-397-2365
    Contact Avantara Groton

    Avantara Huron boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. Proudly being a community that provides an unparalleled level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Huron has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. 

    Description

    Avantara Huron boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. Proudly being a community that provides an unparalleled level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Huron has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
    The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. 

    Phone: =+1 605-352-8471
    Contact Avantara Huron

    Rank Methodology

    We score each senior living community using a weighted model that combines public review data, government inspection reports, licensing records, and other quality-of-care indicators.

    Average Customer Satisfaction — 35%

    Average ratings across major platforms (Google, Yelp, Facebook) combined with CMS (Centers for Medicare & Medicaid Services) and state-assisted living reports.

    Service Rating Score — 25%

    Ratio of high (4–5 star) to low (1–2 star) reviews across review sites and senior living–specific platforms, showing consistency of care quality.

    Complaint Percentage — 25%

    Proportion of formal complaints and deficiencies relative to total reviews and inspections. Lower complaint ratios indicate stronger compliance and resident satisfaction.

    Business Hours & Availability — 10%

    Communities with higher staff-to-resident ratios, extended service hours, and flexible visitation/care availability receive higher scores.

    License Status — 5%

    Verification that the community holds an active license with its state regulatory agency.

    Total Score = Σ(weight × normalized metric).

    Tie-breakers: Higher average satisfaction → higher service ratio → more reviews.

    Data sources: CMS government data, state/local inspection reports, verified licensing boards, and major review platforms

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

    Comparison Chart

    Compare senior living communities around the area
    Community
    Type of Care
    Location
    Bed Options
    Bed Count
    Pets Allowed
    Rolling Hills Healthcare
    N

    Nursing

    Belle Fourche
    N/A
    N/A
    No
    Avantara Pierre
    AL

    For seniors needing help with daily tasks but not full-time nursing.

    SD 57501
    N/A
    N/A
    No
    Avantara Mountainview
    AL

    For seniors needing help with daily tasks but not full-time nursing.

    SD 57702
    N/A
    N/A
    No
    Avantara Lake Norden
    AL

    For seniors needing help with daily tasks but not full-time nursing.

    SD 57248
    N/A
    N/A
    No
    Avantara Watertown
    AL

    For seniors needing help with daily tasks but not full-time nursing.

    SD 57201
    N/A
    N/A
    No
    Avantara Arrowhead
    AL

    For seniors needing help with daily tasks but not full-time nursing.

    SD 57702
    N/A
    N/A
    No
    Avantara North
    AL

    For seniors needing help with daily tasks but not full-time nursing.

    SD 57701
    N/A
    N/A
    No
    Avantara Clark City
    AL

    For seniors needing help with daily tasks but not full-time nursing.

    Clark
    N/A
    N/A
    No
    Avantara Groton
    AL

    For seniors needing help with daily tasks but not full-time nursing.

    SD 57445
    N/A
    N/A
    No
    Avantara Huron
    AL

    For seniors needing help with daily tasks but not full-time nursing.

    SD 57350
    N/A
    N/A
    No
    Avantara Milbank
    AL

    For seniors needing help with daily tasks but not full-time nursing.

    SD 57252
    N/A
    N/A
    No
    Avantara Redfield
    AL

    For seniors needing help with daily tasks but not full-time nursing.

    SD 57469
    N/A
    N/A
    No
    Who we are

    Your Senior Care Partner, Every Step of the Way

    We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

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    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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    Cost guide to senior living, assisted living, nursing homes, and more.

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