Nursing Homes in South Dakota
96 nursing homes in South Dakota — 95 independently graded on public safety, staffing and enforcement records, 1 listed with limited data. No facility pays for placement.
How these grades work. Every grade is computed from a fixed public rubric — safety inspections, staffing, clinical outcomes, enforcement actions and financial stability — using government data. No facility can pay to change its grade or placement. Providers with under 30% rubric coverage are shown as "Listed" with no letter grade rather than pretending thin data is comparable. Read the full methodology.
What this costs. A nursing-home bed in South Dakota runs a median $311/day semi-private · $335/day private — national: $315 · $355. Medicare covers only short rehab stays (up to 100 days); long-term stays are private pay until savings spend down to Medicaid. In the tables below, the Price column ($–$$$$$) ranks each facility's reported charges from its own federal cost report, lowest to highest fifth within South Dakota. Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Top-graded nursing homes in South Dakota
| Facility | City | Grade | Price | Rubric coverage | Beds |
|---|---|---|---|---|---|
| Menno-Olivet Care Center | Menno | A | — | 75% | 41 |
| White River Health Care Center | White River | A | — | 75% | 52 |
| Avera Rosebud Country Care Center | Gregory | A | — | 75% | 30 |
| Clarkson Health Care | Rapid City | A | $$$ | 75% | 49 |
| Walworth County Care Center, Inc | Selby | A- | $ | 75% | 50 |
| Bethesda Home | Webster | A- | $$ | 75% | 50 |
| Avera Maryhouse Long Term Care | Pierre | A- | — | 75% | 80 |
| The Neighborhoods At Brookview | Brookings | A- | — | 75% | 79 |
| Oakview Terrace | Freeman | A- | — | 75% | 45 |
| Good Samaritan Society Howard | Howard | A- | $$$ | 75% | 45 |
| Avera Brady Health And Rehab | Mitchell | A- | — | 75% | 84 |
| Good Samaritan Society Scotland | Scotland | A- | $$ | 75% | 45 |
| Avera Sister James Care Center | Yankton | A- | — | 75% | 194 |
| Weskota Manor Inc | Wessington Springs | A- | $ | 75% | 40 |
| Faulkton Senior Living | Faulkton | B+ | $ | 75% | 41 |
| Bethany Home Sioux Falls | Sioux Falls | B+ | $$$$ | 75% | 52 |
| Platte Care Center | Platte | B+ | — | 75% | 48 |
| Sd Human Services Center - Geriatric Program | Yankton | B+ | — | 75% | 69 |
| Alcester Care And Rehab Center, Inc | Alcester | B+ | $ | 75% | 44 |
| Bowdle Nursing Home | Bowdle | B+ | — | 75% | 27 |
| Kadoka Nursing Home | Kadoka | B+ | — | 75% | 31 |
| Wakonda Heritage Manor | Wakonda | B+ | $$$$ | 75% | 38 |
| Avantara Lake Norden | Lake Norden | B+ | $$$$ | 75% | 50 |
| Westhills Village Health Care Facility | Rapid City | B+ | $$ | 75% | 44 |
| Eastern Star Home Of South Dakota, Inc | Redfield | B+ | — | 75% | 30 |
| Tieszen Memorial Home | Marion | B+ | $ | 75% | 64 |
| Prairie Heights Healthcare | Aberdeen | B | $$$$$ | 75% | 99 |
| Avera Oahe Manor | Gettysburg | B | — | 75% | 53 |
| Bethesda Home Of Aberdeen | Aberdeen | B | $$ | 75% | 86 |
| Avantara Watertown | Watertown | B | $$$$$ | 75% | 51 |
| Avera Prince Of Peace | Sioux Falls | B | — | 75% | 126 |
| Avantara Clark City | Clark | B | $$$$$ | 75% | 35 |
| Estelline Nursing And Care Center | Estelline | B | $ | 75% | 60 |
| Avantara Mountain View | Rapid City | B | $$$$$ | 75% | 101 |
| Highmore Health | Highmore | B | $ | 75% | 39 |
| Flandreau Santee Sioux Tribe Care Center | Flandreau | B | — | 75% | 42 |
| Seven Sisters Living Center | Hot Springs | B | — | 75% | 52 |
| Monument Health Sturgis Care Center | Sturgis | B | — | 75% | 40 |
| Avera Eureka Health Care Center | Eureka | B- | $ | 75% | 56 |
| Good Samaritan Society Canistota | Canistota | B- | $$ | 75% | 55 |
| Pioneer Memorial Nursing Home | Viborg | B- | — | 75% | 46 |
| Avera Bormann Manor | Parkston | B- | — | 75% | 50 |
| Scotchman Living Center | Philip | B- | — | 75% | 42 |
| Winner Regional Healthcare Center | Winner | B- | — | 75% | 40 |
| Dells Nursing And Rehab Center Inc | Dell Rapids | B- | $ | 75% | 50 |
| Spearfish Canyon Healthcare | Spearfish | B- | $$$$ | 75% | 105 |
| Good Samaritan Society - St Martin Village | Rapid City | B- | $$$ | 75% | 60 |
| Bethesda Of Beresford | Beresford | B- | $ | 75% | 39 |
| Avera Mother Joseph Manor Retirement Community | Aberdeen | B- | — | 75% | 81 |
| Good Samaritan Society Canton | Canton | B- | $$$ | 75% | 56 |