49 Chain-Owned Nursing Homes in South Dakota

Nurse hours

5.74 /day

Staff turnover

25%

Serious cites

0

Avera Prince Of Peace runs on church-affiliated nonprofit ownership, and the staffing numbers show it: 5.74 nurse hours per resident day, roughly half again the national average, with turnover at 25% against a national 45.8%. Weekend coverage dips about 7% below weekday levels, but that's a modest drop for a 126-bed home. The caution sits in the inspection record. Seventeen deficiencies, three tied to abuse and one serious enough to reach harm or jeopardy, plus an $8,278 fine, pulled the health inspection rating down to 2 of 5 despite strong marks on quality measures and staffing. The most recent survey closed in August 2025, so that record is current.

Nurse hours

4.40 /day

Staff turnover

43%

Serious cites

0

Avera Brady in Mitchell runs a tight ship on the numbers that matter most. Nurse staffing sits at 4.40 hours per resident day, roughly 14% above the national average, and turnover of 43.4% is slightly better than the typical 45.8%, both signs of a stable, adequately staffed floor. The catch: weekend coverage dips about 12% below its own weekday level, so care may thin out on Saturdays and Sundays. Eight deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2026. For a nonprofit home of 84 beds, that's a clean recent record.

Nurse hours

4.62 /day

Staff turnover

47%

Serious cites

0

Avera Maryhouse Long Term Care in Pierre runs on unusually deep nursing coverage, 4.62 hours per resident day, roughly a fifth more than the national figure, and its most recent inspection in September 2025 backs that up with a clean record on harm-level deficiencies. Nine total deficiencies with none causing injury or jeopardy is a good place to be, though one abuse-related citation is worth asking about directly. Staff turnover sits at 46.6%, essentially level with the national rate, so continuity of caregivers isn't unusually bad here, but it isn't a strength either. Weekend staffing drops about 16% below weekday levels, which is common but still means fewer hands on Saturdays and Sundays.

Nurse hours

4.10 /day

Staff turnover

31%

Serious cites

0

Avera Sister James Care Center runs on 4.10 nurse hours per resident per day, roughly 6% above the national average, and its weekend coverage dips about 10% below its own weekday level, worth asking about if you're planning visits or worrying about Saturday-night care. Staff turnover sits at 31.3%, well under the national 45.8%, which suggests people stay. Nine deficiencies on the current record, one serious enough to reach harm or jeopardy level, none abuse-related, and the last inspection was May 2026, so the record is recent rather than stale. Nonprofit ownership under Avera. The numbers point to a home that's generally steady on staffing and quality, with one inspection finding worth reading closely.

Nurse hours

3.23 /day

Staff turnover

33%

Serious cites

0

Avantara Lake Norden runs lean on nursing hours, 3.23 per resident day against a national average of 3.86, and weekends get thinner still, about a tenth below its own weekday coverage. What keeps it from being a bigger concern is consistency: turnover sits at 32.6%, well under the 45.8% national figure, so the aides and nurses you'd meet have mostly stayed put, and a 2025 inspection found no abuse issues. Six deficiencies are on record, two serious enough to involve harm. For-profit ownership under an LLC. The staffing number is really the thing to ask about when you tour, whether it reflects how the place actually runs on a Saturday night.

Nurse hours

3.85 /day

Staff turnover

33%

Serious cites

0

Wakonda Heritage Manor runs on staffing that lands right at the national average, 3.85 nurse hours per resident day against 3.86 nationwide, and weekend coverage dips about 19% below what the home provides on weekdays, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover sits at 33.3%, well under the 45.8% national figure, which matters for residents who benefit from seeing the same faces. The inspection record is decent but not clean: eight deficiencies, including one at the harm level and one tied to abuse, plus a $12,675 fine. The most recent inspection was in May 2026.

