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Home / Nursing Homes / South Dakota

Best Nursing Homes in South Dakota, Graded A–F

All 94 graded Medicare-certified nursing homes in South Dakota, scored from CMS Care Compare — nurse staffing, health inspections, quality measures and penalties — against South Dakota peers of the same size. Grades are computed, never edited, and every input is shown on the facility page.

CMS data as of Aug 2026 · graded Sep 11, 2026
Grade distribution — South Dakota
A12
B18
C31
D23
F10
Highest graded
AAvera Maryhouse Long Term Ca...A
Pierre · Staffing 4.6 nurse hours per resident-da...See grade
94 facilitiesgraded in South Dakota · 12 earned an A
All South Dakota Rapid City (8)Sioux Falls (7)Aberdeen (4)Brookings (2)Flandreau (2)Hot Springs (2)Milbank (2)Mitchell (2)Pierre (2)
Highest in South Dakota 1

Avera Maryhouse Long Term Care - Pierre, SD · 80 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.6 nurse hours per resident-day — top quarter in South Dakota
  • 2 health deficiencies at the last standard survey (CMS severity score 8) — top 10%
  • No fines or payment denials in 3 years
AScore 91 · ExcellentSee Full Grade
6052243163 Pierre, Hughes County Medicaid
2

White River Health Care Center - White River, SD · 52 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.5 nurse hours per resident-day — top 10% in South Dakota
  • No health deficiencies at the last standard survey — top 10%
  • $6,168 in fines in 3 years
AScore 88 · ExcellentSee Full Grade
6052593161 White River, Mellette County Medicaid
3

Avera Brady Health And Rehab - Mitchell, SD · 84 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.4 nurse hours per resident-day — top quarter in South Dakota
  • 3 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • No fines or payment denials in 3 years
AScore 87 · ExcellentSee Full Grade
6059967701 Mitchell, Davison County Medicaid
4

The Neighborhoods At Brookview - Brookings, SD · 79 beds · government - city/county CMS Care Compare · data as of Aug 2026

  • Staffing 4.6 nurse hours per resident-day — top quarter in South Dakota
  • 2 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • No fines or payment denials in 3 years
AScore 84 · ExcellentSee Full Grade
6056968700 Brookings, Brookings County Medicaid
5

Bethesda Home - Webster, SD · 50 beds · non profit - church related CMS Care Compare · data as of Aug 2026

  • Staffing 4.5 nurse hours per resident-day — top quarter in South Dakota
  • 4 health deficiencies at the last standard survey (CMS severity score 20) — above median
  • No fines or payment denials in 3 years
AScore 77 · ExcellentSee Full Grade
6053453331 Webster, Day County Medicaid
6

Bethany Home Sioux Falls - Sioux Falls, SD · 52 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • 2 health deficiencies at the last standard survey (CMS severity score 8) — top quarter
  • No fines or payment denials in 3 years
AScore 75 · ExcellentSee Full Grade
6053382351 Sioux Falls, Minnehaha County Medicaid
7

Prairie Heights Healthcare - Aberdeen, SD · 99 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.5 nurse hours per resident-day — below median in South Dakota
  • 1 health deficiencies at the last standard survey (CMS severity score 16) — top quarter
  • No fines or payment denials in 3 years
AScore 75 · ExcellentSee Full Grade
6052252550 Aberdeen, Brown County Medicaid
8

Westhills Village Health Care Facility - Rapid City, SD · 44 beds · non profit - other CMS Care Compare · data as of Aug 2026

  • Staffing 3.7 nurse hours per resident-day — above median in South Dakota
  • 3 health deficiencies at the last standard survey (CMS severity score 12) — top quarter
  • $8,788 in fines in 3 years
AScore 75 · ExcellentSee Full Grade
6053420255 Rapid City, Pennington County
9

Good Samaritan Society Howard - Howard, SD · 45 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.4 nurse hours per resident-day — below median in South Dakota
  • 2 health deficiencies at the last standard survey (CMS severity score 8) — top quarter
  • No fines or payment denials in 3 years
AScore 74 · ExcellentSee Full Grade
6057724481 Howard, Miner County Medicaid
10

Menno-Olivet Care Center - Menno, SD · 41 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.4 nurse hours per resident-day — top quarter in South Dakota
  • No health deficiencies at the last standard survey — top 10%
  • No fines or payment denials in 3 years
AScore 74 · ExcellentSee Full Grade
6053875139 Menno, Hutchinson County Medicaid
11

Avera Sister James Care Center - Yankton, SD · 194 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.1 nurse hours per resident-day — above median in South Dakota
  • 4 health deficiencies at the last standard survey (CMS severity score 40) — top quarter
  • $8,492 in fines in 3 years
AScore 73 · ExcellentSee Full Grade
6056688900 Yankton, Yankton County Medicaid
12

Pioneer Memorial Nursing Home - Viborg, SD · 46 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.9 nurse hours per resident-day — above median in South Dakota
  • No health deficiencies at the last standard survey — top 10%
  • $32,536 in fines in 3 years
AScore 72 · ExcellentSee Full Grade
6053265161 Viborg, Turner County Medicaid
13

Sd Human Services Center - Geriatric Program - Yankton, SD · 69 beds · government - state CMS Care Compare · data as of Aug 2026

