Nursing homes in South Dakota
96 Medicare- and Medicaid-certified nursing homes, with an average CMS overall rating of 2.9/5 — -0.06 stars vs. the national average of 3.0. 43% are rated below average, and federal fines on record total $3,918,278.
What nursing care costs in South Dakota Cost of care in South Dakota
Source: CMS Provider Data Catalog, processing date 2026-09-01. Ratings are official CMS figures, not endorsements.
Top-rated nursing homes in South Dakota
Sorted by CMS overall rating, then by size.
AVERA SISTER JAMES CARE CENTER
5/5Yankton · 194 bedsMuch above average →AVERA BRADY HEALTH AND REHAB
5/5Mitchell · 84 bedsMuch above average →AVERA MARYHOUSE LONG TERM CARE
5/5Pierre · 80 bedsMuch above average →THE NEIGHBORHOODS AT BROOKVIEW
5/5Brookings · 79 bedsMuch above average →SD HUMAN SERVICES CENTER - GERIATRIC PROGRAM
5/5Yankton · 69 bedsMuch above average →White River Health Care Center
5/5White River · 52 bedsMuch above average →All 96 facilities in South Dakota
Filter by name or minimum star rating, and click a column heading to sort.
| Facility | City | Overall | Beds | Fines |
|---|---|---|---|---|
| AVERA SISTER JAMES CARE CENTER | Yankton, SD | 5/5 | 194 | $8,492 |
| AVERA BRADY HEALTH AND REHAB | Mitchell, SD | 5/5 | 84 | — |
| AVERA MARYHOUSE LONG TERM CARE | Pierre, SD | 5/5 | 80 | — |
| THE NEIGHBORHOODS AT BROOKVIEW | Brookings, SD | 5/5 | 79 | — |
| SD HUMAN SERVICES CENTER - GERIATRIC PROGRAM | Yankton, SD | 5/5 | 69 | — |
| White River Health Care Center | White River, SD | 5/5 | 52 | $6,168 |
| AVANTARA LAKE NORDEN | Lake Norden, SD | 5/5 | 50 | — |
| Bethesda Home | Webster, SD | 5/5 | 50 | — |
| Walworth County Care Center, Inc | Selby, SD | 5/5 | 50 | — |
| CLARKSON HEALTH CARE | Rapid City, SD | 5/5 | 49 | $20,100 |
| Platte Care Center | Platte, SD | 5/5 | 48 | $20,183 |
| Pioneer Memorial Nursing Home | Viborg, SD | 5/5 | 46 | $32,536 |
| GOOD SAMARITAN SOCIETY HOWARD | Howard, SD | 5/5 | 45 | — |
| GOOD SAMARITAN SOCIETY SCOTLAND | Scotland, SD | 5/5 | 45 | — |
| OAKVIEW TERRACE | Freeman, SD | 5/5 | 45 | $10,839 |
| Alcester Care And Rehab Center, Inc | Alcester, SD | 5/5 | 44 | — |
| Westhills Village Health Care Facility | Rapid City, SD | 5/5 | 44 | $8,788 |
| Menno-Olivet Care Center | Menno, SD | 5/5 | 41 | — |
| Wakonda Heritage Manor | Wakonda, SD | 5/5 | 38 | $12,675 |
| AVERA PRINCE OF PEACE | Sioux Falls, SD | 4/5 | 126 | $8,278 |
| PRAIRIE HEIGHTS HEALTHCARE | Aberdeen, SD | 4/5 | 99 | — |
| Michael J Fitzmaurice South Dakota Veterans Home | Hot Springs, SD | 4/5 | 78 | $39,293 |
| Tieszen Memorial Home | Marion, SD | 4/5 | 64 | — |
