Page 4 of Best Nursing Homes in South Dakota

Why trust this guide? Our editorial team analyzed 71 nursing homes in 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 South Dakota our team has analyzed — not a count of every nursing home provider in South Dakota.
71 homes
Other senior care options in South Dakota:

Compare Nursing Homes around South Dakota

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. RC (Respite Care): Short-term temporary care that gives family caregivers a break. 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. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative 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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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: 58.2% 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.
Avantara Saint Cloud ★ ★ ☆ ☆ ☆
NH
MC
SNF
Rapid City
78
Facility 78
SD AVG 69
Rank #22 / 65
B-
96.2%
Facility 96.2%
SD AVG 84.4%
Rank #2 / 31
+14%
2.97
Facility 2.97
SD AVG 4.31
Rank #52 / 58
★ ★ ★ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ +43%-31%
$24.8k
Facility $24.8k
SD AVG $45.9k
Rank #41 / 62
17
Facility 17
SD AVG 17.2
Rank #24 / 61
2.4
Facility 2.4
SD AVG 3.7
Rank #15 / 61
375--Laura Henney
$7.6MFiscal year ending 12/2024
Facility $7.6MFiscal year ending 12/2024
SD AVG $6.8M
Rank #20 / 53
$4.1MFiscal year ending 12/2024
Facility $4.1MFiscal year ending 12/2024
SD AVG $4.0M
Rank #26 / 53
53.2%Fiscal year ending 12/2024
Facility 53.2%Fiscal year ending 12/2024
SD AVG 58.2%
Rank #39 / 53
435060
Aberdeen Health and Rehab ★ ☆ ☆ ☆ ☆
NH
HOS
PC
RC
SNF
Aberdeen
78
Facility 78
SD AVG 69
Rank #22 / 65
C-
94.4%
Facility 94.4%
SD AVG 84.4%
Rank #5 / 31
+12%
4.21
Facility 4.21
SD AVG 4.31
Rank #16 / 58
★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ +1%-2%
$64.3k
Facility $64.3k
SD AVG $45.9k
Rank #52 / 62
24
Facility 24
SD AVG 17.2
Rank #45 / 61
3.4
Facility 3.4
SD AVG 3.7
Rank #29 / 61
474-
8
Facility 8
SD AVG 41
Rank #64 / 68
Kristopher Glaser
$8.6MFiscal year ending 12/2024
Facility $8.6MFiscal year ending 12/2024
SD AVG $6.8M
Rank #15 / 53
$4.9MFiscal year ending 12/2024
Facility $4.9MFiscal year ending 12/2024
SD AVG $4.0M
Rank #16 / 53
56.6%Fiscal year ending 12/2024
Facility 56.6%Fiscal year ending 12/2024
SD AVG 58.2%
Rank #14 / 53
435041
Five Counties Nursing Home ★ ☆ ☆ ☆ ☆
NH
AL
IL
SNF
W Lemmon
37
Facility 37
SD AVG 69
Rank #58 / 65
C+
90.8%
Facility 90.8%
SD AVG 84.4%
Rank #14 / 31
+8%
3.84
Facility 3.84
SD AVG 4.31
Rank #21 / 58
★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ +84%-11%
$20.7k
Facility $20.7k
