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Other Senior care options in South Dakota:

Best Nursing Homes in South Dakota

Reviewed by Dr. Jordan Weiss
Updated Feb 2026
We analyzed 143 homes in South Dakota

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 South Dakota.

Watch this Video to see South Dakota's Top-rated Senior Communities

Compare Nursing Homes around South Dakota

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

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

Click column headers to sort
Bethesda Home of Aberdeen
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).

Aberdeen (Melrose Addition)
86
Facility 86
SD AVG 61
Rank #11 / 60
92.8%
Facility 92.8%
SD AVG 79.9%
Rank #8 / 55
+16%
4.38
Facility 4.38
SD AVG 4.34
Rank #15 / 58
-30%+1%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 60
7
Facility 7
SD AVG 14.8
Rank #8 / 60
2.3
Facility 2.3
SD AVG 3.3
Rank #18 / 60
-
Facility -
SD AVG 2.1
83
12
Facility 12
SD AVG 37
Rank #53 / 58
Scott Eisenbeisz
$11.8M
Facility $11.8M
SD AVG $6.7M
Rank #15 / 55
$8.6M
Facility $8.6M
SD AVG $2.6M
Rank #5 / 55
72.5%
Facility 72.5%
SD AVG 40.8%
Rank #6 / 55
435073
Avera Mother Joseph Manor Retirement Community
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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Aberdeen
81
Facility 81
SD AVG 61
Rank #14 / 60
-
Facility -
SD AVG 79.9%
-
4.62
Facility 4.62
SD AVG 4.34
Rank #11 / 58
+7%+6%
$20.6k
Facility $20.6k
SD AVG $38.5k
Rank #35 / 60
12
Facility 12
SD AVG 14.8
Rank #25 / 60
1.7
Facility 1.7
SD AVG 3.3
Rank #13 / 60
3
Facility 3
SD AVG 2.1
77
31
Facility 31
SD AVG 37
Rank #34 / 58
-
-
Facility -
SD AVG $6.7M
-
Facility -
SD AVG $2.6M
-
Facility -
SD AVG 40.8%
435042
Avera Maryhouse
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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

Pierre
67
Facility 67
SD AVG 61
Rank #25 / 60
-
Facility -
SD AVG 79.9%
-
5.30
Facility 5.30
SD AVG 4.34
Rank #4 / 58
+20%+22%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 60
9
Facility 9
SD AVG 14.8
Rank #16 / 60
2.3
Facility 2.3
SD AVG 3.3
Rank #18 / 60
-
Facility -
SD AVG 2.1
58
60
Facility 60
SD AVG 37
Rank #13 / 58
-
-
Facility -
SD AVG $6.7M
-
Facility -
SD AVG $2.6M
-
Facility -
SD AVG 40.8%
435034
Aberdeen Health and Rehab
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).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Aberdeen
78
Facility 78
SD AVG 61
Rank #20 / 60
92.0%
Facility 92.0%
SD AVG 79.9%
Rank #11 / 55
+15%
4.59
Facility 4.59
SD AVG 4.34
Rank #11 / 58
-3%+6%
$59.5k
Facility $59.5k
SD AVG $38.5k
Rank #51 / 60
27
Facility 27
SD AVG 14.8
Rank #52 / 60
4.5
Facility 4.5
SD AVG 3.3
Rank #46 / 60
4
Facility 4
SD AVG 2.1
68
8
Facility 8
SD AVG 37
Rank #56 / 58
Kristopher Glaser
$7.7M
Facility $7.7M
SD AVG $6.7M
Rank #29 / 55
$5.1M
Facility $5.1M
SD AVG $2.6M
Rank #17 / 55
66.3%
Facility 66.3%
SD AVG 40.8%
Rank #11 / 55
435041
Fountain Springs 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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Rapid City
10
Facility 10
SD AVG 61
Rank #60 / 60
87.3%
Facility 87.3%
SD AVG 79.9%
Rank #21 / 55
+9%
3.82
Facility 3.82
SD AVG 4.34
Rank #26 / 58
-1%-12%
$32.3k
Facility $32.3k
SD AVG $38.5k
Rank #44 / 60
11
Facility 11
SD AVG 14.8
Rank #19 / 60
1.6
Facility 1.6
SD AVG 3.3
Rank #12 / 60
2
Facility 2
SD AVG 2.1
86
16
Facility 16
SD AVG 37
Rank #49 / 58
-
$8.8M
Facility $8.8M
SD AVG $6.7M
Rank #23 / 55
$4.4M
Facility $4.4M
SD AVG $2.6M
Rank #22 / 55
50.3%
Facility 50.3%
SD AVG 40.8%
Rank #25 / 55
435110

Prairie Heights Healthcare

400 8Th Ave Nw, Aberdeen, SD 57401
Overview of Prairie Heights Healthcare

Prairie Heights Healthcare in Aberdeen, South Dakota, offers top-notch senior living with a focus on individual wellness and recovery. Seniors can enjoy a variety of personalized care services to make their stay as comfortable as possible. Whether it’s skilled nursing, long-term care, short-term stays, or physical therapy, there’s something for everyone to feel at ease and well-cared for in this vibrant community.

