Other senior care options in South Dakota:

Page 7 of Best Nursing Homes in South Dakota

Why trust this guide? Our editorial team analyzed 68 nursing homes in South Dakota using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in SD
Reviewed by
Last updated
Jul 2026
We analyzed
68 homes
Other senior care options in South Dakota:
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

Compare Nursing Homes around South Dakota

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

CMS & SD Dept. of Health data

Avera Maryhouse
NH
AL
HOS
Pierre
67--
5.30
Facility 5.30
SD AVG 4.34
Rank #7 / 65
+18%+22%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
9
Facility 9
SD AVG 14.8
Rank #17 / 65
2.3
Facility 2.3
SD AVG 3.3
Rank #19 / 65
-59- 60 ----435034
Bethesda Home of Aberdeen
NH
AL
HC
RC
SNF
Aberdeen (Aberdeen Township)
86--
5.08
Facility 5.08
SD AVG 4.34
Rank #11 / 65
+1%+17%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
6
Facility 6
SD AVG 14.8
Rank #8 / 65
2.0
Facility 2.0
SD AVG 3.3
Rank #15 / 65
-45- 85 Christian Retirement Center Of Northern California
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
SD AVG $6.7M
Rank #50 / 63
$3.3MFiscal year ending 12/2023
Facility $3.3MFiscal year ending 12/2023
SD AVG $2.6M
Rank #37 / 63
73%Fiscal year ending 12/2023
Facility 73%Fiscal year ending 12/2023
SD AVG 40.8%
Rank #17 / 63
435071
Prairie Heights Healthcare
NH
HOS
SNF
Nw Aberdeen
99
62.9%
Facility 62.9%
SD AVG 82.2
Rank #31 / 34
-23%
3.86
Facility 3.86
SD AVG 4.34
Rank #28 / 65
-39%-11%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
5
Facility 5
SD AVG 14.8
Rank #4 / 65
1.7
Facility 1.7
SD AVG 3.3
Rank #12 / 65
-62- 85 -
$11.3MFiscal year ending 12/2023
Facility $11.3MFiscal year ending 12/2023
SD AVG $6.7M
Rank #13 / 63
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
SD AVG $2.6M
Rank #15 / 63
54.4%Fiscal year ending 12/2023
Facility 54.4%Fiscal year ending 12/2023
SD AVG 40.8%
Rank #31 / 63
435004
Bethany Home Sioux Falls/Bethany Home-Brandon
NH
AL
IL
MC
SNF
Sioux Falls
112--
5.47
Facility 5.47
SD AVG 4.34
Rank #5 / 65
-15%+26%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
13
Facility 13
SD AVG 14.8
Rank #27 / 65
3.3
Facility 3.3
SD AVG 3.3
Rank #35 / 65
143- 65 Augustana Lutheran Church
$5.9MFiscal year ending 06/2024
Facility $5.9MFiscal year ending 06/2024
SD AVG $6.7M
Rank #41 / 63
$4.1MFiscal year ending 06/2024
Facility $4.1MFiscal year ending 06/2024
SD AVG $2.6M
Rank #23 / 63
68.6%Fiscal year ending 06/2024
Facility 68.6%Fiscal year ending 06/2024
SD AVG 40.8%
Rank #12 / 63
435096
Avantara Lake Norden
NH
HOS
MC
SNF
Lake Norden
50
92.6%
Facility 92.6%
SD AVG 82.2
Rank #8 / 34
+13%
3.33
Facility 3.33
SD AVG 4.34
Rank #50 / 65
-24%-23%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
4
Facility 4
SD AVG 14.8
Rank #2 / 65
1.3
Facility 1.3
SD AVG 3.3
Rank #5 / 65
146- 11 Margaret Grimm
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
SD AVG $6.7M
Rank #43 / 63
$2.5MFiscal year ending 12/2023
Facility $2.5MFiscal year ending 12/2023
SD AVG $2.6M
Rank #44 / 63
56.2%Fiscal year ending 12/2023
Facility 56.2%Fiscal year ending 12/2023
SD AVG 40.8%
Rank #42 / 63
435059
Alcester Care and Rehab Center
NH
AL
SNF
Alcester (Alcester Township)
41
86.1%
Facility 86.1%