SD AVG $45.9k
Rank #32 / 62
37
Facility 37
SD AVG 17.2
Rank #59 / 61
6.2
Facility 6.2
SD AVG 3.7
Rank #59 / 61
235-
42
Facility 42
SD AVG 41
Rank #31 / 68
-
$3.4MFiscal year ending 09/2024
Facility $3.4MFiscal year ending 09/2024
SD AVG $6.8M
Rank #40 / 53
$1.5MFiscal year ending 09/2024
Facility $1.5MFiscal year ending 09/2024
SD AVG $4.0M
Rank #43 / 53
44.5%Fiscal year ending 09/2024
Facility 44.5%Fiscal year ending 09/2024
SD AVG 58.2%
Rank #43 / 53
435090
Avantara Huron ★ ★ ☆ ☆ ☆
NH
MC
SNF
Sw Huron (Huron)
80
Facility 80
SD AVG 69
Rank #19 / 65
?--
3.24
Facility 3.24
SD AVG 4.31
Rank #48 / 58
★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ -70%-25%
$8.3k
Facility $8.3k
SD AVG $45.9k
Rank #17 / 62
22
Facility 22
SD AVG 17.2
Rank #39 / 61
5.5
Facility 5.5
SD AVG 3.7
Rank #54 / 61
568-
27
Facility 27
SD AVG 41
Rank #46 / 68
Laurie Solem
$8.1MFiscal year ending 12/2024
Facility $8.1MFiscal year ending 12/2024
SD AVG $6.8M
Rank #14 / 53
$4.9MFiscal year ending 12/2024
Facility $4.9MFiscal year ending 12/2024
SD AVG $4.0M
Rank #15 / 53
59.7%Fiscal year ending 12/2024
Facility 59.7%Fiscal year ending 12/2024
SD AVG 58.2%
Rank #26 / 53
435020
Rolling Hills Healthcare ★ ☆ ☆ ☆ ☆
NH
HOS
SNF
Belle Fourche
83
Facility 83
SD AVG 69
Rank #15 / 65
C
70.0%
Facility 70.0%
SD AVG 84.4%
Rank #27 / 31
-17%
3.78
Facility 3.78
SD AVG 4.31
Rank #21 / 58
★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ -33%-12%
$80.6k
Facility $80.6k
SD AVG $45.9k
Rank #56 / 62
34
Facility 34
SD AVG 17.2
Rank #55 / 61
4.3
Facility 4.3
SD AVG 3.7
Rank #45 / 61
558A+
8
Facility 8
SD AVG 41
Rank #64 / 68
-
$6.6MFiscal year ending 12/2024
Facility $6.6MFiscal year ending 12/2024
SD AVG $6.8M
Rank #16 / 53
$3.7MFiscal year ending 12/2024
Facility $3.7MFiscal year ending 12/2024
SD AVG $4.0M
Rank #24 / 53
55.5%Fiscal year ending 12/2024
Facility 55.5%Fiscal year ending 12/2024
SD AVG 58.2%
Rank #44 / 53
435035
Avantara Arrowhead ★ ☆ ☆ ☆ ☆
NH
HOS
SNF
Rapid City (Broadmoor Subdivision)
68
Facility 68
SD AVG 69
Rank #24 / 65
C-
87.2%
Facility 87.2%
SD AVG 84.4%
Rank #20 / 31
+3%
3.22
Facility 3.22
SD AVG 4.31
Rank #48 / 58
★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ +68%-25%
$153.6k
Facility $153.6k
SD AVG $45.9k
Rank #58 / 62
45
Facility 45
SD AVG 17.2
Rank #60 / 61
4.5
Facility 4.5
SD AVG 3.7
Rank #49 / 61
1059-
12
Facility 12
SD AVG 41
Rank #60 / 68
Philip Preston
$7.3MFiscal year ending 12/2024
Facility $7.3MFiscal year ending 12/2024
SD AVG $6.8M
Rank #26 / 53
$4.2MFiscal year ending 12/2024
Facility $4.2MFiscal year ending 12/2024
SD AVG $4.0M
Rank #28 / 53
57.5%Fiscal year ending 12/2024
