47 Independent Nursing Homes in South Dakota

Nurse hours

n/a /day

Staff turnover

45%

Serious cites

0

Bethany Home Sioux Falls runs on a notably deep nursing bench, 5.40 hours per resident day against a national average of 3.86, and weekend coverage holds within about 11% of weekday levels, so the drop-off many families worry about is modest here. Staff turnover sits at 44.9%, basically in line with the national 45.8%, meaning this isn't a place cycling through workers faster than everyone else. The tradeoff is a record with 12 deficiencies on file, including one abuse-related citation, though none reached harm or jeopardy level, and the most recent inspection came in December 2025. For a 52-bed nonprofit, the numbers point to steady hands on the floor with some paperwork and policy issues still showing up.

Nurse hours

4.61 /day

Staff turnover

30%

Serious cites

0

Eastern Star Home in Redfield runs a tight staffing ship: 4.61 nurse hours per resident day, roughly 19% above the national average, with a 5/5 staffing star and turnover at 30.4%, well below the 45.8% national figure. But staffing isn't the whole picture. The home's quality measure rating sits at 1/5, and its current record shows six deficiencies, two of them serious enough to reach harm or jeopardy level, including one tied to abuse. A single fine of $17,096 appears on file. The most recent inspection was August 7, 2025, so the picture is current. Good hands on deck, shaky clinical outcomes and a harm-level citation are what hold this one back.

Nurse hours

3.29 /day

Staff turnover

n/a

Serious cites

0

Aurora Brule Nursing Home runs about 15% below the national average for nurse staffing, at 3.29 hours per resident day, and weekends drop roughly another 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current record shows 16 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $17,928 fine. A recent inspection closed in July 2025. Quality measures score well, but that staffing number and those deficiencies sit on the other side of the ledger.

Nurse hours

3.79 /day

Staff turnover

39%

Serious cites

0

Bethesda Home of Aberdeen runs on a church-affiliated nonprofit model with 86 certified beds, and its staffing sits just under the national mark at 3.79 nurse hours per resident day, roughly 2% below average. The bigger issue is consistency: weekend coverage drops about 21% below what the home provides on weekdays. Turnover lands at 38.9%, which is actually better than the 45.8% national figure, so the workforce is more stable than most. The current inspection record shows 12 deficiencies, including one at the harm or jeopardy level, with no abuse citations. The most recent inspection was March 2026.

Nurse hours

3.69 /day

Staff turnover

50%

Serious cites

0

Bethesda of Beresford runs 39 beds as a nonprofit, and its staffing sits at 3.69 nurse hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 16% below its own weekday coverage, and half the staff turns over each year, a bit above the 45.8% national figure. The inspection record carries 25 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse, and there's a single fine of $16,088. Its last inspection came in August 2025. Resident care measures look strong, but the survey history and weekend coverage gaps are where the real story sits.

Nurse hours

3.63 /day

Staff turnover

43%

Serious cites

0

Avera Bormann Manor runs a five-star staffing rating, and its 42.6% turnover is actually a bit better than the national average. But the 3.63 nurse hours per resident day sit about 6% under the national figure, and weekends drop roughly 18% below the home's own weekday coverage, so the hands on deck thin out right when families tend to visit. The inspection record is where the concern sharpens: 15 deficiencies, four at harm or jeopardy level and two tied to abuse, plus four fines totaling $47,187. A one-star quality measure rating alongside a three-star inspection rating suggests the clinical picture doesn't match the staffing grade.

Nurse hours

3.67 /day

Staff turnover

54%

Serious cites

0

Jenkin's Living Center runs 110 beds as a nonprofit corporation, and its most recent inspection was in May 2026. The numbers worth your attention are on the direct-care side: 3.67 nurse staffing hours per resident day sits about 5% under the national average, weekends drop roughly 12% below the home's own weekday levels, and annual turnover of 54.1% runs well above the 45.8% national figure. On its record are 27 deficiencies, three of them serious enough to involve harm or jeopardy and two tied to abuse, plus two fines totaling $53,086. Federal ratings put staffing highest and inspections and quality measures in the middle. Ask about weekend coverage, turnover on your parent's specific unit, and what changed after those harm-level findings.

