2026 Rankings

Best Nursing Homes in South Dakota

Top 25 nursing homes in South Dakota ranked by CareGrader’s A-F grading system, based on real CMS government inspection data.

96 total facilities2.8 avg rating1 Special Focus Facilities

How we rank: Facilities are ranked by CareGrader composite score (0-100), which combines CMS health inspections (35%), staffing levels (25%), quality measures (25%), and penalty history (15%). Read our methodology

#1
A

AVERA SISTER JAMES CARE CENTER

YANKTON, South Dakota

Score: 95.8/1005/5 CMS187 bedsNon profit - Corporation
#2
A

White River Health Care Center

WHITE RIVER, South Dakota

Score: 93.5/1005/5 CMS52 bedsNon profit - Corporation
#3
A

AVERA MARYHOUSE LONG TERM CARE

PIERRE, South Dakota

Score: 93.3/1005/5 CMS80 bedsNon profit - Corporation
#4
A

AVANTARA LAKE NORDEN

LAKE NORDEN, South Dakota

Score: 91/1005/5 CMS48 bedsFor profit - Limited Liability company
#5
A

Walworth County Care Center, Inc

SELBY, South Dakota

Score: 90.8/1005/5 CMS50 bedsNon profit - Corporation
#6
A

FAULKTON SENIOR LIVING

FAULKTON, South Dakota

Score: 90.8/1005/5 CMS35 bedsFor profit - Corporation
#7
A

CLARKSON HEALTH CARE

RAPID CITY, South Dakota

Score: 90.8/1005/5 CMS51 bedsNon profit - Other
#8
A

THE NEIGHBORHOODS AT BROOKVIEW

BROOKINGS, South Dakota

Score: 90.8/1005/5 CMS79 bedsGovernment - City/county
#9
B

AVERA BRADY HEALTH AND REHAB

MITCHELL, South Dakota

Score: 89.8/1005/5 CMS84 bedsNon profit - Corporation
#10
B

Good Samaritan Society Corsica

CORSICA, South Dakota

Score: 89.3/1005/5 CMS50 bedsNon profit - Corporation
#11
B

GOOD SAMARITAN SOCIETY HOWARD

HOWARD, South Dakota

Score: 88.3/1005/5 CMS45 bedsNon profit - Corporation
#12
B

Weskota Manor Inc

WESSINGTON SPRINGS, South Dakota

Score: 87.3/1005/5 CMS40 bedsNon profit - Corporation
#13
B

SD HUMAN SERVICES CENTER - GERIATRIC PROGRAM

YANKTON, South Dakota

Score: 87.3/1005/5 CMS69 bedsGovernment - State
#14
B

Bethesda Home

WEBSTER, South Dakota

Score: 87.3/1005/5 CMS50 bedsNon profit - Church related
#15
B

Westhills Village Health Care Facility

RAPID CITY, South Dakota

Score: 86.3/1004/5 CMS44 bedsNon profit - Other
#16
B

Medicine Wheel Village

EAGLE BUTTE, South Dakota

Score: 85.3/1004/5 CMS50 bedsNon profit - Other
#17
B

Wakonda Heritage Manor

WAKONDA, South Dakota

Score: 85/1004/5 CMS38 bedsNon profit - Other
#18
B

OAKVIEW TERRACE

FREEMAN, South Dakota

Score: 85/1005/5 CMS45 bedsNon profit - Corporation
#19
B

Avera Rosebud Country Care Center

GREGORY, South Dakota

Score: 84.8/1004/5 CMS30 bedsNon profit - Corporation
#20
B

DOW RUMMEL VILLAGE

SIOUX FALLS, South Dakota

Score: 84.8/1004/5 CMS50 bedsNon profit - Corporation
#21
B

PRAIRIE HEIGHTS HEALTHCARE

ABERDEEN, South Dakota

Score: 84.8/1005/5 CMS99 bedsFor profit - Limited Liability company
#22
B

GOOD SAMARITAN SOCIETY SCOTLAND

SCOTLAND, South Dakota

Score: 84.8/1004/5 CMS45 bedsNon profit - Corporation
#23
B

Tieszen Memorial Home

MARION, South Dakota

Score: 84.8/1004/5 CMS64 bedsNon profit - Corporation
#24
B

BOWDLE NURSING HOME

BOWDLE, South Dakota

Score: 84.8/1004/5 CMS27 bedsGovernment - City
#25
B

AVERA PRINCE OF PEACE

SIOUX FALLS, South Dakota

Score: 82.8/1003/5 CMS126 bedsNon profit - Church related
View All Nursing Homes in South Dakota

About Nursing Homes in South Dakota

South Dakota has 96 Medicare-certified nursing homes. CareGrader grades every facility from A to F using official CMS (Centers for Medicare & Medicaid Services) government data, including surprise health inspections, Payroll-Based Journal staffing audits, quality measures, and enforcement actions.

The average CMS star rating across all nursing homes in South Dakota is 2.8 out of 5 stars. There is currently 1 Special Focus Facility in South Dakota — nursing homes flagged by CMS for a persistent history of serious quality issues.

The rankings above show the top 25 nursing homes in South Dakota by CareGrader composite score. Scores are recalculated monthly when CMS publishes updated datasets. Read our full methodology to understand how grades are calculated.

Frequently Asked Questions

What is the best nursing home in South Dakota?

Based on CareGrader's analysis of CMS government data, AVERA SISTER JAMES CARE CENTER in YANKTON is the highest-rated nursing home in South Dakota with a grade of A (score: 95.8/100). Rankings are based on health inspections (35%), staffing (25%), quality measures (25%), and penalty history (15%).

How many nursing homes are in South Dakota?

There are 96 Medicare-certified nursing homes in South Dakota. CareGrader grades each one from A to F based on CMS health inspection, staffing, quality, and penalty data.

How does CareGrader rank nursing homes in South Dakota?

CareGrader assigns A-F grades using a composite score (0-100) that combines four dimensions of CMS government data: health inspections (35% weight), staffing levels from Payroll-Based Journal data (25%), quality measures (25%), and penalty history including fines (15%). Grade A = 90-100 (Excellent), B = 80-89 (Good), C = 70-79 (Average), D = 60-69 (Below Average), F = below 60 (Poor). Data is updated monthly.

What is the average nursing home rating in South Dakota?

The average CMS star rating for nursing homes in South Dakota is 2.8 out of 5 stars. Use CareGrader to find facilities that score above this average.