Facility 57.5%Fiscal year ending 12/2024
SD AVG 58.2%
Rank #38 / 53
435051
Avantara Milbank ★ ☆ ☆ ☆ ☆
NH
HOS
MC
SNF
Milbank
45
Facility 45
SD AVG 69
Rank #44 / 65
C--
3.29
Facility 3.29
SD AVG 4.31
Rank #44 / 58
★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ +6%-24%
$55.4k
Facility $55.4k
SD AVG $45.9k
Rank #50 / 62
30
Facility 30
SD AVG 17.2
Rank #51 / 61
4.3
Facility 4.3
SD AVG 3.7
Rank #45 / 61
838-
64
Facility 64
SD AVG 41
Rank #12 / 68
Celina Lohre
$4.2MFiscal year ending 12/2024
Facility $4.2MFiscal year ending 12/2024
SD AVG $6.8M
Rank #36 / 53
$2.2MFiscal year ending 12/2024
Facility $2.2MFiscal year ending 12/2024
SD AVG $4.0M
Rank #35 / 53
53.3%Fiscal year ending 12/2024
Facility 53.3%Fiscal year ending 12/2024
SD AVG 58.2%
Rank #16 / 53
435009
Palisade Healthcare Center ★ ☆ ☆ ☆ ☆
NH
MC
RC
SNF
Garretson (Palisade Township)
55
Facility 55
SD AVG 69
Rank #37 / 65
C-
89.1%
Facility 89.1%
SD AVG 84.4%
Rank #16 / 31
+6%
3.38
Facility 3.38
SD AVG 4.31
Rank #41 / 58
★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -20%-22%
$154.9k
Facility $154.9k
SD AVG $45.9k
Rank #59 / 62
29
Facility 29
SD AVG 17.2
Rank #49 / 61
2.9
Facility 2.9
SD AVG 3.7
Rank #21 / 61
549-
37
Facility 37
SD AVG 41
Rank #37 / 68
-$5.6MFiscal year ending 12/2024$2.8MFiscal year ending 12/202449.8%Fiscal year ending 12/2024435115
Centerville Care and Rehab Center ★ ☆ ☆ ☆ ☆
NH
AL
SNF
Centerville
42
Facility 42
SD AVG 69
Rank #52 / 65
C
87.4%
Facility 87.4%
SD AVG 84.4%
Rank #18 / 31
+4%
3.66
Facility 3.66
SD AVG 4.31
Rank #25 / 58
★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ -33%-15%
$55.1k
Facility $55.1k
SD AVG $45.9k
Rank #49 / 62
20
Facility 20
SD AVG 17.2
Rank #35 / 61
4.0
Facility 4.0
SD AVG 3.7
Rank #40 / 61
237-
43
Facility 43
SD AVG 41
Rank #30 / 68
Caring Professionals Inc
$3.6MFiscal year ending 12/2024
Facility $3.6MFiscal year ending 12/2024
SD AVG $6.8M
Rank #43 / 53
$2.4MFiscal year ending 12/2024
Facility $2.4MFiscal year ending 12/2024
SD AVG $4.0M
Rank #40 / 53
64.9%Fiscal year ending 12/2024
Facility 64.9%Fiscal year ending 12/2024
SD AVG 58.2%
Rank #9 / 53
435088
Avera Mother Joseph Manor Retirement Community ★ ★ ☆ ☆ ☆
NH
AL
IL
SNF
Aberdeen
81
Facility 81
SD AVG 69
Rank #17 / 65
?
95.7%
Facility 95.7%
SD AVG 84.4%
Rank #4 / 31
+13%
4.85
Facility 4.85
SD AVG 4.31
Rank #9 / 58
★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ☆ ☆ ☆ ☆ -24%+12%
$8.8k
Facility $8.8k
SD AVG $45.9k
Rank #20 / 62
18
Facility 18
SD AVG 17.2
Rank #30 / 61
2.6
Facility 2.6
SD AVG 3.7
Rank #20 / 61
378-
31
Facility 31
SD AVG 41
Rank #41 / 68
----435042

