59 Non-Profit Nursing Homes That Accept Medicaid in South Dakota

Nurse hours

3.91 /day

Staff turnover

52%

Serious cites

0

Pioneer Memorial runs a tight ship on paper: 3.91 nurse hours per resident day, a hair above the national average, and its quality measure and staffing ratings both land at 4 out of 5. But the weekend number matters. Staffing drops about 6% below weekday levels, and with turnover at 52%, well above the national 45.8%, you're looking at a workforce that cycles through fast and thins out on Saturdays and Sundays. The bigger concern sits on the inspection record: three deficiencies, two serious enough to involve harm or jeopardy, and two tied to abuse. A $32,536 fine followed the February 2025 inspection. Nonprofit ownership doesn't erase those findings.

Nurse hours

3.40 /day

Staff turnover

38%

Serious cites

0

Weskota Manor runs lean on daily nursing hours, 3.40 per resident, roughly 12% under the national figure, and weekends dip about 11% below its own weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The tradeoff shows up in retention: 37.5% turnover beats the 45.8% national average, so the aides and nurses here tend to stick around longer than at most homes. Six deficiencies on the current record, none involving harm or abuse, and a January 2026 inspection that came back strong. Two things are true at once: thin staffing, steady caregivers.

Nurse hours

4.25 /day

Staff turnover

38%

Serious cites

0

Kadoka Nursing Home runs a lean 31-bed nonprofit operation in Jackson County, and the staffing numbers are its strongest card: 4.25 nurse hours per resident day, roughly 10% above the national average, with weekend coverage dipping about 9% below its own weekday level. Turnover sits at 38.2%, better than the 45.8% national figure. The tradeoff shows up in quality measures, where CMS gives it 1 out of 5 stars despite a 4-star inspection rating and no deficiencies at the harm or jeopardy level among its 11 on record. Last inspected April 16, 2025. Strong hands-on care, weaker clinical outcomes on paper, that's the tension worth asking about.

Nurse hours

3.39 /day

Staff turnover

54%

Serious cites

0

Good Samaritan Society Howard is a 45-bed nonprofit, and its inspection record is genuinely strong, a recent survey, only four deficiencies, none causing harm. Quality measures score well too. Where it slips is staffing: 3.39 nurse hours per resident day sits about 12% under the national average, and weekend coverage drops roughly 17% below its own weekday levels. Annual turnover of 53.7% is also higher than the 45.8% national figure, meaning caregivers cycle through faster than average. One abuse-related deficiency appears on the record. So the care itself looks careful, but the people delivering it have less time and less continuity than residents at better-staffed homes. Ask how weekends and evenings are covered.

Nurse hours

5.09 /day

Staff turnover

55%

Serious cites

0

Monument Health Sturgis Care Center runs on unusually heavy staffing for a 40-bed nonprofit home, 5.09 nurse hours per resident day, roughly a third above the national average, though weekend coverage drops about 17% from weekday levels, so ask how that gap gets filled. Staff turnover sits at 54.7%, nearly nine points above the national figure, which matters in a building this small where residents see the same few faces daily. The inspection record shows 22 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus $26,272 in fines across two penalties. The last inspection was March 2026.

Nurse hours

3.25 /day

Staff turnover

48%

Serious cites

0

Strand-Kjorsvig runs 35 beds in Roslyn as a nonprofit, and its federal staffing star looks strong at 5 out of 5, but that rating sits on 3.25 nurse hours per resident day, about 16% under the national average of 3.86, with weekends roughly 20% thinner than weekdays. Turnover is 48%, a bit above the national 45.8%. The trouble is inspection history: 23 deficiencies on the current record, two at harm or jeopardy level and one abuse-related, plus eight fines totaling $49,964, against a 1-out-of-5 health inspection rating. Quality measures score 4 out of 5, and the most recent inspection was May 2025. Ask about weekend coverage and that abuse citation directly.

Nurse hours

3.75 /day

Staff turnover

41%

Serious cites

0

Good Samaritan Society Sioux Falls Village runs 177 certified beds as a nonprofit, and its staffing sits slightly below the national average, 3.75 nurse hours per resident day against 3.86. Weekends drop about 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 40.8% is better than the 45.8% national figure, which matters for continuity. The trouble is the inspection record: 43 deficiencies, five at harm or jeopardy level, five abuse-related, and five fines totaling $72,812, with the last inspection in April 2025. A 4/5 staffing star and 3/5 quality measure score don't offset a 1/5 inspection rating when the harm-level findings stack up like that.

Nurse hours

3.73 /day

Staff turnover

52%

Serious cites

0

Bethel Lutheran Home is a 59-bed church-affiliated nonprofit in Madison, and its numbers tell a mixed story. Nurse staffing sits at 3.73 hours per resident day, a bit under the national average, and weekends run roughly 14% thinner than weekdays, so coverage depends on when you visit. Staff turnover is 52.2%, well above the national 45.8%, which matters for whether your parent sees the same faces. The health inspection record is the weak spot: 12 deficiencies, two serious enough to involve harm or jeopardy, and $56,430 in fines across two penalties. A July 2025 inspection is recent, at least. Quality and staffing measures score better than that inspection history suggests.

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

3.79 /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

4.06 /day

Staff turnover

56%

Serious cites

0

Avera Mother Joseph Manor runs a nonprofit shop with 81 certified beds, and the nurse staffing numbers look solid on paper, 4.06 hours per resident day, a bit above the national figure. But weekends tell a different story, with hours dropping roughly 17% below the home's own weekday levels, and annual turnover sits at 55.7%, well past the national 45.8%. The inspection record is where the real concern lives: 18 deficiencies, three of them serious enough to reach harm or jeopardy, plus one fine of $8,824. A 2025-12-17 inspection keeps the record current, though a 2-star inspection rating and 1-star quality measures don't inspire confidence. Strong staffing scores alone can't carry a record like this.

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

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

3.28 /day

Staff turnover

54%

Serious cites

0

Good Samaritan Society Canton runs 56 certified beds as a nonprofit, and its 3.28 nurse staffing hours per resident day sit about 15% under the national average of 3.86. Weekends drop roughly 16% below its own weekday levels, and annual turnover of 54.2% tops the national figure of 45.8%, so even the four-out-of-five staffing star looks thinner once you see who's actually on the floor. The current record carries 8 deficiencies, 2 serious enough to involve harm or jeopardy, and $19,615 in fines across two penalties. A May 2025 inspection is recent, and there's no abuse history, but a one-out-of-five quality measure rating points to real gaps in resident care.