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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.

Explore home photos

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.

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

Click column headers to sort
Prairie Heights Healthcare
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).

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Aberdeen
99
Facility 99
SD AVG 61
Rank #7 / 60
63.2%
Facility 63.2%
SD AVG 79.9%
Rank #50 / 55
-21%
3.86
Facility 3.86
SD AVG 4.34
Rank #23 / 58
-18%-11%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 60
5
Facility 5
SD AVG 14.8
Rank #4 / 60
1.7
Facility 1.7
SD AVG 3.3
Rank #13 / 60
-
Facility -
SD AVG 2.1
62
38
Facility 38
SD AVG 37
Rank #30 / 58
-
$13.0M
Facility $13.0M
SD AVG $6.7M
Rank #11 / 55
$6.1M
Facility $6.1M
SD AVG $2.6M
Rank #13 / 55
47.2%
Facility 47.2%
SD AVG 40.8%
Rank #28 / 55
435004
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
Jenkin‘s Living 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).

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.

Watertown (South Maple)
110
Facility 110
SD AVG 61
Rank #3 / 60
70.1%
Facility 70.1%
SD AVG 79.9%
Rank #40 / 55
-12%
4.44
Facility 4.44
SD AVG 4.34
Rank #15 / 58
-30%+2%
$53.1k
Facility $53.1k
SD AVG $38.5k
Rank #49 / 60
25
Facility 25
SD AVG 14.8
Rank #47 / 60
4.2
Facility 4.2
SD AVG 3.3
Rank #42 / 60
3
Facility 3
SD AVG 2.1
69
85
Facility 85
SD AVG 37
Rank #1 / 58
Doug Austin
$17.2M
Facility $17.2M
SD AVG $6.7M
Rank #6 / 55
$8.1M
Facility $8.1M
SD AVG $2.6M
Rank #7 / 55
47.3%
Facility 47.3%
SD AVG 40.8%
Rank #27 / 55
435036
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
Spearfish Canyon Healthcare
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).

Spearfish (North 10Th Street)
105
Facility 105
SD AVG 61
Rank #6 / 60
68.6%
Facility 68.6%
SD AVG 79.9%
Rank #43 / 55
-14%
3.37
Facility 3.37
SD AVG 4.34
Rank #38 / 58
-56%-22%
$3.3k
Facility $3.3k
SD AVG $38.5k
Rank #9 / 60
20
Facility 20
SD AVG 14.8
Rank #36 / 60
3.3
Facility 3.3
SD AVG 3.3
Rank #34 / 60
1
Facility 1
SD AVG 2.1
76
50
Facility 50
SD AVG 37
Rank #21 / 58
-
$11.6M
Facility $11.6M
SD AVG $6.7M
Rank #16 / 55
$6.0M
Facility $6.0M
SD AVG $2.6M
Rank #14 / 55
51.6%
Facility 51.6%
SD AVG 40.8%
Rank #18 / 55
435043
Overview of Golden Living Center – Groton

Golden Living Center Groton is an exceptional senior living community offering a diverse range of options including specialized memory care and skilled nursing services. For those seeking memory care, this center stands as a beacon of understanding and support. Every corner of the facility has been purposefully crafted to provide a secure and nurturing haven for individuals with memory loss.
Accessibility is a cornerstone at Golden Living Center Groton. With thoughtfully designed spaces that cater to wheelchair users and inviting indoor and outdoor common areas, residents are treated to an environment that seamlessly blends comfort with the beauty of nature. It’s a place where cherished memories are made, laughter echoes through the halls, and meaningful connections are formed.

Contact Golden Living Center – Groton

Overview of Avantara Watertown

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. 

Contact Avantara Watertown

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 41 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.