SD AVG 82.2
Rank #16 / 34
+5%
3.72
Facility 3.72
SD AVG 4.34
Rank #34 / 65
-1%-14%
$9.1k
Facility $9.1k
SD AVG $38.5k
Rank #19 / 67
11
Facility 11
SD AVG 14.8
Rank #20 / 65
2.2
Facility 2.2
SD AVG 3.3
Rank #18 / 65
138- 14 Stroschein Properties III LLC
$2.9MFiscal year ending 12/2023
Facility $2.9MFiscal year ending 12/2023
SD AVG $6.7M
Rank #59 / 63
$1.7MFiscal year ending 12/2023
Facility $1.7MFiscal year ending 12/2023
SD AVG $2.6M
Rank #57 / 63
59.3%Fiscal year ending 12/2023
Facility 59.3%Fiscal year ending 12/2023
SD AVG 40.8%
Rank #4 / 63
435062
Menno-Olivet Care Center
NH
AL
HOS
RC
SNF
Menno
41
51.7%
Facility 51.7%
SD AVG 82.2
Rank #33 / 34
-37%
7.47
Facility 7.47
SD AVG 4.34
Rank #1 / 65
-11%+72%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
11
Facility 11
SD AVG 14.8
Rank #20 / 65
2.8
Facility 2.8
SD AVG 3.3
Rank #23 / 65
321- 13 Lacee Feltman
$2.4M*Fiscal year ending 2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility $2.4M*Fiscal year ending 2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
SD AVG $6.7M
Rank #62 / 63
$1.9M*Fiscal year ending 2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility $1.9M*Fiscal year ending 2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
SD AVG $2.6M
Rank #61 / 63
79%*Fiscal year ending 2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility 79%*Fiscal year ending 2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
SD AVG 40.8%
Rank #3 / 63
435113
Westhills Village
NH
AL
HC
IL
PC
SNF
Rapid City (Texas Street)
44
93.6%
Facility 93.6%
SD AVG 82.2
Rank #6 / 34
+14%
4.59
Facility 4.59
SD AVG 4.34
Rank #14 / 65
+31%+6%
$13.5k
Facility $13.5k
SD AVG $38.5k
Rank #28 / 67
9
Facility 9
SD AVG 14.8
Rank #17 / 65
3.0
Facility 3.0
SD AVG 3.3
Rank #27 / 65
141- 21 Bradley Archer
$6.7MFiscal year ending 09/2023
Facility $6.7MFiscal year ending 09/2023
SD AVG $6.7M
Rank #2 / 63
$8.6MFiscal year ending 09/2023
Facility $8.6MFiscal year ending 09/2023
SD AVG $2.6M
Rank #6 / 63
128.7%Fiscal year ending 09/2023
Facility 128.7%Fiscal year ending 09/2023
SD AVG 40.8%
Rank #62 / 63
435033
Tieszen Memorial Home Inc
NH
AL
HOS
MC
SNF
Marion
64
92.8%
Facility 92.8%
SD AVG 82.2
Rank #7 / 34
+13%
4.54
Facility 4.54
SD AVG 4.34
Rank #18 / 65
+21%+5%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
7
Facility 7
SD AVG 14.8
Rank #9 / 65
2.3
Facility 2.3
SD AVG 3.3
Rank #19 / 65
-59- 23 Tieszen Memorial Home Inc
$5.9MFiscal year ending 12/2023
Facility $5.9MFiscal year ending 12/2023
SD AVG $6.7M
Rank #29 / 63
$3.6MFiscal year ending 12/2023
Facility $3.6MFiscal year ending 12/2023
SD AVG $2.6M
Rank #33 / 63
61.1%Fiscal year ending 12/2023
Facility 61.1%Fiscal year ending 12/2023
SD AVG 40.8%
Rank #34 / 63
435069
Avantara Watertown
NH
HOS
MC
SNF
Ne Watertown
51
92.2%
Facility 92.2%
SD AVG 82.2
Rank #9 / 34
+12%
3.58
Facility 3.58
SD AVG 4.34
Rank #37 / 65
+52%-18%
$6.4k
Facility $6.4k
SD AVG $38.5k
Rank #15 / 67
7
Facility 7
SD AVG 14.8
Rank #9 / 65
1.4
Facility 1.4
SD AVG 3.3
Rank #9 / 65
147- 85 Lynna Speier
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
SD AVG $6.7M
Rank #30 / 63
$2.9MFiscal year ending 12/2023
Facility $2.9MFiscal year ending 12/2023
SD AVG $2.6M
Rank #40 / 63
57%Fiscal year ending 12/2023
Facility 57%Fiscal year ending 12/2023
