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Best Nursing Homes in South Dakota, Graded A–F — page 3
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
All South Dakota
Rapid City (8)Sioux Falls (7)Aberdeen (4)Brookings (2)Flandreau (2)Hot Springs (2)Milbank (2)Mitchell (2)Pierre (2)
51
Sunset Manor Avera Health - Irene, SD · 58 beds · non profit - other CMS Care Compare · data as of Aug 2026
- Staffing 5.1 nurse hours per resident-day — top 10% in South Dakota
- 7 health deficiencies at the last standard survey (CMS severity score 68) — below median
- $40,596 in fines in 3 years
CScore 47 · AverageSee Full Grade
6052633318
Irene, Clay County
Medicaid
52
Sanford Chamberlain Care Center - Chamberlain, SD · 44 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
- 2 health deficiencies at the last standard survey (CMS severity score 8) — top quarter
- $124,961 in fines in 3 years
CScore 46 · AverageSee Full Grade
6052346518
Chamberlain, Brule County
Medicaid
53
Aurora Brule Nursing Home Inc - White Lake, SD · 44 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — below median in South Dakota
- 9 health deficiencies at the last standard survey (CMS severity score 60) — below median
- $17,928 in fines in 3 years
CScore 45 · AverageSee Full Grade
6052492216
White Lake, Aurora County
Medicaid
54
Wheatcrest Hills Healthcare Center - Britton, SD · 60 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 2.7 nurse hours per resident-day — bottom quarter in South Dakota
- 4 health deficiencies at the last standard survey (CMS severity score 40) — above median
- $37,553 in fines in 3 years
CScore 45 · AverageSee Full Grade
6054482251
Britton, Marshall County
Medicaid
55
Good Samaritan Society Canton - Canton, SD · 56 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — below median in South Dakota
- 2 health deficiencies at the last standard survey (CMS severity score 8) — top quarter
- $19,615 in fines in 3 years
CScore 45 · AverageSee Full Grade
6059872696
Canton, Lincoln County
Medicaid
56
Good Samaritan Society Sioux Falls Village - Sioux Falls, SD · 177 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.8 nurse hours per resident-day — below median in South Dakota
- 6 health deficiencies at the last standard survey (CMS severity score 48) — above median
- $72,812 in fines in 3 years
CScore 45 · AverageSee Full Grade
6053613311
Sioux Falls, Minnehaha County
Medicaid
57
Sun Dial Manor - Bristol, SD · 37 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
- 11 health deficiencies at the last standard survey (CMS severity score 88) — bottom quarter
- $24,528 in fines in 3 years
CScore 45 · AverageSee Full Grade
6054923615
Bristol, Day County
Medicaid
58
Avera Oahe Manor - Gettysburg, SD · 53 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
- 6 health deficiencies at the last standard survey (CMS severity score 44) — below median
- No fines or payment denials in 3 years
CScore 44 · AverageSee Full Grade
6057652461
Gettysburg, Potter County
Medicaid
59
Bethel Lutheran Home - Madison, SD · 59 beds · non profit - church related CMS Care Compare · data as of Aug 2026
- Staffing 3.7 nurse hours per resident-day — above median in South Dakota
- 7 health deficiencies at the last standard survey (CMS severity score 96) — bottom quarter
- $56,430 in fines in 3 years
CScore 44 · AverageSee Full Grade
6052564539
Madison, Lake County
Medicaid
60
Flandreau Santee Sioux Tribe Care Center - Flandreau, SD · 42 beds · non profit - other CMS Care Compare · data as of Aug 2026
- 4 health deficiencies at the last standard survey (CMS severity score 36) — below median
- $27,967 in fines in 3 years
CScore 44 · AverageSee Full Grade
6055732100
Flandreau, Moody County
Medicaid
61
Sanford Care Center Vermillion - Vermillion, SD · 66 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — bottom quarter in South Dakota
- 4 health deficiencies at the last standard survey (CMS severity score 36) — top quarter
- $44,577 in fines in 3 years
CScore 42 · AverageSee Full Grade
6056773500
Vermillion, Clay County
Medicaid
62
Dells Nursing And Rehab Center Inc - Dell Rapids, SD · 50 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.0 nurse hours per resident-day — bottom quarter in South Dakota
- 3 health deficiencies at the last standard survey (CMS severity score 12) — top quarter
- $173,010 in fines in 3 years
DScore 42 · Below averageSee Full Grade
6054285478
Dell Rapids, Minnehaha County
Medicaid
63
Avantara Groton - Groton, SD · 37 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.7 nurse hours per resident-day — above median in South Dakota
