Last Updated: December 2025

🏆 Top 25 Nursing Homes in South Dakota

View our comprehensive rankings of the highest quality facilities in South Dakota, based on CMS data, staffing, safety, and quality measures.

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South Dakota at a Glance

128
Total Facilities
2.7
Average Rating
N/A
Avg RN Hours/Day
N/A%
Avg Turnover Rate

CMS Star Rating Distribution

(5-Star)
18
14.1%
(4-Star)
21
16.4%
(3-Star)
25
19.5%
(2-Star)
30
23.4%
(1-Star)
32
25.0%

About Nursing Homes in South Dakota

South Dakota has 128 Medicare-certified nursing homes with an average quality rating of 2.7 stars. 18 facilities (14.1%) earn the top five-star rating.

All nursing homes in South Dakota are regulated by state and federal agencies, undergo regular CMS inspections, and must meet federal quality standards. Use our search tool to compare facilities based on Medicare ratings, staffing levels, quality measures, and safety records.

Nursing Home Costs in South Dakota

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Statewide Average

Nursing home costs in South Dakota average $290-$307 per day ($8,700-$9,210/month) for skilled nursing care, which is 9% below the national median according to the 2024 Genworth Cost of Care Survey.

Most facilities accept Medicare for short-term rehabilitation (up to 100 days), private insurance, and Medicaid for eligible residents.

Cost Variation by Metro Area

We have city-level cost data for 2 metro areas in South Dakota. Costs can vary significantly by location:

Rapid City
$290-$315/day ($8,700-$9,450/month)
Sioux Falls
$301-$346/day ($9,030-$10,380/month)
Calculate detailed costs for South Dakota →

Browse by City in South Dakota

View nursing homes in specific cities across South Dakota. Each city page shows facilities ranked by quality.

RAPID CITY
8 facilities

All Nursing Homes in South Dakota

Filter and sort facilities below. Default ranking uses our composite quality score, which combines CMS ratings, staffing quality, safety records, and compliance history.

Showing 128 of 128 facilities in South Dakota

Menno-Olivet Care Center

402 S PINE STREET, MENNO, SD 57045

Phone: (605)387-5139

Distance: 0 miles | Beds: 41 | Est. Occupancy: 41% (~24 available)

NonprofitCMS Rating: 5/5 Stars

CLARKSON HEALTH CARE

1015 MT VIEW RD, RAPID CITY, SD 57702

Phone: (605)343-5882

Distance: 0 miles | Beds: 51 | Est. Occupancy: 88% (~6 available)

NonprofitCMS Rating: 5/5 Stars

PRAIRIE HEIGHTS HEALTHCARE

400 8TH AVENUE NW, ABERDEEN, SD 57401

Phone: (605)225-2550

Distance: 0 miles | Beds: 99 | Est. Occupancy: 62% (~37 available)

For-ProfitCMS Rating: 5/5 Stars
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How Does South Dakota Compare?

Explore nursing home quality in neighboring states and regions:

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National State Rankings

See where South Dakota ranks among all 50 states for quality, staffing, and safety.

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📚 Expert Guides to Evaluating Nursing Homes

Learn how to interpret quality ratings and staffing metrics with our data-driven guides based on 14,751 facilities nationwide.

The Truth About Star Ratings

Only 18.9% of facilities earn 5 stars. Learn what ratings really mean and how to use them effectively.

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Understanding Staffing Levels

South Dakota averages N/A RN hours/day. Learn what staffing metrics reveal about care quality.

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Facility Tour Checklist

Essential questions to ask and red flags to watch for when visiting South Dakota facilities.

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Warning Signs of Neglect

Critical red flags that indicate neglect, abuse, or substandard care at any facility.

Read Guide →
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Decoding CMS Data

Learn how to read health inspections, quality measures, and compliance reports.

Read Guide →
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All Expert Guides

Browse our complete library of nursing home evaluation resources.

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