| Estelline Nursing and Care Center | Estelline, SD | 4/5 | 60 | $16,826 |
| Avera Eureka Health Care Center | Eureka, SD | 4/5 | 56 | $12,252 |
| GOOD SAMARITAN SOCIETY CANTON | Canton, SD | 4/5 | 56 | $19,615 |
| SEVEN SISTERS LIVING CENTER | Hot Springs, SD | 4/5 | 52 | $8,278 |
| DELLS NURSING AND REHAB CENTER INC | Dell Rapids, SD | 4/5 | 50 | $173,010 |
| FAULKTON SENIOR LIVING | Faulkton, SD | 4/5 | 41 | — |
| Weskota Manor Inc | Wessington Springs, SD | 4/5 | 40 | — |
| AVANTARA CLARK CITY | Clark, SD | 4/5 | 35 | $11,057 |
| Kadoka Nursing Home | Kadoka, SD | 4/5 | 31 | — |
| Avera Rosebud Country Care Center | Gregory, SD | 4/5 | 30 | — |
| EASTERN STAR HOME OF SOUTH DAKOTA, INC | Redfield, SD | 4/5 | 30 | $31,476 |
| BOWDLE NURSING HOME | Bowdle, SD | 4/5 | 27 | — |
| JENKIN'S LIVING CENTER | Watertown, SD | 3/5 | 110 | $53,086 |
| Fountain Springs Healthcare | Rapid City, SD | 3/5 | 90 | $22,526 |
| Bethesda Home of Aberdeen | Aberdeen, SD | 3/5 | 86 | $25,265 |
| AVANTARA NORTH | Rapid City, SD | 3/5 | 68 | $24,108 |
| GOOD SAMARITAN SOCIETY TYNDALL | Tyndall, SD | 3/5 | 68 | $44,951 |
| GOOD SAMARITAN SOCIETY - ST MARTIN VILLAGE | Rapid City, SD | 3/5 | 60 | — |
| Wheatcrest Hills Healthcare Center | Britton, SD | 3/5 | 60 | $37,553 |
| GOOD SAMARITAN SOCIETY CANISTOTA | Canistota, SD | 3/5 | 55 | $49,289 |
| BETHANY HOME SIOUX FALLS | Sioux Falls, SD | 3/5 | 54 | — |
| AVERA BORMANN MANOR | Parkston, SD | 3/5 | 50 | $47,187 |
| DOW RUMMEL VILLAGE | Sioux Falls, SD | 3/5 | 50 | $87,723 |
| AURORA BRULE NURSING HOME INC | White Lake, SD | 3/5 | 44 | $17,928 |
| FLANDREAU SANTEE SIOUX TRIBE CARE CENTER | Flandreau, SD | 3/5 | 42 | $27,967 |
| PRAIRIE VIEW HEALTHCARE CENTER | Woonsocket, SD | 3/5 | 42 | $8,512 |
| SCOTCHMAN LIVING CENTER | Philip, SD | 3/5 | 42 | $47,655 |
| MONUMENT HEALTH STURGIS CARE CENTER | Sturgis, SD | 3/5 | 40 | $26,272 |
| HIGHMORE HEALTH | Highmore, SD | 3/5 | 39 | — |
| Sun Dial Manor | Bristol, SD | 3/5 | 37 | $24,528 |
| GOOD SAMARITAN SOCIETY SIOUX FALLS VILLAGE | Sioux Falls, SD | 2/5 | 177 | $72,812 |
| AVANTARA HURON | Huron, SD | 2/5 | 119 | $8,338 |
| SPEARFISH CANYON HEALTHCARE Abuse icon | Spearfish, SD | 2/5 | 105 | $9,718 |
| AVANTARA MOUNTAIN VIEW | Rapid City, SD | 2/5 | 101 | $38,613 |
| GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER Abuse icon | Sioux Falls, SD | 2/5 | 98 | $54,936 |
| GOOD SAMARITAN SOCIETY LUTHER MANOR | Sioux Falls, SD | 2/5 | 92 | $111,701 |
| Avera Mother Joseph Manor Retirement Community | Aberdeen, SD | 2/5 | 81 | $8,824 |
| AVANTARA SAINT CLOUD | Rapid City, SD | 2/5 | 78 | $39,131 |
