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Nursing homes in South Dakota
96 certified nursing homes with 5,848 beds. 19 rated 5 stars overall and 19 rated 1 star by CMS. 72 were fined in the last three years, $3,918,278 in all.
CMS Care Compare data as of September 1, 2026
South Dakota against the national average
| Measure | South Dakota | United States |
|---|---|---|
| Average overall stars | 2.9 | 3.0 |
| Health deficiencies at the last standard inspection | 6.7 | 9.2 |
| Nursing staff hours per resident per day | 3.79 | 3.86 |
| Registered nurse hours per resident per day | 0.80 | 0.69 |
| Weekend nursing staff hours per resident per day | 3.26 | 3.42 |
| Nursing staff turnover (%) | 48.2 | 45.8 |
| Fines per home (last 3 years) | 1.9 | 0.9 |
31 of South Dakota's 96 homes are for profit, and 49 belong to a group CMS tracks as a chain. 13 carry the CMS abuse icon.
Nurse staffing in South Dakota, quarter by quarter
Hours worked by nurses and nurse aides per resident per day, from the daily payroll records every South Dakota home sends CMS, added up across the state. In January to March 2026, weekend staffing ran 18% below weekdays (nationally 15%), and contract or agency staff worked 9.1% of nursing hours (nationally 5.3%).
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract share | US, all staff |
|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.76 | 0.79 | 3.97 | 3.25 | 9.1% | 3.75 |
| Oct to Dec 2025 | 3.80 | 0.81 | 4.01 | 3.26 | 9.7% | 3.76 |
| Jul to Sep 2025 | 3.82 | 0.77 | 4.03 | 3.26 | 8.5% | 3.77 |
| Apr to Jun 2025 | 3.80 | 0.78 | 4.03 | 3.22 | 8.3% | 3.78 |
These are hours across all of the state's residents, so they differ a little from the averages of homes CMS publishes in the table above. Source: CMS Payroll Based Journal Daily Nurse Staffing. Every state compared: the weekend staffing gap.
Official South Dakota contacts and records
- State survey agency: South Dakota Department of Health, Office of Health Facilities Licensure and Certification. It inspects nursing homes for CMS (the inspections on this site are its findings) and takes complaints about care.
- State inspection records: South Dakota Department of Health Nursing Facility Reports, South Dakota's own lookup for licensed homes.
- Long-term care ombudsman: South Dakota Long-Term Care Ombudsman Program, Department of Human Services. A free, confidential advocate for residents and their families, required in every state by the federal Older Americans Act.
Links taken from each office's own site and checked on October 8, 2026.
Special Focus Facilities in South Dakota
CMS puts a small number of homes with a long record of serious problems on its Special Focus Facility list for closer inspection. Candidates are homes that qualify but have not been chosen.
- Avantara NortonSioux Falls · On the list · not rated
- Avantara WatertownWatertown · Candidate · 1 of 5 stars
- Medicine Wheel VillageEagle Butte · Candidate · 2 of 5 stars
- Riverview Healthcare CenterFlandreau · Candidate · 1 of 5 stars
- Wilmot Care Center IncWilmot · Candidate · 1 of 5 stars
- Winner Regional Healthcare CenterWinner · Candidate · 1 of 5 stars
Largest owner groups in South Dakota
| Group | Homes in South Dakota | Homes nationally | Average stars |
|---|---|---|---|
| Legacy Healthcare | 13 | 95 | 2.9 |
| Good Samaritan Society | 13 | 92 | 3.1 |
| Avera Health | 9 | 13 | 3.8 |
| Evergreen Healthcare Group | 6 | 43 | 2.4 |
| Accura Healthcare | 3 | 41 | 2.5 |
| Eduro Healthcare | 3 | 34 | 2.5 |
| Rural Health Development | 1 | 9 | 3.8 |
| Lifespark | 1 | 4 | 1.2 |
Every nursing home in South Dakota, by county
Aurora County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Aurora Brule Nursing Home Inc | White Lake | 3 | 21 | $17,928 |
Beadle County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Avantara Huron | Huron | 2 | 22 | $8,338 |
Bon Homme County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Good Samaritan Society Scotland | Scotland | 5 | 8 | |
| Good Samaritan Society Tyndall | Tyndall | 3 | 14 | $44,951 |
Brookings County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| The Neighborhoods at Brookview | Brookings | 5 | 8 | |
| United Living Community | Brookings | 2 | 22 | $33,027 |
