Page 6 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:

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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 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Dakota average is: 58.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Custer Care and Rehab Center
NH
HOS
RC
SNF
Custer
35
Facility 35
SD AVG 71
Rank #65 / 70
---? --
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
---27-
49
Facility 49
SD AVG 43
Rank #31 / 73
----43A140
Avantara Norton-
NH
HOS
SNF
Sioux Falls
110
Facility 110
SD AVG 71
Rank #6 / 70
88.9%
Facility 88.9%
SD AVG 84%
Rank #18 / 33
+6%
3.53
Facility 3.53
SD AVG 4.34
Rank #41 / 65
D+---+53%-19%
$153.6k
Facility $153.6k
SD AVG $38.5k
Rank #63 / 67
75
Facility 75
SD AVG 14.8
Rank #64 / 65
4.0
Facility 4.0
SD AVG 3.3
Rank #42 / 65
1998-
61
Facility 61
SD AVG 43
Rank #19 / 73
Jeremy Klinkhammer
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
SD AVG $7.1M
Rank #7 / 58
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
SD AVG $4.2M
Rank #19 / 58
42.4%Fiscal year ending 12/2023
Facility 42.4%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #57 / 58
435039
Avantara Huron-
NH
MC
SNF
Sw Huron
80
Facility 80
SD AVG 71
Rank #23 / 70
---?-----------
68
Facility 68
SD AVG 43
Rank #12 / 73
$1.5M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$1.2M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.80.6%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.435057

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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Nursing Home Explorer
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Overview of Avantara Watertown

Forty-six beds are filled out of 51. Avantara Watertown runs at 90% occupancy, a solid number for a facility that only recently opened, sitting less than a mile from Prairie Lakes Hospital in Watertown’s 4th Avenue Northeast neighborhood. The address at 415 4th Ave. NE puts it in a moderately walkable part of the city (Walk Score 69), which matters for families who visit regularly.

At 168 days, the average length of stay sits in the middle range. This is not purely a 30-day Medicare rehab operation, but it’s also not a long-term custodial care setting by the numbers. The clinical menu reflects that positioning: stroke and neurological recovery, cardiac care, pulmonary care, oncology recovery, and orthopedic rehabilitation are the confirmed programs, all squarely in the post-acute specialty space. Administrator Lynna Speier leads a 51-bed facility in the Avantara network that is clearly built around structured medical recovery rather than extended residential care.

Registered nurses log 1 hour and 9 minutes per resident per day, with total nursing care at 3 hours and 35 minutes. Nurse aides account for 1 hour and 58 minutes of that total. Medicare, Medicaid, and private pay are all accepted.

Avantara Watertown is a compact, recently opened nursing home with a clinical program built for residents recovering from cardiac events, neurological incidents, cancer treatment, and orthopedic procedures, operating near hospital infrastructure that supports that care model.

Contact Avantara Watertown

Overview of Avantara Groton

Avantara Groton is a nursing home in Groton, SD, providing skilled nursing and hospice care. Skilled nursing gives residents access to licensed nursing care on site, while hospice care supports people receiving end-of-life care.

The community has 45 beds, placing it in the smaller-community range, where staff and residents have more opportunity to get to know each other. Rehabilitation services include short-term rehabilitation, orthopedic care, stroke and neurological care, cardiac care, and oncology recovery care, giving residents recovery-focused support for several medical needs.

Medicare, Medicaid, and private pay are accepted. Medicaid can matter when personal savings may not cover a long stay, Medicare is associated with short-term skilled care rather than long-term residence, and private pay means paying directly. Chloe Brand serves as the administrator, and Avantara Groton can be a good fit for someone who needs skilled nursing or a short-term rehabilitation stay during recovery.

Contact Avantara Groton

Overview of Avantara Clark City

Clark, South Dakota, is rural by most measures; it has a small population, limited nearby services, and the nearest hospital is more than 30 miles out. Avantara Clark City sits half a mile from Clark’s city center at 201 8th Ave NW, a 35-bed nursing home in the Avantara network, administered by Rachel Morehouse. Walk Score 31 means most errands need a car.