SD AVG 40.8%
Rank #52 / 63
435068
Avantara Clark City
NH
HOS
SNF
Nw Clark
35
84.9%
Facility 84.9%
SD AVG 82.2
Rank #20 / 34
+3%
3.15
Facility 3.15
SD AVG 4.34
Rank #52 / 65
+38%-27%
$11.1k
Facility $11.1k
SD AVG $38.5k
Rank #24 / 67
5
Facility 5
SD AVG 14.8
Rank #4 / 65
1.3
Facility 1.3
SD AVG 3.3
Rank #5 / 65
130- 51 Tiffany Schlomer
$3.5MFiscal year ending 12/2023
Facility $3.5MFiscal year ending 12/2023
SD AVG $6.7M
Rank #48 / 63
$1.8MFiscal year ending 12/2023
Facility $1.8MFiscal year ending 12/2023
SD AVG $2.6M
Rank #58 / 63
51%Fiscal year ending 12/2023
Facility 51%Fiscal year ending 12/2023
SD AVG 40.8%
Rank #57 / 63
435058
Dells Nursing and Rehab Center Inc.
NH
SNF
Dell Rapids
46--
4.01
Facility 4.01
SD AVG 4.34
Rank #23 / 65
-12%-8%
$173.0k
Facility $173.0k
SD AVG $38.5k
Rank #67 / 67
17
Facility 17
SD AVG 14.8
Rank #34 / 65
4.3
Facility 4.3
SD AVG 3.3
Rank #50 / 65
241- 60 Stroschein Properties LLC
$3.4MFiscal year ending 12/2023
Facility $3.4MFiscal year ending 12/2023
SD AVG $6.7M
Rank #58 / 63
$1.6MFiscal year ending 12/2023
Facility $1.6MFiscal year ending 12/2023
SD AVG $2.6M
Rank #47 / 63
48.3%Fiscal year ending 12/2023
Facility 48.3%Fiscal year ending 12/2023
SD AVG 40.8%
Rank #2 / 63
435129
Bethesda Home of Aberdeen
NH
AL
HC
RC
SNF
Aberdeen (Melrose Addition)
86
98.4%
Facility 98.4%
SD AVG 82.2
Rank #1 / 34
+20%
4.38
Facility 4.38
SD AVG 4.34
Rank #19 / 65
-22%+1%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
7
Facility 7
SD AVG 14.8
Rank #9 / 65
2.3
Facility 2.3
SD AVG 3.3
Rank #19 / 65
-85- 12 Scott Eisenbeisz
$9.7MFiscal year ending 12/2023
Facility $9.7MFiscal year ending 12/2023
SD AVG $6.7M
Rank #18 / 63
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
SD AVG $2.6M
Rank #5 / 63
74.3%Fiscal year ending 12/2023
Facility 74.3%Fiscal year ending 12/2023
SD AVG 40.8%
Rank #6 / 63
435073
Fountain Springs Healthcare Center
NH
AL
IL
Rapid City
10--
3.82
Facility 3.82
SD AVG 4.34
Rank #33 / 65
-2%-12%
$22.5k
Facility $22.5k
SD AVG $38.5k
Rank #40 / 67
11
Facility 11
SD AVG 14.8
Rank #20 / 65
1.6
Facility 1.6
SD AVG 3.3
Rank #11 / 65
282- 16 -
$10.4M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility $10.4M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
SD AVG $6.7M
Rank #12 / 63
$4.2M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility $4.2M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
SD AVG $2.6M
Rank #17 / 63
40.8%*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility 40.8%*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
SD AVG 40.8%
Rank #35 / 63
435110
Avantara North
NH
HOS
MC
SNF
Rapid City (North 7Th Street)
68
97.9%
Facility 97.9%
SD AVG 82.2
Rank #2 / 34
+19%
3.12
Facility 3.12
SD AVG 4.34
Rank #56 / 65
+43%-28%
$33.8k
Facility $33.8k
SD AVG $38.5k
Rank #45 / 67
20
Facility 20
SD AVG 14.8
Rank #40 / 65
4.0
Facility 4.0
SD AVG 3.3
Rank #44 / 65
267- 39 -
$7.1MFiscal year ending 12/2023
Facility $7.1MFiscal year ending 12/2023
SD AVG $6.7M
Rank #21 / 63
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
SD AVG $2.6M
Rank #26 / 63
53.3%Fiscal year ending 12/2023
Facility 53.3%Fiscal year ending 12/2023
SD AVG 40.8%
Rank #46 / 63
435064
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Nursing Home Explorer
Overview of Avantara Norton

