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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
All South Dakota
Rapid City (8)Sioux Falls (7)Aberdeen (4)Brookings (2)Flandreau (2)Hot Springs (2)Milbank (2)Mitchell (2)Pierre (2)
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
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)