Dedicated to providing a nurturing environment where residents can thrive, Prairie Heights Healthcare in Aberdeen offers a range of amenities and programs, including physical, occupational, and speech therapies tailored to each individual. With both long and short-term care options, residents can find support, learn new strategies, and connect with others in similar situations. Prairie Heights Healthcare is dedicated to helping residents achieve their personal health goals and maintain their independence.

What does this home offer?

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Building Type: Single-story

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Fitness and Recreation

Contact Prairie Heights Healthcare

Overview of Bethesda Home of Aberdeen

Bethesda Home of Aberdeen, located in Aberdeen, South Dakota, is a medium-sized skilled nursing care facility with a capacity of 86 beds. It has a short-term rehabilitation rating and a long-term care rating, both classified as Average. The facility is owned by a nonprofit organization with a church affiliation. Bethesda Home of Aberdeen features 86 private rooms, providing a home-like environment for residents.

With a focus on promoting independence of both body and spirit, Bethesda Home of Aberdeen offers a comprehensive range of nursing care services. Whether the stay is for facilitating recovery or providing around-the-clock long-term care, the facility ensures a warm and caring atmosphere. Residents can benefit from onsite chaplain services, which provide spiritual support. The dedicated and highly trained staff at Bethesda Home of Aberdeen goes beyond physical health care. They offer a variety of programs designed to encourage interaction, including dining, socialization, and exercise. These programs are delivered in comfortable surroundings, creating a holistic approach to resident well-being that goes beyond medical attention.  

Contact Bethesda Home of Aberdeen

Overview of Avera Mother Joseph Manor Retirement Community

Located in a tranquil neighborhood adjacent to Manor Park in Aberdeen, South Dakota, Avera Mother Joseph Manor offers a comprehensive range of senior living lifestyle options, complemented by skilled nursing and rehabilitation services. Residents of this community can immerse themselves in the abundant local opportunities available in Aberdeen while receiving exceptional care and support.

Avera Mother Joseph Manor proudly upholds the Christian tradition of the Avera health care system, ensuring immediate access to premier health care services. With a deep commitment to respecting human dignity and valuing each individual, Avera Mother Joseph Manor operates as a division of Avera St. Luke’s Hospital, providing compassionate care to enhance the well-being of residents.

What does this home offer?

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Pets Allowed

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Housing Options: 1 Bed / 2 Bed

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Building Type: Single-storey

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Transportation Services

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Fitness and Recreation

Contact Avera Mother Joseph Manor Retirement Community

Overview of Jenkin‘s Living Center

Jenkin’s Living Center is a skilled nursing facility that boosts the recovery experience of its residents through a professional and patient care approach. The health and rehab center strives to work everyday with quality service to its residents so that residents maintain a level of independence and individuality. Residents of Jenkin’s receive full support that helps nourish their holistic needs in a charming and convenient environment.

Nursing home services are supported by state-of-the-art technologies that help speed the recovery journey. These include individualized care plans, medication management, specialized therapy programs, restaurant-style dining, social activities, scheduled transportation,  and 24-hour skilled nursing care.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact Jenkin‘s Living Center

Overview of Nano Nagle Village

Nano Nagle Village, situated in Aberdeen, South Dakota, is an assisted living senior community conveniently located near various local amenities. Residents can easily access nearby churches, retail shopping centers, health care facilities, and more. 

Dakota Plains Surgical Center is just 0.74 miles away from the community, providing convenient medical services. For residents’ convenience, there are also 11 drug stores within a one-mile radius of the facility. Additionally, residents have a choice of 19 churches within a four-mile radius, including the Church of God, Calvary Baptist Church, Church of God Family Worship, and Aberdeen Christian Fellowship. 

What does this home offer?

