RankingsCMS data: August 2026

Best Nursing Homes in South Dakota (2026)

The top 25 of 93 CMS-certified nursing homes in South Dakota, ranked by CMS overall rating, then penalties, health inspections and staffing — never paid placement. See how our ranking method works

963.1 per 30K residentsAbove national avg of 1.3 per 30KTotal Nursing Homes
2.9/5
-0.1 vs national avgNational avg: 3.00Statewide Avg Rating
$47K$23K vs national avgNational avg: $70KAvg Fine (When Penalized)
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1No Penalties

Nursing HomeMitchell, SD

Avera Brady Health And Rehab

Non-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures4.0
84 BedsStandard health inspection Apr 2026

Above South Dakota avg of 2.9

500 S OhlmanMitchell, SD 57301

(605) 996-7701

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2No Penalties

Nursing HomePierre, SD

Avera Maryhouse Long Term Care

Non-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures4.0
80 BedsStandard health inspection Sep 2025

Above South Dakota avg of 2.9

717 East DakotaPierre, SD 57501

(605) 224-3163

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3No Penalties

Nursing HomeScotland, SD

Good Samaritan Society Scotland

Non-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures3.0
45 BedsStandard health inspection Mar 2025

Above South Dakota avg of 2.9

130 6th StreetScotland, SD 57059

(605) 583-2216

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4No Penalties

Nursing HomeMenno, SD

Menno-Olivet Care Center

Non-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures2.0
41 BedsStandard health inspection Mar 2026

Above South Dakota avg of 2.9

402 S Pine StreetMenno, SD 57045

(605) 387-5139

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5No Penalties

Nursing HomeBrookings, SD

The Neighborhoods At Brookview

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing4.0
  • Quality Measures3.0
79 BedsStandard health inspection Nov 2025

Above South Dakota avg of 2.9

2421 Yorkshire DrBrookings, SD 57006

(605) 696-8700

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6No Penalties

Nursing HomeSelby, SD

Walworth County Care Center, Inc

Non-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing4.0
  • Quality Measures4.0
50 BedsStandard health inspection Apr 2026

Above South Dakota avg of 2.9

4861 Lincoln AvenueSelby, SD 57472

(605) 649-7663

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7No Penalties

Nursing HomeAlcester, SD

Alcester Care And Rehab Center, Inc

For-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing3.0
  • Quality Measures3.0
44 BedsStandard health inspection Aug 2025

Above South Dakota avg of 2.9

101 Church StreetAlcester, SD 57001

(605) 934-2011

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8No Penalties

Nursing HomeHoward, SD

Good Samaritan Society Howard

Non-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing3.0
  • Quality Measures5.0
45 BedsStandard health inspection May 2026

Above South Dakota avg of 2.9

300 West Hazel AvenueHoward, SD 57349

(605) 772-4481

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9No Penalties

Nursing HomeWebster, SD

Bethesda Home

Faith-based

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures4.0
50 BedsStandard health inspection Apr 2026

Above South Dakota avg of 2.9

129 W Hwy 12Webster, SD 57274

(605) 345-3331

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10No Penalties

Nursing HomeRapid City, SD

Clarkson Health Care

Non-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures4.0
49 BedsStandard health inspection Jul 2025

Above South Dakota avg of 2.9

1015 Mt View RdRapid City, SD 57702

(605) 343-5882

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11No Penalties

Nursing HomeYankton, SD

Sd Human Services Center - Geriatric Program

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures2.0
69 BedsStandard health inspection Jun 2025

Above South Dakota avg of 2.9

3515 Broadway AveYankton, SD 57078

(605) 668-3100

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12No Penalties

Nursing HomeLake Norden, SD

Avantara Lake Norden

For-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing4.0
  • Quality Measures5.0
50 BedsStandard health inspection Mar 2025

Above South Dakota avg of 2.9

803 Park StreetLake Norden, SD 57248

(605) 785-3654

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131 Penalty

Nursing HomeWhite River, SD

White River Health Care Center

Non-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures4.0
52 BedsStandard health inspection Mar 2025

Above South Dakota avg of 2.9

515 E 8th StreetWhite River, SD 57579

(605) 259-3161

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141 Penalty

Nursing HomeViborg, SD

Pioneer Memorial Nursing Home

Non-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing4.0
  • Quality Measures4.0
46 BedsStandard health inspection Jun 2026

Above South Dakota avg of 2.9

315 North Washington StViborg, SD 57070

(605) 326-5161

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151 Penalty

Nursing HomeYankton, SD

Avera Sister James Care Center

Non-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures4.0
194 BedsStandard health inspection May 2026

Above South Dakota avg of 2.9

2111 West 11th StreetYankton, SD 57078

(605) 668-8900

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161 Penalty

Nursing HomeWakonda, SD

Wakonda Heritage Manor

Non-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures3.0
38 BedsStandard health inspection May 2026

Above South Dakota avg of 2.9

515 Ohio StreetWakonda, SD 57073

(605) 267-2081

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171 Penalty

Nursing HomeRapid City, SD

Westhills Village Health Care Facility

Non-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing4.0
  • Quality Measures5.0
44 BedsStandard health inspection Mar 2026

Above South Dakota avg of 2.9

255 Texas StRapid City, SD 57701

(605) 342-0255

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181 Penalty

Nursing HomeFreeman, SD

Oakview Terrace

Non-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection3.0
  • Staffing5.0
  • Quality Measures5.0
45 BedsStandard health inspection Jun 2025

Above South Dakota avg of 2.9

510 E 8th StFreeman, SD 57029

(605) 925-4000

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192 Penalties

Nursing HomePlatte, SD

Platte Care Center

Non-profit

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures2.0
48 BedsStandard health inspection Nov 2025

Above South Dakota avg of 2.9

609 East 7thPlatte, SD 57369

(605) 337-3131

View Facility

State report

Why families compare nursing homes in South Dakota

#22of 51 states & DC
Health Ranking

Below the median for overall health outcomes (rank 22 of 51).

America’s Health Rankings 2024
  • Population 65+22.4%Census ACS 2023
  • Life expectancy78.0 yrs

    A little higher than the national average of 76.4 yrs.

    CDC NVSR 2022
  • Nurse staff turnover48.1%

    A little higher than the national average of 45.8%.

    CMS PBJ 2024

See full demographics & care economics for South Dakota →

FAQ

Questions families ask about this page

How many nursing homes are in South Dakota?

South Dakota has 96 nursing homes in the active CMS data. This rankings page evaluated 93 eligible nursing homes with public CMS ratings and public profile slugs, then highlighted the top 25.

What is the average CMS rating for nursing homes in South Dakota?

Nursing homes in South Dakota average 2.9 out of 5 on the CMS overall rating, compared with a national nursing-home average of 3.0.

What is the average fine when a nursing home in South Dakota is penalized?

Among South Dakota nursing homes that were fined, the average fine is $47K. The national nursing-home average is $70K.

How does South Dakota compare with the national average?

South Dakota averages 2.9 out of 5 on CMS overall rating, compared with a national nursing-home average of 3.0. The average fine when penalized is $47K versus $70K nationally.

Should I rely on these rankings alone?

No. Use this report as a shortlist, then review the facility profile, confirm payment options, look at inspection history, and speak with licensed professionals before making a care decision.

What do the CMS data and inspection dates mean?

CMS data: August 2026. The inspection date is the latest standard health inspection reported in the CMS survey summary, including inspections with no deficiencies. Complaint and fire safety surveys are separate. A recent CMS release can include an older inspection date. Listings absent from the latest imported CMS provider release remain available on the platform but are excluded from current rankings.

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