Nurse hours

2.74 /day

Staff turnover

43%

Serious cites

0

Alcester Care and Rehab runs 44 certified beds under corporate for-profit ownership, and its recent inspection record is genuinely strong, a five-star health inspection rating with ten deficiencies on file, none of them causing harm or jeopardy and none tied to abuse. The tradeoff shows up in daily staffing: 2.74 nurse hours per resident, roughly 29 percent under the national average of 3.86, with weekends running about 15 percent thinner than weekdays. Turnover sits at 43.3 percent, slightly better than the 45.8 percent national figure. The state survey was just completed in August 2025, so the findings are current. Fewer hands on weekends is the thing to ask about directly.

Nurse hours

2.04 /day

Staff turnover

29%

Serious cites

0

Estelline Nursing And Care Center is city-owned, which is unusual, and its 28.8% turnover is well below the 45.8% national average, staff tend to stay. The problem is how few of them there are: 2.04 nurse hours per resident day, roughly 47% under the national average of 3.86, and weekends run about 21% thinner than weekdays. One deficiency sits on the current record, and it's at the harm level, with a $16,826 fine attached. The last inspection was April 2025, so that finding is recent. Quality measures look decent at 4 stars, but low staffing is hard to offset when something goes wrong.

Nurse hours

5.07 /day

Staff turnover

58%

Serious cites

0

Scotchman Living Center runs on unusually heavy staffing for a 42-bed nonprofit home, 5.07 nurse hours per resident day, roughly a third more than the national average. But that cushion thins on weekends, when coverage drops about 18% below its own weekday pace, and nearly 58% of staff turned over last year against a national rate under 46%. The health inspection side looks solid at four stars, yet the current record carries 13 deficiencies, including four at harm or jeopardy level and three tied to abuse, plus $47,655 in fines across three events. Quality measures sit at one star despite the generous staffing. The most recent inspection was November 2025.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

The Michael J. Fitzmaurice South Dakota Veterans Home runs 78 certified beds as a state-owned facility, and its inspection record is where the trouble shows. Fifteen deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse, with one fine totaling $39,293. That May 2025 inspection is recent enough to reflect how the home operates now. Quality measures score well at 4 out of 5, so resident care metrics look better than the inspection side, but a two-star health inspection rating and that abuse count are the numbers a family should ask about directly before deciding.

Nurse hours

3.09 /day

Staff turnover

52%

Serious cites

0

Highmore Health runs about 3.09 nurse hours per resident day, roughly a fifth below the national average, and weekends dip even further from its own weekday level. That thin coverage adds up when you consider the record: 24 deficiencies, four of them serious enough to cause harm or jeopardy, plus four abuse-related citations, even with a recent May 2025 inspection. Staff turnover sits at 51.6%, above the 45.8% national figure, meaning caregivers cycle through faster than average. Quality measures land at 2 out of 5 stars. It's a small nonprofit home, 39 beds, and the pattern here is consistent: adequate at moments, strained underneath.

Nurse hours

3.31 /day

Staff turnover

46%

Serious cites

0

Sanford Care Center Vermillion runs on tighter staffing than most homes its size, 3.31 nurse hours per resident day against a national average of 3.86, with weekends dipping roughly another 10% below its own weekday coverage. Turnover sits at 45.5%, essentially tracking the national rate, so the issue isn't retention so much as how thin the floor gets. On inspections, the record shows 11 deficiencies, three of them serious enough to involve harm or jeopardy and one tied to abuse, plus a single fine of $44,577. The last inspection was in October 2025. Two stars each for health inspections and quality measures, four for staffing, and nonprofit ownership round out the picture.