  • Staffing 8.6 nurse hours per resident-day — top 10% in South Dakota
  • 4 health deficiencies at the last standard survey (CMS severity score 40) — above median
  • No fines or payment denials in 3 years
BScore 71 · GoodSee Full Grade
6056683100 Yankton, Yankton County Medicaid
14

Avera Rosebud Country Care Center - Gregory, SD · 30 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.4 nurse hours per resident-day — top 10% in South Dakota
  • 5 health deficiencies at the last standard survey (CMS severity score 20) — above median
  • No fines or payment denials in 3 years
BScore 70 · GoodSee Full Grade
6058358296 Gregory, Gregory County Medicaid
15

Avera Prince Of Peace - Sioux Falls, SD · 126 beds · non profit - church related CMS Care Compare · data as of Aug 2026

  • Staffing 5.7 nurse hours per resident-day — top quarter in South Dakota
  • 11 health deficiencies at the last standard survey (CMS severity score 68) — below median
  • $8,278 in fines in 3 years
BScore 69 · GoodSee Full Grade
6053225600 Sioux Falls, Minnehaha County Medicaid
16

Clarkson Health Care - Rapid City, SD · 49 beds · non profit - other CMS Care Compare · data as of Aug 2026

  • Staffing 4.2 nurse hours per resident-day — above median in South Dakota
  • 4 health deficiencies at the last standard survey (CMS severity score 32) — below median
  • No fines or payment denials in 3 years
BScore 68 · GoodSee Full Grade
6053435882 Rapid City, Pennington County Medicaid
17

Oakview Terrace - Freeman, SD · 45 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.4 nurse hours per resident-day — top quarter in South Dakota
  • 6 health deficiencies at the last standard survey (CMS severity score 44) — below median
  • $10,839 in fines in 3 years
BScore 68 · GoodSee Full Grade
6059254000 Freeman, Hutchinson County Medicaid
18

Monument Health Sturgis Care Center - Sturgis, SD · 40 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.1 nurse hours per resident-day — top 10% in South Dakota
  • 4 health deficiencies at the last standard survey (CMS severity score 20) — above median
  • $26,272 in fines in 3 years
BScore 66 · GoodSee Full Grade
6057202400 Sturgis, Meade County Medicaid
19

Fountain Springs Healthcare - Rapid City, SD · 90 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.8 nurse hours per resident-day — above median in South Dakota
  • 10 health deficiencies at the last standard survey (CMS severity score 52) — above median
  • $22,526 in fines in 3 years
BScore 65 · GoodSee Full Grade
6053433555 Rapid City, Pennington County Medicaid
20

Jenkin's Living Center - Watertown, SD · 110 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.7 nurse hours per resident-day — above median in South Dakota
  • 4 health deficiencies at the last standard survey (CMS severity score 24) — top quarter
  • $53,086 in fines in 3 years
BScore 64 · GoodSee Full Grade
6058865777 Watertown, Codington County Medicaid
21

Good Samaritan Society Scotland - Scotland, SD · 45 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.5 nurse hours per resident-day — below median in South Dakota
  • 2 health deficiencies at the last standard survey (CMS severity score 12) — top quarter
  • No fines or payment denials in 3 years
BScore 64 · GoodSee Full Grade
6055832216 Scotland, Bon Homme County Medicaid
22

Wakonda Heritage Manor - Wakonda, SD · 38 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.8 nurse hours per resident-day — above median in South Dakota
  • 4 health deficiencies at the last standard survey (CMS severity score 16) — top quarter
  • $12,675 in fines in 3 years
BScore 64 · GoodSee Full Grade
6052672081 Wakonda, Clay County Medicaid
23

Spearfish Canyon Healthcare - Spearfish, SD · 105 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.4 nurse hours per resident-day — bottom quarter in South Dakota
  • 7 health deficiencies at the last standard survey (CMS severity score 32) — top quarter
  • $9,718 in fines in 3 years
BScore 63 · GoodSee Full Grade
6056422716 Spearfish, Lawrence County Medicaid
24

Estelline Nursing And Care Center - Estelline, SD · 60 beds · government - city CMS Care Compare · data as of Aug 2026

  • Staffing 2.0 nurse hours per resident-day — bottom quarter in South Dakota
  • 1 health deficiencies at the last standard survey (CMS severity score 4) — top 10%
  • $16,826 in fines in 3 years
BScore 62 · GoodSee Full Grade
6058732278 Estelline, Hamlin County Medicaid
25

Good Samaritan Society - St Martin Village - Rapid City, SD · 60 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.7 nurse hours per resident-day — above median in South Dakota
  • 13 health deficiencies at the last standard survey (CMS severity score 76) — below median
  • No fines or payment denials in 3 years
BScore 62 · GoodSee Full Grade
6053431919 Rapid City, Pennington County Medicaid
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South Dakota nursing homes by city

How we grade nursing homes

What data goes into a grade?
CMS Care Compare: Nurse staffing (30), Health inspections (30), Quality measures (25), Penalties (15). Each metric is percentile-ranked against South Dakota facilities in the same size band; A ≥ 72, B ≥ 58, C ≥ 42, D ≥ 28, F below. Facilities with under 60% of data are shown as "Not graded".
Can a facility pay to improve its grade?
No. Grades are computed from public data and have no editable field. Nothing on this page is sponsored.
Is a grade a substitute for visiting?
No. Use it to shortlist, then visit, ask for the latest inspection report, and talk to residents' families.