Rank badges are statewide and care-type specific: each nursing home is ranked against every other SD nursing home we track that reports that metric, not just the 71 on this page. See how we rank facilities

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Overview of Avantara Saint Cloud

Some residents at Avantara Saint Cloud have a dementia diagnosis, and memory care covers them on the license. There comes a time when explaining something to a person with dementia stops working, and memory care starts there. Nursing home care and skilled nursing round out the license in Rapid City, South Dakota.

At home, one family member is usually already working the night shift, unpaid and untrained. The night shift here is staffed the same as every other shift. Rehabilitation services are there for residents whose care includes therapy.

The end date is the point of a respite stay. What comes up most is not a caregiver who’s left, but one still there and in need of rest.

This home has 78 beds, and each resident is given, on average, 2 hours and 58 minutes of nursing care a day.

A salon operates on site, with community spaces set aside for family gatherings. Three routes cover the bill here: Medicaid, Medicare, and private funds. Whichever one applies shifts at different points.

Ashley Altena is the administrator. The resident this suits has dementia or Alzheimer’s disease and needs supervision throughout the day and night.

Contact Avantara Saint Cloud

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 Five Counties Nursing Home

Five Counties Nursing Home offers nursing home and skilled nursing care, assisted living, and independent living in Lemmon, South Dakota. Nursing home and skilled nursing care include licensed nursing care on site around the clock, while assisted living helps with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment. Independent living provides private living with community services and no daily care.

Short term and long term care are available, covering temporary skilled stays as well as ongoing nursing care. Rehabilitation services support residents who need therapy as part of their care. The range of care levels may suit a resident whose needs grow over time, since moving to another level can happen without leaving the community or starting over socially.

Five Counties Nursing Home has 37 beds. Total nurse staffing is 3 hours and 51 minutes per resident each day, representing the daily nursing time assigned per resident. The community opened in 1951 and is administered by Jordan Fish.

Payment options include Medicare, Medicaid, and private pay. Medicare generally covers short term skilled care after a hospital stay rather than long term residence, while Medicaid may help when savings do not cover a long stay; private pay is also accepted. A Walk Score of 42 places the area in a car dependent setting, so most errands require a car or a ride, including routine outings for a resident who no longer drives.

Contact Five Counties Nursing Home

Overview of Avantara Huron

Avantara Huron opened recently on Michigan Ave. SW in Huron, South Dakota, under the administration of Laurie Solem. It is a nursing home. It has 80 beds, 56 of them currently occupied, and sits in a neighborhood where a car is essentially required for most errands (Walk Score 27).

The care model here is built around post-acute recovery. Residents coming off cardiac events, orthopedic procedures, or pulmonary conditions have dedicated recovery programs waiting for them. Total nursing coverage runs 3 hours and 31 minutes per resident per day, with registered nurses accounting for 40 minutes of that. Suites are available in private and semi-private configurations depending on preference and availability.

Meals are prepared from fresh ingredients with nutritional balance as the stated priority. On the amenities side, the facility has an on-site salon and community spaces that families can use for gatherings and events. State inspections have tended to center on areas like infection prevention and control, care planning and documentation, and fall and injury prevention.

Payment coverage spans Medicare, Medicaid, and private pay. That range matters for a facility with a 135-day average stay: some residents arrive on Medicare short-term rehab benefits and transition to Medicaid as their stay extends, and the facility is structured to accommodate that arc. Avantara Huron is set up for people arriving from a hospital who need a supervised rehabilitation period before going home, not for those seeking a long-term residential placement.

Contact Avantara Huron

Rolling Hills Healthcare

2200 13Th Ave, Belle Fourche, SD 57717
Overview of Rolling Hills Healthcare

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.

Contact Rolling Hills Healthcare

Overview of Avantara Arrowhead

Seventy-five percent occupancy, or 51 of 68 beds, at a nursing home positioned in Rapid City’s Broadmoor Subdivision, about 2.3 miles from the city center and less than a mile from the nearest hospital. The address is 2500 Arrowhead Dr, and the surrounding area is car-dependent (Walk Score 12). Sharon Martin administers the facility, which operates within the Avantara network.