The average length of stay is 115 days. Short for a long-term care setting; long for a pure rehab turnaround. The facility’s clinical programs align with that middle range: orthopedic care, cardiac care, stroke and neurological recovery, and oncology recovery are the confirmed offerings, alongside rehabilitation services broadly. Twenty-eight of 35 beds are occupied, a 79% rate that is modest but not unusual for a small rural facility.

Registered nurses log 43 minutes per resident per day. Total nursing care comes to 3 hours and 9 minutes, with nurse aides accounting for 2 hours and 31 minutes of that figure. Medicare, Medicaid, and private pay are all accepted. Private and semi-private suites are available, along with community spaces, an on-site salon, and WiFi. Meals are prepared fresh daily.

Avantara Clark City is a compact rural nursing home built around post-acute recovery, serving residents from Clark County and the surrounding area who need structured rehabilitation following cardiac events, orthopedic procedures, neurological incidents, or oncology treatment, at a location where access to hospital infrastructure requires planning.

Contact Avantara Clark City

Overview of Avantara North

Avantara North provides nursing home and skilled nursing care, memory care, and hospice care in Rapid City, SD. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while memory care offers a secured setting with supervision for a resident living with dementia who may be at risk of wandering. Hospice care focuses on comfort for someone receiving end-of-life care, and the combination of services may suit a resident whose needs change over time without requiring a move to another community.

Avantara North has 68 beds. Rehabilitation services include short-term rehabilitation for recovery after a hospital stay or procedure, with programs for post-surgical care, stroke and other neurological conditions, cardiac care, oncology recovery, orthopedic rehabilitation, and pulmonary care.

Medicare, Medicaid, and private pay are accepted. Medicare applies to short-term skilled care after a hospital stay rather than long-term residence, Medicaid may help a family whose savings do not cover a long stay, and private pay allows a family to pay directly for care. Celina Block serves as the administrator.

Contact Avantara North

Overview of Good Samaritan Society Sioux Falls Center

Good Samaritan Society Sioux Falls Center is a nursing home and skilled nursing community in Sioux Falls, SD. Skilled nursing provides licensed nursing care around the clock, while respite care offers a short stay that may suit a family caregiver who needs time to travel or recover.

Medicare, Medicaid, and private pay are accepted, giving families options for covering short-term skilled care, eligible Medicaid services, or direct payment. Occupational therapy and speech and language therapy support rehabilitation needs, and caregiver support addresses the needs of family caregivers.

Residents have access to a salon, chapel, and religious services for personal grooming and worship at the community. The dining room provides a place to sit for a meal or coffee with friends, while home-based services extend beyond the facility setting.

Contact Good Samaritan Society Sioux Falls Center

Overview of Rolling Hills Healthcare

Rolling Hills Healthcare provides nursing home care, skilled nursing, and hospice care in Belle Fourche, South Dakota. Skilled nursing gives residents access to licensed nursing care, while hospice focuses on comfort for people nearing the end of life. The facility also offers short term rehabilitation and long term care, making it suitable both for someone recovering from an illness or procedure and for a resident who needs ongoing support.

Rolling Hills Healthcare has 83 beds. Individualized care plans, pain management, dental care, dialysis, podiatry services, and rehabilitation give residents access to care planning and several health services within the facility. Social activities are available too, providing structured options for residents who want activities during their stay.

Payment options include Medicaid, Medicare, and private pay. Gerald Bosen serves as the administrator.

Contact Rolling Hills Healthcare

Overview of Good Samaritan Society – St Martin Village

Good Samaritan Society, St Martin Village provides nursing home, assisted living, independent living, memory care, and respite care in Rapid City, SD. Assisted living provides help with daily tasks while a resident maintains an apartment, memory care offers supervision in a secured setting for someone at risk of wandering, and nursing home care provides licensed nursing care around the clock. Independent living supports private living with community services and no daily care, while respite care offers a short stay for a family whose usual caregiver needs to travel or recover.

With several care levels in one community, Good Samaritan Society, St Martin Village can suit a resident whose needs may grow over time without requiring a move to a different community. The community has 60 beds, and Jana McCroden serves as administrator. Rehabilitation services are available for residents who need therapy during recovery or ongoing care.