- 9 health deficiencies at the last standard survey (CMS severity score 60) — below median
- $6,168 in fines in 3 years
DScore 40 · Below averageSee Full Grade
6053972365
Groton, Brown County
Medicaid
64
Bethany Home - Brandon - Brandon, SD · 60 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.7 nurse hours per resident-day — top 10% in South Dakota
- 14 health deficiencies at the last standard survey (CMS severity score 108) — bottom quarter
- $51,350 in fines in 3 years
DScore 39 · Below averageSee Full Grade
6055825200
Brandon, Minnehaha County
Medicaid
65
Highmore Health - Highmore, SD · 39 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — bottom quarter in South Dakota
- 5 health deficiencies at the last standard survey (CMS severity score 36) — below median
- No fines or payment denials in 3 years
DScore 38 · Below averageSee Full Grade
6058522255
Highmore, Hyde County
Medicaid
66
Winner Regional Healthcare Center - Winner, SD · 40 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 5.0 nurse hours per resident-day — top quarter in South Dakota
- 17 health deficiencies at the last standard survey (CMS severity score 269) — bottom quarter
- $13,039 in fines in 3 years
DScore 38 · Below averageSee Full Grade
6058427200
Winner, Tripp County
Medicaid
Special Focus Facility
67
Avantara North - Rapid City, SD · 68 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — bottom quarter in South Dakota
- 7 health deficiencies at the last standard survey (CMS severity score 52) — above median
- $24,108 in fines in 3 years
DScore 37 · Below averageSee Full Grade
6053434958
Rapid City, Pennington County
Medicaid
68
Avera Bormann Manor - Parkston, SD · 50 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.6 nurse hours per resident-day — below median in South Dakota
- 5 health deficiencies at the last standard survey (CMS severity score 24) — above median
- $47,187 in fines in 3 years
DScore 37 · Below averageSee Full Grade
6059283384
Parkston, Hutchinson County
Medicaid
69
Avantara Huron - Huron, SD · 119 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.4 nurse hours per resident-day — below median in South Dakota
- 10 health deficiencies at the last standard survey (CMS severity score 88) — below median
- $8,338 in fines in 3 years
DScore 37 · Below averageSee Full Grade
6053528471
Huron, Beadle County
Medicaid
70
Good Samaritan Society Luther Manor - Sioux Falls, SD · 92 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.9 nurse hours per resident-day — top quarter in South Dakota
- 12 health deficiencies at the last standard survey (CMS severity score 120) — bottom quarter
- $92,066 in fines in 3 years
DScore 36 · Below averageSee Full Grade
6053361997
Sioux Falls, Minnehaha County
Medicaid
71
Avantara Saint Cloud - Rapid City, SD · 78 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — bottom quarter in South Dakota
- 6 health deficiencies at the last standard survey (CMS severity score 64) — below median
- $24,751 in fines in 3 years
DScore 36 · Below averageSee Full Grade
6053434738
Rapid City, Pennington County
Medicaid
72
Good Samaritan Society Canistota - Canistota, SD · 55 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — below median in South Dakota
- 7 health deficiencies at the last standard survey (CMS severity score 56) — below median
- $9,009 in fines in 3 years
DScore 35 · Below averageSee Full Grade
6052963442
Canistota, Mc Cook County
Medicaid
73
Rolling Hills Healthcare - Belle Fourche, SD · 83 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.6 nurse hours per resident-day — above median in South Dakota
- 12 health deficiencies at the last standard survey (CMS severity score 104) — bottom quarter
- $80,634 in fines in 3 years
DScore 35 · Below averageSee Full Grade
6058923331
Belle Fourche, Butte County
Medicaid
74
Strand-Kjorsvig Community Rest Home - Roslyn, SD · 35 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — below median in South Dakota
- 15 health deficiencies at the last standard survey (CMS severity score 132) — bottom quarter
- $41,495 in fines in 3 years
DScore 34 · Below averageSee Full Grade
6054864523
Roslyn, Day County
Medicaid
75
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
Rapid City (8)Sioux Falls (7)Aberdeen (4)Brookings (2)Flandreau (2)Hot Springs (2)Milbank (2)Mitchell (2)Pierre (2)Redfield (2)Watertown (2)Yankton (2)Alcester (1)Belle Fourche (1)Beresford (1)Bowdle (1)Brandon (1)Bridgewater (1)Bristol (1)Britton (1)Canistota (1)Canton (1)Centerville (1)Chamberlain (1)