Brown County (5)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Aberdeen Health and Rehab | Aberdeen | 1 | 24 | $64,270 |
| Avera Mother Joseph Manor Retirement Community | Aberdeen | 2 | 17 | $8,824 |
| Bethesda Home of Aberdeen | Aberdeen | 3 | 12 | $25,265 |
| Prairie Heights Healthcare | Aberdeen | 4 | 5 | |
| Avantara Groton | Groton | 2 | 22 | $6,168 |
Brule County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Sanford Chamberlain Care Center | Chamberlain | 1 | 27 | $124,961 |
Butte County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Rolling Hills Healthcare | Belle Fourche | 1 | 34 | $80,634 |
Charles Mix County (3)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Lake Andes Senior Living | Lake Andes | 1 | 21 | $102,440 |
| Platte Care Center | Platte | 5 | 8 | $20,183 |
| Good Samaritan Society - Wagner | Wagner | n/a | 0 |
Clark County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Avantara Clark City | Clark | 4 | 7 | $11,057 |
Clay County (3)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Sunset Manor Avera Health | Irene | 2 | 17 | $56,946 |
| Sanford Care Center Vermillion | Vermillion | 2 | 11 | $44,577 |
| Wakonda Heritage Manor | Wakonda | 5 | 8 | $12,675 |
Codington County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Avantara Watertown | Watertown | 1 | 32 | $71,591 |
| Jenkin's Living Center | Watertown | 3 | 27 | $53,086 |
Custer County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Custer Care and Rehab Center | Custer | 1 | 19 |
Davison County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Avera Brady Health and Rehab | Mitchell | 5 | 8 | |
| Firesteel Healthcare Center | Mitchell | 1 | 39 | $153,308 |
Day County (3)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Sun Dial Manor | Bristol | 3 | 21 | $24,528 |
| Strand-Kjorsvig Community Rest Home | Roslyn | 2 | 23 | $41,495 |
| Bethesda Home | Webster | 5 | 8 |
Dewey County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Medicine Wheel Village | Eagle Butte | 2 | 27 | $22,636 |
Edmunds County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Bowdle Nursing Home | Bowdle | 4 | 5 |
Fall River County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Michael J Fitzmaurice South Dakota Veterans Home | Hot Springs | 4 | 13 | $39,293 |
| Seven Sisters Living Center | Hot Springs | 4 | 10 | $8,278 |
Faulk County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Faulkton Senior Living | Faulkton | 4 | 5 |
Grant County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Avantara Milbank | Milbank | 1 | 30 | $125,981 |
| St. William's Care Center | Milbank | 2 | 25 | $132,723 |
Gregory County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Avera Rosebud Country Care Center | Gregory | 4 | 13 |
Haakon County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Scotchman Living Center | Philip | 3 | 12 | $47,655 |
Hamlin County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Estelline Nursing and Care Center | Estelline | 4 | 2 | $16,826 |
| Avantara Lake Norden | Lake Norden | 5 | 7 |
Hand County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Good Samaritan Society Miller | Miller | 1 | 22 | $96,127 |
Hughes County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Avantara Pierre | Pierre | 2 | 36 | $22,048 |
| Avera Maryhouse Long Term Care | Pierre | 5 | 9 |
Hutchinson County (3)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Oakview Terrace | Freeman | 5 | 11 | $10,839 |
| Menno-Olivet Care Center | Menno | 5 | 6 | |
| Avera Bormann Manor | Parkston | 3 | 15 | $47,187 |
Hyde County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Highmore Health | Highmore | 3 | 24 |
Jackson County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Kadoka Nursing Home | Kadoka | 4 | 11 |
Jerauld County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Weskota Manor Inc | Wessington Springs | 4 | 6 |
Kingsbury County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Good Samaritan Society De Smet | De Smet | 1 | 17 | $27,989 |
Lake County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Bethel Lutheran Home | Madison | 2 | 12 | $56,430 |