Nurse hours

2.90 /day

Staff turnover

n/a

Serious cites

0

Five Counties runs on about 2.90 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops another 13% below its own weekday level. That thin staffing sits alongside a current record of 37 deficiencies, two of them at the harm or jeopardy level and two abuse-related, plus one fine of $20,703. Ownership is nonprofit, and the last inspection was in May 2026, so the findings are recent. Both the health inspection and quality measure ratings land at one star, with staffing at two. For a 38-bed home, the ratio of citations to size is the part worth asking about directly.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

The Flandreau Santee Sioux Tribe Care Center runs 42 certified beds as a nonprofit, and its last inspection came in August 2025, so you're looking at recent information rather than stale records. The inspection history is the part worth sitting with: ten deficiencies on the current record, three of them serious enough to reach harm or jeopardy level, and one tied to abuse. Three fines totaling $27,967 back that up. Federal ratings put both health inspections and quality measures at three out of five stars, middle of the road. For a home this small, a single serious finding weighs heavily, and three does more so. If you're considering it, ask directly what changed after that abuse-related citation and how the facility corrected the jeopardy-level problems.

Nurse hours

3.69 /day

Staff turnover

63%

Serious cites

0

Seven Sisters Living Center sits in Hot Springs with 52 certified beds and a nonprofit corporate owner. Staffing runs 3.69 nurse hours per resident day, about 4% under the national average, and weekends drop roughly 11% below its own weekday coverage. The bigger concern is turnover: 63.2% of staff left over the past year, against a national average of 45.8%, which means the people caring for residents are often new to the building. Inspections look strong on paper, a 4-out-of-5 health inspection star, with the most recent visit in August 2025, but the record holds 10 deficiencies, including one at the harm level and one tied to abuse, plus an $8,278 fine. Quality measures land at 2 out of 5 stars, suggesting resident outcomes don't match the inspection score.

Nurse hours

3.00 /day

Staff turnover

42%

Serious cites

0

Dells Nursing and Rehab runs a 50-bed for-profit operation in Dell Rapids with a staffing picture that's thinner than most: 3.00 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends drop another 10% below its own weekday levels. Turnover sits at 41.5%, a bit better than the national 45.8%, so the people who stay seem to stay. The trouble shows up in the record: 16 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus three fines totaling $173,010. A 4/5 inspection rating and a December 2025 visit suggest regulators saw improvement lately. Ask about weekend coverage and how those abuse findings were resolved.

Nurse hours

2.67 /day

Staff turnover

n/a

Serious cites

0

Tekakwitha Living Center runs about 2.67 nursing hours per resident per day, roughly a third below the national average, and weekends drop another 17% beneath its own weekday staffing. That thin coverage shows up in the inspection record: 28 deficiencies, two of them serious enough to put residents in harm's way, plus an abuse-related citation and $37,079 in fines across three penalties. Its last inspection was January 2026, so the record is recent. Ownership is nonprofit, which can mean steadier local commitment, but the staffing numbers and the harm-level findings are what families should weigh here.

Nurse hours

3.11 /day

Staff turnover

39%

Serious cites

0

St. William's runs lean on direct care: 3.11 nurse hours per resident per day, roughly 20 percent under the national average, and weekends drop about 18 percent below its own weekday staffing. The inspection record is the bigger concern, 25 deficiencies, including 5 at harm or jeopardy level and 7 tied to abuse, plus four fines totaling $146,129, with the most recent inspection in February 2026. Turnover at 39.1 percent actually beats the national 45.8 percent, and the non-profit owner isn't chasing quarterly returns. But steady retention can't offset thin daily coverage and a harm-level citation history. Ask about weekend nurse coverage and the abuse-related plan of correction before you decide.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

Custer Care And Rehab Center is a 43-bed nonprofit home in Custer County, and its most recent inspection, in August 2025, is about as current as records get, that matters, because federal data ages quickly and an inspection this recent is a real signal. The 17 deficiencies on the current record is a number worth asking about directly: none rose to harm or jeopardy level, and none were abuse-related, so what you're looking at is paperwork, environment, and process issues rather than immediate danger to residents. Zero harm-level findings alongside that many total citations usually points to a home that gets cited on technical compliance while keeping residents basically safe. Ask the administrator which deficiencies are still being corrected.