Best Nursing Homes in Pierre, SD, Graded A–F
All 2 graded Medicare-certified nursing homes in Pierre, SD, 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, 2026Grade distribution — Pierre, SD
A1
B0
C0
D1
F0
Highest graded
Pierre · Staffing 4.6 nurse hours per resident-da...See grade
2 facilitiesgraded in Pierre, SD · 1 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)Redfield (2)
Highest in Pierre, SD 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
Avantara Pierre - Pierre, SD · 65 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 2.8 nurse hours per resident-day — bottom quarter in South Dakota
- 12 health deficiencies at the last standard survey (CMS severity score 76) — below median
- $22,048 in fines in 3 years
DScore 32 · Below averageSee Full Grade
6052248628
Pierre, Hughes County
Medicaid
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.