59 Non-Profit Nursing Homes That Accept Medicaid in South Dakota
59 of the 96 Medicare-certified nursing homes in South Dakota (61%) are non-profit Medicaid-certified, and all are listed below. 10 of the 58 graded homes earn an A and 4 earn a D or F. They average 3.98 nursing hours per resident per day, 0.19 hours above the 3.79 for every home in South Dakota. Oakview Terrace in Freeman grades highest at A (97 out of 100).
How non-profit Medicaid-certified homes in South Dakota compare
This group set against every nursing home in South Dakota, from the current CMS release.
Nursing hours per resident per day
3.98
All homes in South Dakota: 3.79
Better than the local average
Nurse staff turnover
47.3%
All homes in South Dakota: 48.2%
Better than the local average
Average ElderGrade score
73.8/100
All homes in South Dakota: 71.3/100
Better than the local average
Grade spread
A
B
C
10 grade A, 24 grade B, 20 grade C, 4 grade D,
The best-graded non-profit Medicaid-certified home in South Dakota is
Oakview Terrace
in Freeman, SD, grade A, 97/100.
Every non-profit Medicaid-certified nursing home in South Dakota
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.
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.
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.
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.
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.
Good Samaritan Society Sioux Falls Center runs 98 certified beds as a nonprofit, and its staffing sits at 3.58 nurse hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 12% below its own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is 44.2%, a hair under the national 45.8%, so retention here isn't the problem. The inspection record is: 18 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus one fine of $11,261. The most recent inspection was September 5, 2025.
The staffing numbers at United Living Community look strong at first glance, 4.78 nurse hours per resident day, well above the national average, and CMS agrees, giving it 4 out of 5 staffing stars. But weekends run about 12% leaner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. Turnover sits at 50%, higher than the national 45.8%, meaning the people providing that care are often new. The inspection record is where things get concerning: 22 deficiencies, including 2 at the harm level and 5 abuse-related, plus $33,027 in fines. That combination is what pulls the overall picture down to a C.
Sunset Manor runs a genuinely strong bedside staffing line, 5.10 nurse hours per resident day, roughly a third more than the national norm, and that's the one number here that works in families' favor. But weekends dip about 16% below the home's own weekday coverage, and the same staff is turning over at 70.4% a year against a national 45.8%, so the people delivering that care keep changing. Inspectors cited 17 deficiencies on the current record, four at harm or jeopardy level and five tied to abuse, with $40,596 in fines, and the most recent inspection closed out in late December 2025. Nonprofit ownership hasn't kept the compliance record clean.
Bethany Home in Brandon has plenty of hands on deck, 4.66 nurse hours per resident day, roughly a fifth more than the national average, and that staffing shows up in its four-out-of-five staffing rating. But the numbers stop looking good there. State inspectors have cited 27 deficiencies on the current record, four of them at the level where residents were actually harmed or put in jeopardy, and four tied to abuse. The health inspection and quality ratings both sit at the bottom of the scale, and the home has paid three fines totaling $51,350. Weekend coverage runs about 14 percent thinner than weekdays, and 54 percent of staff turned over last year, above the national rate.
Good Samaritan Society Tyndall runs 68 certified beds as a nonprofit, and its last health inspection was in January 2025. The record shows 10 deficiencies, three of them serious enough to put residents in harm or jeopardy, plus three fines totaling nearly $45,000. Nurse staffing sits at 3.58 hours per resident per day, about 7% under the national average, and weekends run roughly 15% lighter than weekdays. Staff turnover is the number that would worry me most, 58.5% a year, well above the 45.8% national rate. Quality measure scores came in at 2 out of 5 stars.
Good Samaritan Society New Underwood runs 41 certified beds as a nonprofit, and its nursing hours come to 2.82 per resident day, roughly 27% under the national average of 3.86. Weekends dip about 21% below the home's own weekday staffing, so coverage thins exactly when families tend to visit. Staff turnover sits at 64.7%, well above the 45.8% national figure, which means many of the people caring for residents haven't been there long.
The inspection record shows 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $26,595 in fines across two penalties. The most recent inspection was in December 2025.
Good Samaritan Society Canistota runs 3.23 nurse hours per resident day, about 16% under the national average of 3.86, and weekend coverage drops roughly another 11% below its own weekday levels. That staffing pattern sits alongside a 68% annual turnover rate, well above the 45.8% national figure, which means the people providing care are changing over faster than average. The current inspection record shows 17 deficiencies, two serious enough to reach harm or jeopardy level, though none involve abuse, and one fine of $9,009. The most recent inspection was in March 2026, so the record is current rather than stale.