Avantara Norton is a nursing home in Sioux Falls, South Dakota, offering skilled nursing and post-acute rehabilitation. As one of the larger options in the Sioux Falls market, this 110-bed community is one of the larger senior providers in the state. The community also accepts Medicare, Medicaid, and private pay, providing access to families from a wide range of financial backgrounds.

The community features a distinct balance of nursing resources and clinical oversight, with 3 hours and 32 minutes of total nursing care per resident per day, which sits 6% below the state average. Licensed Practical Nurse (LPN) coverage is a notable operational strength, averaging 44 minutes per day, which is 52% above the state average, indicating solid, hands-on daily bedside support. Conversely, daily RN hours average 35 minutes, and weekend RN coverage stands at 22 minutes per day, both falling below the state average. Additionally, both physical therapist hours and general weekend staffing closely track South Dakota state averages.

Notably, the community currently holds a 1-star overall CMS rating, placing it below state averages for health inspections and quality measures, while its staffing metrics sit approximately 30% below average.

A wide range of specialized nursing capabilities and post-surgical recovery resources is provided, including on-site infrastructure such as dedicated physical therapy equipment, full-time therapists, and standardized home assessments. The care team delivers tailored treatments across multiple fields, including cardiac care, stroke recovery, memory care, orthopedic care, oncology care, wound care, IV therapy, G-tube management, and bariatric care. This extensive clinical reach primarily serves a short-stay population, with Medicare admissions making up roughly 47% of incoming residents and averaging a short-term stay of 27 days.

The community primarily serves short-stay individuals, with an overall average length of stay of 97 days. Located in a moderately walkable Sioux Falls neighborhood, it features a Walk Score of 61. It remains a strong option for local families looking for extensive post-acute rehab and diverse, specialized clinical capabilities in a modern setting.

Providing a wide range of clinical specialties, Avantara Norton is ideal for families in Sioux Falls requiring complex medical nursing care, post-surgical recovery, or specialized rehabilitation. However, families are advised to take into consideration its newer status and CMS rating.

Contact Avantara Norton

Overview of Avantara Mountainview

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

Contact Avantara Mountainview

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. 

Contact Nano Nagle Village

Overview of Good Samaritan Society-St Martin Village

The Good Samaritan Society in St. Martin Village is one of the trusted senior living communities in Rapid City.  They provide a range of comprehensive care that focuses on assisted living places and various assisted living levels of care which includes independent living. Many families have trusted the quality service the community has continuously provided for many seniors over the years. As a Good Samaritan Society, seniors can expect a worry-free lifestyle during their stay.

The Good Samaritan’s all-inclusive services and amenities include home-cooked meals, maintenance-free living, and housekeeping; social activities include gatherings at the community room, dining room, o r chapel; wellness programs, religious services, an emergency response system, and housekeeping services are also offered.

