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Compare Nursing Homes around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| 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 | 1 | 43 | - | 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 | 1 | 46 | - | 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 | 1 | 38 | - | 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 | 3 | 21 | - | 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 | 1 | 41 | - | 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 | 1 | 47 | - | 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 | 1 | 30 | - | 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 | 2 | 41 | - | 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 | 2 | 82 | - | 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 | 2 | 67 | - | 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 |
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.

















