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Best Nursing Homes in South Dakota, Graded A–F — page 4

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
76

Avantara Watertown - Watertown, SD · 51 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.6 nurse hours per resident-day — below median in South Dakota
  • 26 health deficiencies at the last standard survey (CMS severity score 392) — bottom quarter
  • $6,368 in fines in 3 years
DScore 32 · Below averageSee Full Grade
6058868431 Watertown, Codington County Medicaid Special Focus Facility
77

Five Counties Nursing Home - Lemmon, SD · 38 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.9 nurse hours per resident-day — bottom quarter in South Dakota
  • 4 health deficiencies at the last standard survey (CMS severity score 20) — above median
  • $20,703 in fines in 3 years
DScore 32 · Below averageSee Full Grade
6053743871 Lemmon, Perkins County Medicaid
78

St William's Care Center - Milbank, SD · 60 beds · non profit - other CMS Care Compare · data as of Aug 2026

  • Staffing 3.1 nurse hours per resident-day — bottom quarter in South Dakota
  • 10 health deficiencies at the last standard survey (CMS severity score 100) — below median
  • $132,723 in fines in 3 years
DScore 31 · Below averageSee Full Grade
6054325811 Milbank, Grant County Medicaid
79

Wilmot Care Center Inc - Wilmot, SD · 26 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.2 nurse hours per resident-day — top quarter in South Dakota
  • 5 health deficiencies at the last standard survey (CMS severity score 219) — bottom quarter
  • $28,028 in fines in 3 years
DScore 31 · Below averageSee Full Grade
6059384418 Wilmot, Roberts County Medicaid Special Focus Facility
80

Avantara Norton - Sioux Falls, SD · 110 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.9 nurse hours per resident-day — above median in South Dakota
  • 21 health deficiencies at the last standard survey (CMS severity score 232) — bottom quarter
  • $215,483 in fines in 3 years
DScore 31 · Below averageSee Full Grade
6053389891 Sioux Falls, Minnehaha County Medicaid Special Focus Facility
81

Good Samaritan Society Miller - Miller, SD · 50 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
  • 9 health deficiencies at the last standard survey (CMS severity score 64) — below median
  • $96,127 in fines in 3 years
DScore 31 · Below averageSee Full Grade
6058532701 Miller, Hand County Medicaid
82

Good Samaritan Society New Underwood - New Underwood, SD · 41 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.8 nurse hours per resident-day — bottom quarter in South Dakota
  • 10 health deficiencies at the last standard survey (CMS severity score 64) — below median
  • $26,595 in fines in 3 years
DScore 29 · Below averageSee Full Grade
6057546489 New Underwood, Pennington County Medicaid
83

Palisade Healthcare Center - Garretson, SD · 55 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.2 nurse hours per resident-day — bottom quarter in South Dakota
  • 12 health deficiencies at the last standard survey (CMS severity score 207) — bottom quarter
  • $154,946 in fines in 3 years
DScore 29 · Below averageSee Full Grade
6055943466 Garretson, Minnehaha County Medicaid
84

Avantara Redfield - Redfield, SD · 58 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.0 nurse hours per resident-day — bottom quarter in South Dakota
  • 6 health deficiencies at the last standard survey (CMS severity score 44) — below median
  • $23,044 in fines in 3 years
DScore 29 · Below averageSee Full Grade
6054722288 Redfield, Spink County Medicaid
85

Good Samaritan Society Sioux Falls Center - Sioux Falls, SD · 98 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
  • 13 health deficiencies at the last standard survey (CMS severity score 116) — bottom quarter
  • $54,936 in fines in 3 years
FScore 28 · PoorSee Full Grade
6053366252 Sioux Falls, Minnehaha County Medicaid
86

Aberdeen Health And Rehab - Aberdeen, SD · 78 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.6 nurse hours per resident-day — below median in South Dakota
  • 10 health deficiencies at the last standard survey (CMS severity score 173) — bottom quarter
  • $64,270 in fines in 3 years
FScore 28 · PoorSee Full Grade
6052257315 Aberdeen, Brown County Medicaid
87

Diamond Care Center - Bridgewater, SD · 36 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.4 nurse hours per resident-day — bottom quarter in South Dakota
  • 11 health deficiencies at the last standard survey (CMS severity score 84) — bottom quarter
  • $69,512 in fines in 3 years
FScore 28 · PoorSee Full Grade
6057292525 Bridgewater, Mc Cook County Medicaid
88

Tekakwitha Living Center - Sisseton, SD · 40 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.7 nurse hours per resident-day — bottom quarter in South Dakota
  • 10 health deficiencies at the last standard survey (CMS severity score 80) — bottom quarter
  • $37,079 in fines in 3 years
FScore 25 · PoorSee Full Grade
6056987693 Sisseton, Roberts County Medicaid
89

Riverview Healthcare Center - Flandreau, SD · 63 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
  • 21 health deficiencies at the last standard survey (CMS severity score 473) — bottom quarter
  • $176,867 in fines in 3 years
FScore 25 · PoorSee Full Grade
6059972481 Flandreau, Moody County Medicaid Special Focus Facility
90

Centerville Care And Rehab Center Inc - Centerville, SD · 42 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
  • 8 health deficiencies at the last standard survey (CMS severity score 108) — bottom quarter
  • $55,059 in fines in 3 years
FScore 25 · PoorSee Full Grade
6055632251 Centerville, Turner County Medicaid
91

Avantara Arrowhead - Rapid City, SD · 68 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
  • 13 health deficiencies at the last standard survey (CMS severity score 112) — bottom quarter
  • $153,583 in fines in 3 years
FScore 25 · PoorSee Full Grade
6053480285 Rapid City, Pennington County Medicaid
92

Good Samaritan Society De Smet - De Smet, SD · 46 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
  • 11 health deficiencies at the last standard survey (CMS severity score 104) — bottom quarter
  • $27,989 in fines in 3 years
FScore 23 · PoorSee Full Grade
6058543327 De Smet, Kingsbury County Medicaid
93

Avantara Milbank - Milbank, SD · 55 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.2 nurse hours per resident-day — below median in South Dakota
  • 16 health deficiencies at the last standard survey (CMS severity score 132) — bottom quarter
  • $55,361 in fines in 3 years
FScore 22 · PoorSee Full Grade
6054324556 Milbank, Grant County Medicaid
94

Firesteel Healthcare Center - Mitchell, SD · 125 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.5 nurse hours per resident-day — bottom quarter in South Dakota
  • 15 health deficiencies at the last standard survey (CMS severity score 179) — bottom quarter
  • $153,308 in fines in 3 years
FScore 13 · PoorSee Full Grade
6059966526 Mitchell, Davison County Medicaid
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