| UNITED LIVING COMMUNITY Abuse icon | Brookings, SD | 2/5 | 67 | $33,027 |
| SANFORD CARE CENTER VERMILLION | Vermillion, SD | 2/5 | 66 | $44,577 |
| AVANTARA PIERRE Abuse icon | Pierre, SD | 2/5 | 65 | $22,048 |
| St William's Care Center | Milbank, SD | 2/5 | 60 | $132,723 |
| Bethel Lutheran Home | Madison, SD | 2/5 | 59 | $56,430 |
| AVANTARA REDFIELD | Redfield, SD | 2/5 | 58 | $23,044 |
| Sunset Manor Avera Health Abuse icon | Irene, SD | 2/5 | 58 | $56,946 |
| AVERA OAHE MANOR | Gettysburg, SD | 2/5 | 53 | — |
| Medicine Wheel Village Watch list | Eagle Butte, SD | 2/5 | 50 | $22,636 |
| GOOD SAMARITAN SOCIETY NEW UNDERWOOD | New Underwood, SD | 2/5 | 41 | $26,595 |
| TEKAKWITHA LIVING CENTER | Sisseton, SD | 2/5 | 40 | $37,079 |
| Bethesda Of Beresford | Beresford, SD | 2/5 | 39 | $16,088 |
| AVANTARA GROTON | Groton, SD | 2/5 | 37 | $6,168 |
| Strand-Kjorsvig Community Rest Home | Roslyn, SD | 2/5 | 35 | $41,495 |
| FIRESTEEL HEALTHCARE CENTER | Mitchell, SD | 1/5 | 125 | $153,308 |
| ROLLING HILLS HEALTHCARE | Belle Fourche, SD | 1/5 | 83 | $80,634 |
| ABERDEEN HEALTH AND REHAB | Aberdeen, SD | 1/5 | 78 | $64,270 |
| AVANTARA ARROWHEAD Abuse icon | Rapid City, SD | 1/5 | 68 | $153,583 |
| RIVERVIEW HEALTHCARE CENTER Abuse icon Watch list | Flandreau, SD | 1/5 | 63 | $177,100 |
| Bethany Home - Brandon Abuse icon | Brandon, SD | 1/5 | 58 | $61,978 |
| AVANTARA MILBANK | Milbank, SD | 1/5 | 55 | $125,981 |
| PALISADE HEALTHCARE CENTER Abuse icon | Garretson, SD | 1/5 | 55 | $249,546 |
| AVANTARA WATERTOWN Abuse icon Watch list | Watertown, SD | 1/5 | 51 | $71,591 |
| Good Samaritan Society Miller | Miller, SD | 1/5 | 50 | $96,127 |
| GOOD SAMARITAN SOCIETY DE SMET | De Smet, SD | 1/5 | 46 | $27,989 |
| SANFORD CHAMBERLAIN CARE CENTER | Chamberlain, SD | 1/5 | 44 | $124,961 |
| CUSTER CARE AND REHAB CENTER | Custer, SD | 1/5 | 43 | — |
| LAKE ANDES SENIOR LIVING | Lake Andes, SD | 1/5 | 43 | $102,440 |
| Centerville Care and Rehab Center Inc Abuse icon | Centerville, SD | 1/5 | 42 | $69,439 |
| WINNER REGIONAL HEALTHCARE CENTER Abuse icon Watch list | Winner, SD | 1/5 | 40 | $81,510 |
| Five Counties Nursing Home | Lemmon, SD | 1/5 | 38 | $20,703 |
| DIAMOND CARE CENTER | Bridgewater, SD | 1/5 | 36 | $69,512 |
| Wilmot Care Center Inc Watch list | Wilmot, SD | 1/5 | 26 | $28,028 |
| AVANTARA NORTON Abuse icon | Sioux Falls, SD | Not rated | 110 | $312,233 |
| Good Samaritan Society - Wagner | Wagner, SD | Not rated | 50 | — |
Beds are CMS-certified beds. Fines are the total dollar value of civil money penalties on record. Abuse icon and Watch list are CMS designations explained on the national directory.