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Minimum Age: 60 Years Old

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Building Type: Single-storey

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Transportation Services

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Fitness and Recreation

Contact Nano Nagle Village

Overview of Avera Maryhouse

Avera Maryhouse Long Term Care, located in Pierre, SD, offers a comprehensive range of senior living options and care services. With 80 certified beds, Avera Maryhouse provides nursing homes, assisted living, memory care for Alzheimer’s and dementia, and independent living options. Residents benefit from on-site occupational, physical, and speech therapy services, ensuring personalized care and support tailored to individual needs.

Avera Maryhouse is dedicated to improving the quality of life for its inhabitants and places a high value on comprehensive care and a lively community setting. A library, visitor and resident parking, and a variety of activities like arts and crafts, wellness and health programs, and spiritual pursuits are just a few of the community’s many amenities. Situated in close proximity to healthcare services and local conveniences, Avera Maryhouse offers residents a comfortable and supportive living in a warm and friendly setting.

What does this home offer?

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Pets Allowed

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Housing Options: Private Rooms / Semi-Private Rooms

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact Avera Maryhouse

Overview of Meadows on Sycamore INC.

At Meadows on Sycamore, personalized and patient-centered care takes center stage in their 123-bed assisted living center. They understand that affordable assisted living should never compromise on quality, and they go above and beyond to provide exceptional care while keeping costs within reach. Located in the eastern part of Sioux Falls, this community offers a variety of floor plans and room layouts to suit your preferences and needs, ensuring that you find the perfect space to call your own.
The home understands the importance of affordable assisted living costs and ensures that residents can enjoy a comfortable and secure environment. Within its walls, you’ll discover a warm and inviting space, complete with game rooms and pet-friendly buildings, creating a true sense of home. Treat yourself to a visit to the on-site beauty and barber shops, or break a sweat with the well-maintained exercise equipment at your disposal. With the added convenience of laundry and housekeeping services, as well as comprehensive maintenance and nursing support, all your needs will be expertly taken care of.

Contact Meadows on Sycamore Inc.

Overview of Aberdeen Health and Rehab

Aberdeen Health and Rehab has proven an efficient rehabilitative approach to skilled nursing and rehab in order to enhance their quality of life. They have a team of well-trained care staff who deliver a multidisciplinary approach to nursing when providing tailored care– ensuring service with compassion, kindness, and professionalism.

Aberdeen specializes in long-term care, outpatient rehabilitation, and transitional/post-acute care; along with services such as transportation, housekeeping, and laundry– to name a few of the features that residents from both living options get unlimited access to.

Contact Aberdeen Health and Rehab

Overview of Fountain Springs Healthcare Center

In Rapid City, South Dakota, Fountain Springs Healthcare Center is a haven for healing and compassionate care. Whether residents require transitional care following hospitalization or seek long-term support due to safety concerns at home, Fountain Springs offers a serene refuge. The center has garnered acclaim for its successful patient transitions back home or to a lower level of care, earning the prestigious 2018 Pinnacle Customer Experience Award for its exceptional senior healthcare services.

At Fountain Springs, individuals receive personalized care through an interdisciplinary approach to skilled nursing. The recreation department fosters a sense of community and home by organizing various activities and outings. Whether it’s assisted living, skilled nursing, memory support, or respite stays, Fountain Springs Healthcare Center remains steadfast in delivering 5-star quality care to its residents. 

What does this home offer?

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Housing Options: Private Rooms / Semi-Private Rooms

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Contact Fountain Springs Healthcare Center

Spearfish Canyon Healthcare

1020 N 10Th St, Spearfish, SD 57783
Overview of Spearfish Canyon Healthcare

Spearfish Canyon Healthcare, located in beautiful Spearfish, South Dakota, offers a range of skilled care services for seniors. With skilled nursing, long term & short term care, and a variety of therapies including physical, occupational, and speech, this community ensures comprehensive care. Seniors can enjoy the serene surroundings and the sense of community as they work on regaining their independence and well-being.

Fostering compassionate, individualized care to each resident, Spearfish Canyon Healthcare offers various amenities and programs designed for residents wellness and healing, such as pain management, wound care, and social services. With specialized therapies for post-surgical recovery, stroke recovery, and cardiac care, residents receive the support they need. Additional services like dental care, dialysis, and hospice care further enhance the quality of life, making Spearfish Canyon Healthcare a place where seniors can thrive.

What does this home offer?

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Building Type: Single-story

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Fitness and Recreation

Contact Spearfish Canyon Healthcare

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 South Dakota

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 45 nursing homes in South Dakota. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in South Dakota?

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 South Dakota, 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 South Dakota?

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.