A swimming pool and wellness center support exercise and water-based activities, while walking trails and a community garden provide outdoor spaces for recreation. The community also has a salon, chapel, library, coffee house, woodshop, and scheduled activities, giving residents places for personal care, worship, hobbies, and social time. Home-based services and caregiver support are also available for residents and families who need assistance beyond the community setting.

The area has a Walk Score of 83, making it very walkable, with most errands possible on foot. Shops and other daily destinations within a short walk can help a resident who no longer drives get out independently.

Contact Good Samaritan Society – St Martin Village

Overview of Avantara Milbank

Avantara Milbank sits on South 2nd Street in Milbank, South Dakota, a small city where most errands mean getting in a car (Walk Score 27). Keisha Dorscher administers the 45-bed nursing home, which opened about a year ago and currently has 30 of its beds occupied.

The clinical range here is notable for a facility this size. Residents recovering from cardiac events, orthopedic procedures, pulmonary conditions, oncology treatment, post-surgical care, and stroke or other neurological conditions all have dedicated recovery tracks. Total nursing coverage is 3 hours and 23 minutes per resident per day; registered nurses account for 59 minutes of that. Suites are available in private and semi-private configurations.

Meals are prepared from fresh ingredients with nutritional balance as the stated standard. Family and community amenities include gathering spaces for events, an on-site salon, and Wi-Fi throughout the building. The facility accepts Medicare, Medicaid, and private pay, which means it can accommodate both the short-term rehab resident arriving on Medicare benefits and the longer-stay resident whose coverage eventually transitions to Medicaid.

At 127 days average length of stay and a program roster built around post-acute recovery, Avantara Milbank is oriented toward people who need a structured clinical bridge between a hospital discharge and a return home, not toward those seeking a long-term residential placement.

Contact Avantara Milbank

Overview of Bethesda of Beresford

Bethesda of Beresford operates a compact 39-bed skilled nursing facility on West Cedar Street in Beresford, South Dakota, about thirty miles south of Sioux Falls. Established originally in 1914 as a regional care resource, the property functions under a local government facility district setup. The surrounding neighborhood carries a walk score of 39, reflecting a spread-out layout where visiting family members and local relatives will require a car to manage regular trips and errands outside the grounds.

The home runs close to its operational limit, maintaining an average occupancy rate of roughly 85 percent and hosting an average resident stay of 329 days. Floor nurses provide an average of three hours and forty minutes of daily direct care to each individual, with registered nurses contributing over an hour of that personal time.

Weekend scheduling stands out with Saturday and Sunday registered nurse coverage tracking 86 percent higher than typical state benchmarks. Clinical programs focus on post-acute physical rehabilitation and therapy services, with measured outcomes for hospital readmissions, fall prevention, and pressure ulcer care outperforming standard state averages.

Interested individuals can call to inquire about current bed vacancies or to verify clinical entry parameters. The business coordinators can outline how they handle medical invoices across Medicare, state Medicaid, and out-of-pocket private payments, and they can schedule a time for you to view the therapy spaces and resident wings.

Contact Bethesda of Beresford

Overview of Avantara Huron

Avantara Huron is a nursing home offering memory care and skilled nursing in Huron, SD. Memory care provides a secured setting with supervision for a resident at risk of wandering, while skilled nursing provides licensed nursing care on site around the clock. The combination may be a good fit for someone whose needs may change over time and who may need to move between care levels without leaving the community.

Avantara Huron has 80 beds. Short-term rehabilitation supports a temporary stay centered on recovery, with cardiac recovery care, orthopedic recovery care, pulmonary recovery care, and wound care available for residents with those needs.

Medicare, Medicaid, and private pay are accepted, giving families several ways to cover care. Laurie Solem serves as the administrator. A Walk Score of 68 places the area in the somewhat walkable band, meaning some errands can be done on foot for a resident who no longer drives.

Contact Avantara Huron

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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Nursing Homes in South Dakota at a glance

Avg Overall CMS Rating: 2.7/ 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: 3.3/ 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: 2.7/ 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
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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 71 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.