96 nursing homes in South Dakota
Medicare and Medicaid certified, with CMS star ratings.
- nursing homes
- 96
- average CMS stars
- 3
- certified beds
- 5,835
- for profit
- 32%
How South Dakota nursing homes rate
CMS rates 94 of South Dakota's 96 certified nursing homes. The average overall rating is 3 stars.
| Overall rating | Nursing homes |
|---|---|
| 5 of 5 | 21 |
| 4 of 5 | 15 |
| 3 of 5 | 18 |
| 2 of 5 | 22 |
| 1 of 5 | 18 |
| Not rated | 2 |
The top-rated nursing homes in South Dakota
Sorted by overall stars, then health inspection stars, staffing and size.
| Nursing home | City | Overall | Beds |
|---|---|---|---|
| Estelline Nursing and Care Center | Estelline | 5 of 5 | 60 |
| Avera Maryhouse Long Term Care | Pierre | 5 of 5 | 80 |
| Avera Brady Health and Rehab | Mitchell | 5 of 5 | 84 |
| Menno-Olivet Care Center | Menno | 5 of 5 | 41 |
| Walworth County Care Center, Inc | Selby | 5 of 5 | 50 |
| Good Samaritan Society Howard | Howard | 5 of 5 | 45 |
| The Neighborhoods at Brookview | Brookings | 5 of 5 | 79 |
| Pioneer Memorial Nursing Home | Viborg | 5 of 5 | 46 |
| Good Samaritan Society Canton | Canton | 5 of 5 | 56 |
| White River Health Care Center | White River | 5 of 5 | 52 |
Nursing homes by city
The cities with the most certified nursing homes in South Dakota.
- Rapid City 8 homes
- Sioux Falls 7 homes
- Aberdeen 4 homes
- Brookings 2 homes
- Flandreau 2 homes
- Hot Springs 2 homes
- Milbank 2 homes
- Mitchell 2 homes
- Pierre 2 homes
- Redfield 2 homes
- Watertown 2 homes
- Yankton 2 homes
- Alcester 1 home
- Belle Fourche 1 home
- Beresford 1 home
Who owns them
| Ownership | Nursing homes | Share |
|---|---|---|
| For profit | 31 | 32% |
| Non-profit | 60 | 63% |
| Government | 5 | 5% |
Inspections and fines
At the most recent standard inspection, South Dakota's homes were cited for 598 deficiencies, an average of 6.3 each. 3 had none. 72 homes were fined $3,918,964 over 3 years.
Special focus facilities and abuse flags
12 homes carry the CMS abuse icon. 1 is a special focus facility and 5 are candidates: homes with a long record of serious problems that CMS inspects more often.
How to read a CMS star rating
One star is much below average and five stars much above, compared with other homes in the same state. Look at the health inspection stars first, then read the citations.
Questions families ask about South Dakota
How many nursing homes are in South Dakota?
96 certified by CMS.
What is the best rated nursing home in South Dakota?
We don't pick one. Estelline Nursing and Care Center in Estelline tops the CMS sort with 5 stars.
Will Medicare pay for a nursing home in South Dakota?
For up to 100 days of skilled care after a 3-day hospital stay, not for long-term custodial care. A shared room has a median of $9,444 a month here.
What does a CMS star rating mean?
How a home compares with others in the same state, from inspections, staffing and quality.
From the federal record: CMS Provider Information, October 2026 release.