Lawrence County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Spearfish Canyon Healthcare | Spearfish | 2 | 21 | $9,718 |
Lincoln County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Good Samaritan Society Canton | Canton | 4 | 7 | $19,615 |
Marshall County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Wheatcrest Hills Healthcare Center | Britton | 3 | 14 | $37,553 |
Mc Cook County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Diamond Care Center | Bridgewater | 1 | 25 | $69,512 |
| Good Samaritan Society Canistota | Canistota | 3 | 17 | $49,289 |
Mc Pherson County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Avera Eureka Health Care Center | Eureka | 4 | 10 | $12,252 |
Meade County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Monument Health Sturgis Care Center | Sturgis | 3 | 22 | $26,272 |
Mellette County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| White River Health Care Center | White River | 5 | 6 | $6,168 |
Miner County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Good Samaritan Society Howard | Howard | 5 | 4 |
Minnehaha County (10)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Bethany Home - Brandon | Brandon | 1 | 27 | $61,978 |
| Dells Nursing and Rehab Center Inc | Dell Rapids | 4 | 16 | $173,010 |
| Palisade Healthcare Center | Garretson | 1 | 29 | $249,546 |
| Avantara Norton (Special Focus Facility) | Sioux Falls | n/a | 75 | $312,233 |
| Avera Prince of Peace | Sioux Falls | 4 | 17 | $8,278 |
| Bethany Home Sioux Falls | Sioux Falls | 3 | 12 | |
| Dow Rummel Village | Sioux Falls | 3 | 10 | $87,723 |
| Good Samaritan Society Luther Manor | Sioux Falls | 2 | 22 | $111,701 |
| Good Samaritan Society Sioux Falls Center | Sioux Falls | 2 | 18 | $54,936 |
| Good Samaritan Society Sioux Falls Village | Sioux Falls | 2 | 32 | $72,812 |
Moody County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Flandreau Santee Sioux Tribe Care Center | Flandreau | 3 | 10 | $27,967 |
| Riverview Healthcare Center | Flandreau | 1 | 36 | $177,100 |
Pennington County (9)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Good Samaritan Society New Underwood | New Underwood | 2 | 29 | $26,595 |
| Avantara Arrowhead | Rapid City | 1 | 45 | $153,583 |
| Avantara Mountain View | Rapid City | 2 | 22 | $38,613 |
| Avantara North | Rapid City | 3 | 17 | $24,108 |
| Avantara Saint Cloud | Rapid City | 2 | 17 | $39,131 |
| Clarkson Health Care | Rapid City | 5 | 5 | $20,100 |
| Fountain Springs Healthcare | Rapid City | 3 | 18 | $22,526 |
| Good Samaritan Society - St. Martin Village | Rapid City | 3 | 23 | |
| Westhills Village Health Care Facility | Rapid City | 5 | 11 | $8,788 |
Perkins County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Five Counties Nursing Home | Lemmon | 1 | 37 | $20,703 |
Potter County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Avera Oahe Manor | Gettysburg | 2 | 9 |
Roberts County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Tekakwitha Living Center | Sisseton | 2 | 31 | $37,079 |
| Wilmot Care Center Inc | Wilmot | 1 | 18 | $28,028 |
Sanborn County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Prairie View Healthcare Center | Woonsocket | 3 | 11 | $8,512 |
Spink County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Avantara Redfield | Redfield | 2 | 17 | $23,044 |
| Eastern Star Home of South Dakota, Inc | Redfield | 4 | 6 | $31,476 |
Tripp County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Winner Regional Healthcare Center | Winner | 1 | 30 | $81,510 |
Turner County (3)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Centerville Care and Rehab Center Inc | Centerville | 1 | 20 | $69,439 |
| Tieszen Memorial Home | Marion | 4 | 12 | |
| Pioneer Memorial Nursing Home | Viborg | 5 | 3 | $32,536 |
Union County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Alcester Care and Rehab Center, Inc | Alcester | 5 | 10 | |
| Bethesda of Beresford | Beresford | 2 | 27 | $16,088 |
Walworth County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Walworth County Care Center, Inc | Selby | 5 | 5 |
Yankton County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Avera Sister James Care Center | Yankton | 5 | 9 | $8,492 |
| Sd Human Services Center - Geriatric Program | Yankton | 5 | 5 |