Contact Good Samaritan Society-St Martin Village

Overview of Avantara Huron

Avantara Huron is a privately owned nursing home in Huron, South Dakota, that provides short-term rehabilitation, skilled nursing care, and specialized recovery programs. The 80-bed community is administered by Laurie Solem and has received the AHCA Bronze Quality Award in 2022 in recognition of its quality improvement efforts. Medicare, Medicaid, and private-pay options are also accepted.

Confirmed programs include short-term rehabilitation, cardiac recovery, orthopedic recovery, pulmonary rehabilitation, and wound care management. These specialized services support residents recovering from surgery, illness, or hospitalization and position the community as a post-acute care provider for a range of medical needs.

The community is currently operating at a 70% occupancy rate, which is lower than the state average and suggests availability. Average stays extend to approximately 151 days, indicating a blend of both longer-term nursing support and shorter rehabilitation-focused stays. The resident population also reflects a balanced combination of payers, with Medicaid representing a significant portion of admissions.

Avantara Huron is a compelling option for older adults seeking skilled nursing care, rehabilitation services, or specialized recovery support for cardiac, orthopedic, pulmonary, or wound care needs within a community that demonstrates meaningful staffing investment and clinical service diversity in Huron and the surrounding Beadle County area.

Contact Avantara Huron

Overview of Rolling Hills Healthcare

Rolling Hills Healthcare is a nursing home in Belle Fourche, South Dakota, providing short-term rehabilitation, long-term residential care, skilled nursing services, and specialized medical support. Administered by Gerald Bosen, this 83-bed community has a Medicare certification to serve Butte County and the surrounding Black Hills region. Both Medicaid and Medicare are accepted, helping make care accessible to residents with a variety of healthcare coverage needs.

Services include rehabilitation therapy, long-term and short-term nursing care, licensed nursing support, pain management, dental care, dialysis services, and podiatry care. Notably, the availability of dialysis, dental, and podiatry services within the community in a rural western South Dakota setting helps reduce the need for residents to travel to larger regional healthcare centers for routine specialty treatment and ongoing clinical management.

Its location near Spearfish and Rapid City also makes the community an important regional care option for families in areas with fewer nearby skilled nursing choices. The surrounding neighborhood has a Walk Score of 47, offering limited walkability with some nearby destinations accessible on foot, while most errands still require transportation.

Rolling Hills Healthcare is well-suited for older adults in Belle Fourche and the broader Butte County region who require skilled nursing care, post-hospital rehabilitation, or long-term residential support. Its wide range of specialized services available on-site is beneficial for older adults managing chronic medical conditions, ongoing pain concerns, or dialysis needs.

Contact Rolling Hills Healthcare

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 The Courtyard Westhills Village

The Courtyard Westhills Village is an assisted living community in Rapid City, South Dakota, offering assisted living, rehabilitation services, and respite care. With a 60-bed capacity, this community accepts Medicare, which is uncommon among similar communities. It is also affiliated with the Clarkson Health Care network as well as a broader campus that features therapy services, a Support Plus Program, and in-home care.

Amenities include a wellness space with specialized classes, activity and group areas, a welcoming outdoor inner courtyard, and a sun deck with southern exposure. Furthermore, living spaces feature handicap-accessible bathrooms and showers, generous closet space, expanded cable service, and central heating and cooling throughout. Floor plans are available in one- and two-bedroom configurations, and the building is equipped with a full fire sprinkler system and smoke detectors. Volunteer programs, clinical services, and respite stays are provided through 24-hour nursing staffing.

A comprehensive continuum of services is also provided, including therapy and in-home care, offering a level of care coordination that standalone assisted living communities often cannot match, which appeals to families and older adults anticipating progressing needs. Operating hours are Monday through Friday from 7:30 AM to 7:30 PM, and Saturday through Sunday from 8:30 AM to 5:30 PM.

The Courtyard Westhills Village is a practical option for older adults in the greater Rapid City area seeking assisted living support within a structured, amenity-rich environment, particularly those looking for seamless access to on-site rehabilitation and respite care.

Contact The Courtyard Westhills Village

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
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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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 68 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.