The average length of stay is 174 days. That number places Avantara Arrowhead in a middle zone: not a pure short-stay rehab operation, but not configured primarily around indefinite long-term residence either. Rehabilitation services and short-term rehab are the confirmed service lines, with orthopedic care listed as a clinical program.

Staffing reported to CMS totals 2 hours and 48 minutes of nursing care per resident per day. Registered nurses account for 47 minutes; nurse aides account for 2 hours and 2 minutes. Medicare, Medicaid, and private pay are all accepted.

Avantara Arrowhead is a mid-sized nursing home serving residents in post-acute and transitional care, with orthopedic rehabilitation among its confirmed clinical offerings and full coverage across Medicare, Medicaid, and private pay.

Contact Avantara Arrowhead

Overview of Avantara Milbank

Avantara Milbank offers nursing home, skilled nursing, hospice care, and memory care in Milbank, SD. Nursing home and skilled nursing care provide licensed nursing care on site around the clock for residents who need ongoing clinical support, while memory care provides a secured setting with supervision for someone at risk of wandering; hospice care supports residents receiving end-of-life care.

The community has 45 beds, a smaller setting where staff and residents can get to know each other. Short-term rehabilitation and rehabilitation services support recovery, with programs for post-surgical care, stroke and other neurological conditions, cardiac care, oncology recovery, orthopedic rehabilitation, and pulmonary care. Avantara Milbank may be a good fit for someone whose needs include memory supervision or rehabilitation for one of these conditions.

Total nurse staffing is 3h 17m per resident each day, representing the documented daily hands-on nursing time allocated per resident. Medicare, Medicaid, and private pay are accepted, giving families public coverage options or the ability to pay directly. A Walk Score of 64 out of 100 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to reach nearby errands independently. Keisha Dorscher serves as the administrator.

Contact Avantara Milbank

Overview of Palisade Healthcare Center

Palisade Healthcare Center in Garretson, South Dakota, offers skilled nursing, memory care, short-term rehabilitation, and respite care. The memory care division uses a secured layout to monitor individuals who need constant supervision, while respite options furnish temporary stays for primary family caregivers taking time away.

Administrator Carolyn Riggs oversees the 55-bed property. Daily care metrics average 3 hours and 23 minutes of hands-on nursing time per resident. Located in the Palisade Township neighborhood, the center sits in a car-dependent zone with a 37 walk score, meaning local trips require motor transit.

Older adults looking for long-term clinical care or specialized memory support can reach out to Palisade Healthcare Center to check openings, clarify financial options, or arrange a visit. Accepted funding methods cover Medicare, Medicaid, and private payment plans.

Contact Palisade Healthcare Center

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Overview of Centerville Care and Rehab Center

Assisted living, skilled nursing, and nursing home care are the three names attached to Centerville Care and Rehab Center in Centerville, SD. Assisted living handles the daily tasks and stops short of nursing oversight. Skilled nursing brings licensed care indoors at any hour, so the two levels differ in how much help arrives, not in whether it is there. Nursing home care is for a resident needing that oversight and daily support together.

Rehabilitation services put therapy in the same building. Forty-two beds keep the community small, and staff and residents may come to know one another. One resident’s day here uses 3 hours and 40 minutes of nursing.

The area scores 43 for walking, which is car-dependent, so an errand is a trip somebody has to plan rather than a walk somebody takes. Medicare, Medicaid, and private pay all work here, and the choice is between coverage somebody grants and payment a family makes. Raigan Schmidt is named administrator.

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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.

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Rankings on this page follow the same method as page 1: see how we rank these nursing homes.

Nursing Homes in South Dakota at a glance

Avg Overall CMS Rating: 2.9/ 5The average Overall CMS Rating for all CMS-certified nursing homes in South Dakota. 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: 3.5/ 5The average Staffing Rating across all CMS-certified nursing homes in South Dakota. 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: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in South Dakota. 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