Sanford Chamberlain Care Center is a 44-bed nonprofit home in Brule County, and the numbers show a place where care quality and safety have been real problems. Sixteen deficiencies sit on the current record, eight of them serious enough to cause harm or put residents in jeopardy, and four tied to abuse. Federal fines total nearly $125,000 across four penalties. Staffing tells a mixed story: nurses provide 3.69 hours per resident day, which is below the national average, and weekend coverage drops about 6% below weekday levels even as turnover hits 56.9%, well above the national 45.8%. The last inspection was in August 2025, so the record is current.
Good Samaritan Society De Smet runs 46 beds as a nonprofit, and its nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average. Weekends are thinner still, about a fifth below its own weekday coverage. The bigger concern is the record: 17 deficiencies, four of them at harm or jeopardy level and two tied to abuse, plus $27,989 in fines. Staff turnover hits 64.4% against a national 45.8%, meaning nearly two-thirds of the workforce leaves each year. Inspectors were last on site in May 2025. A nonprofit mission doesn't automatically produce steady hands on deck, and here the numbers say it hasn't.
Winner Regional Healthcare Center sits in a small South Dakota town and puts more direct nursing time into each resident than most homes in the country, about five hours a day against a national figure near four. That cushion matters, and it's the main reason inspections look solid, with the most recent visit in December 2024. The trouble is what the numbers show underneath the surface: weekend coverage drops roughly a fifth below its own weekday pace, and more than two-thirds of staff turned over last year, well above the typical rate. Eighteen deficiencies sit on the record, including three tied to abuse and one involving actual harm. Quality scores are weak despite the staffing.
Wilmot Care Center has enough hands on deck, 4.20 nurse staffing hours per resident day, roughly 9% above the national average, but almost everything else on its record is a problem. The home has been flagged as a Special Focus Facility, the CMS watch list for homes with a pattern of serious, repeated deficiencies: 18 total on the current record, two of them at the harm or jeopardy level, plus two fines totaling $28,028. Its last inspection was in March 2025. Staff turnover sits at 60.5% against a national average of 45.8%, and weekend staffing drops about 11% below the home's own weekday level. The staffing is there; the consistency and the compliance record are not.
Medicine Wheel Village sits in Eagle Butte with 50 certified beds and a staffing picture that looks strong on paper, 4.79 nurse hours per resident day, about 24% above the national average, with turnover at 31.4% versus 45.8% nationally. Weekends run roughly 16% leaner than weekdays, so coverage isn't perfectly even. The trouble is what inspections have found: 27 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $22,636 fine and a place in CMS's Special Focus Facility program. Quality measure scores look good, but a recent inspection and that many citations on record are the numbers that matter most for daily safety.
Good Samaritan Society Miller runs 50 beds in Hand County, and the numbers here deserve a close look before you decide. Nurse staffing sits just under the national average, but weekends run about 15 percent thinner than weekdays, and annual turnover of 70.8 percent means most of the people caring for residents are relatively new, against a national rate nearer 46 percent. The inspection record shows 22 deficiencies, four of them at harm or jeopardy level and two tied to abuse, with $96,127 in fines across two penalties. A recent February 2026 inspection and a 1-out-of-5 quality measure score round out a picture worth asking hard questions about.
Good Samaritan Society - Wagner runs 50 certified beds as a nonprofit corporation, and its current record shows no deficiencies at all, not at the harm or jeopardy level, not abuse-related, nothing. The last inspection was January 7, 2026, so the state's findings are recent, not a stale snapshot from two or three years back. A clean record like that usually reflects steady day-to-day operations rather than luck, since inspectors tend to flag something on most surveys. What the data here can't tell you is how the place feels to visit, staffing ratios at the moment you'd call, how the dining room runs, whether your family member's specific needs fit. Ask those questions on a tour, and ask what happens when a resident's condition changes.
Frequently asked questions
How many non-profit Medicaid-certified nursing homes are there in South Dakota?
There are 59 non-profit Medicaid-certified Medicare-certified nursing homes in South Dakota, 61% of the 96 nursing homes there.
Are non-profit Medicaid-certified nursing homes better staffed?
In South Dakota they average 3.98 total nursing hours per resident per day, against 3.79 for all nursing homes in South Dakota, a difference of +0.19 hours. Staff turnover averages 47.3% against 48.2%.
Which non-profit Medicaid-certified nursing home grades best in South Dakota?