Nursing homes by city in South Dakota
Pick a city to compare its facilities on rating, staffing, and fines.
City pages cover the 3 cities with three or more facilities. Smaller towns appear in the full table below.
Facilities carrying a CMS flag in South Dakota
13 with a substantiated abuse citation and 5 on the Special Focus Facility watch list. These are official CMS designations, listed here as they appear in the source data.
| Facility | City | Overall | Beds | Fines |
|---|---|---|---|---|
| SPEARFISH CANYON HEALTHCARE Abuse icon | Spearfish, SD | 2/5 | 105 | $9,718 |
| GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER Abuse icon | Sioux Falls, SD | 2/5 | 98 | $54,936 |
| UNITED LIVING COMMUNITY Abuse icon | Brookings, SD | 2/5 | 67 | $33,027 |
| AVANTARA PIERRE Abuse icon | Pierre, SD | 2/5 | 65 | $22,048 |
| Sunset Manor Avera Health Abuse icon | Irene, SD | 2/5 | 58 | $56,946 |
| Medicine Wheel Village Watch list | Eagle Butte, SD | 2/5 | 50 | $22,636 |
| AVANTARA ARROWHEAD Abuse icon | Rapid City, SD | 1/5 | 68 | $153,583 |
| RIVERVIEW HEALTHCARE CENTER Abuse icon Watch list | Flandreau, SD | 1/5 | 63 | $177,100 |
| Bethany Home - Brandon Abuse icon | Brandon, SD | 1/5 | 58 | $61,978 |
| PALISADE HEALTHCARE CENTER Abuse icon | Garretson, SD | 1/5 | 55 | $249,546 |
| AVANTARA WATERTOWN Abuse icon Watch list | Watertown, SD | 1/5 | 51 | $71,591 |
| Centerville Care and Rehab Center Inc Abuse icon | Centerville, SD | 1/5 | 42 | $69,439 |
| WINNER REGIONAL HEALTHCARE CENTER Abuse icon Watch list | Winner, SD | 1/5 | 40 | $81,510 |
| Wilmot Care Center Inc Watch list | Wilmot, SD | 1/5 | 26 | $28,028 |
| AVANTARA NORTON Abuse icon | Sioux Falls, SD | Not rated | 110 | $312,233 |
Choosing between nursing homes in South Dakota
The state average hides wide variation. In South Dakota the facilities in this directory run from one star to five, and that gap matters more than the average when you are choosing for a specific person.
Work the list in this order: filter to 4- and 5-star facilities, check the staffing and turnover numbers on each profile, then read the inspection and fine history. Distance from family, Medicaid acceptance, and the specific clinical services offered — ventilator care, dialysis, memory units — usually narrow the list faster than ratings do.
If the person needs this level of care for more than a short rehabilitation stay, ask each facility's admissions office directly how Medicaid is handled, whether they accept a pending application, and what happens if private funds run out. Those answers vary by facility, not by state, and they matter more than any published average.
How many nursing homes are there in South Dakota?
96 CMS-certified nursing homes, holding 5848 certified beds in total.
What is the average nursing home rating in South Dakota?
2.9 out of 5 stars across 94 rated facilities, against a national average of 3.0.
Which nursing home in South Dakota has the highest rating?
CMS rates facilities, not states, and every 5-star home in the state is listed above. Compare staffing and inspection detail on the individual profiles.
Does Medicare pay for a nursing home in South Dakota?
Medicare Part A covers up to 100 days of skilled nursing after a qualifying hospital stay, with cost sharing after day 20. Longer stays are generally paid privately or through Medicaid.