Nurse hours

3.10 /day

Staff turnover

33%

Serious cites

0

Avera Eureka runs a lean nursing floor: 3.10 nurse hours per resident day against a national average of 3.86, and weekends dip about 18% below its own weekday coverage. That matters for a 56-bed home where a call-out can't easily be absorbed. Turnover, though, is genuinely better than most, 32.5% against a national 45.8%, which suggests the staff who are there tend to stay, even if there aren't many of them per resident. The inspection record is the weak spot: eight deficiencies, one serious enough to reach harm or jeopardy level, and a $12,252 fine, all from a February 2025 visit. No abuse findings, and the quality and staffing stars sit at 4 each, but that harm-level citation is the number to ask about directly.

Nurse hours

5.39 /day

Staff turnover

n/a

Serious cites

0

Avera Rosebud Country Care Center runs on about 5.39 nurse hours per resident per day, which is roughly 40% more than the national average, a real staffing cushion for a 30-bed home in Gregory County. Weekends dip about 11% below weekday levels, so coverage isn't perfectly even, but the floor stays high. The current record shows 13 deficiencies, none at the harm or jeopardy level, though two are abuse-related, which is worth asking about directly. Inspectors were last on site in May 2026. Quality measures score lower than staffing and inspections here, so the clinical numbers families track monthly are the softer spot.

Nurse hours

3.03 /day

Staff turnover

27%

Serious cites

0

Walworth County Care Center runs on leaner nurse staffing than most homes, about 3.03 hours per resident day against a national average near 3.86, and weekends dip roughly 14% below its own weekday coverage. The tradeoff shows up in stability: turnover sits at 27.3%, well under the 45.8% national figure, which matters when you're trying to keep familiar faces on the floor. Its inspection record is genuinely strong, a five-star rating with five total deficiencies and none at the harm or jeopardy level, though one is abuse-related. A recent inspection in April 2026 keeps that picture current. If your family member needs consistent caregivers more than maximum daily nursing hours, this one is worth a look.

Nurse hours

3.52 /day

Staff turnover

46%

Serious cites

0

Good Samaritan Society Scotland runs 45 beds as a nonprofit, and its inspection record is genuinely strong, a five-star health inspection rating with just five deficiencies on file, none of them causing harm, and a survey completed as recently as March 2025. Staffing is where the picture gets more mixed: 3.52 nurse hours per resident day sits about 9% under the national average, and weekends run roughly 15% thinner than weekdays, so coverage isn't evenly spread across the week. Turnover lands at 45.5%, essentially matching the national rate. Two abuse-related deficiencies appear on the record despite the clean harm-free count, which is worth asking about directly.

Nurse hours

3.73 /day

Staff turnover

60%

Serious cites

0

Good Samaritan Society's St Martin Village runs 60 certified beds in Rapid City under nonprofit ownership, and its staffing numbers are a mixed picture. Nurses provide 3.73 hours per resident day, about 3% under the national average, and weekend coverage drops roughly 16% below what the home staffs on weekdays, so the hours get thinnest exactly when families tend to visit. Annual turnover sits at 60% against a 45.8% national figure, meaning most of the aides and nurses at the bedside are relatively new. The inspection record is the other thing to weigh. State surveyors last visited in March 2025 and logged 19 deficiencies, none serious enough to cause harm or put anyone in immediate jeopardy, though two are abuse-related, worth asking about directly.

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

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

3.53 /day

Staff turnover

n/a

Serious cites

0

Prairie Heights runs 3.53 nurse hours per resident each day, roughly 8% under the national average, and weekends drop about 14% below its own weekday staffing. Those gaps explain why CMS gives it the lowest staffing rating even as quality measures score top marks and the last inspection, in July 2025, came back clean: five deficiencies, none causing harm, none tied to abuse. That's a home that treats residents well by the measures families notice most, but it's doing so with thinner coverage than most places, especially on Saturdays and Sundays. Worth asking how call lights get answered when weekend numbers dip.

Nurse hours

2.59 /day

Staff turnover

57%

Serious cites

0

Faulkton Senior Living runs lean on nursing hours: 2.59 per resident day against a national average of 3.86, roughly a third less hands-on care than typical. Weekends drop about 22% below the home's own weekday staffing, and 57.1% of nursing staff turned over in a year, well above the 45.8% national figure, so the people providing care change often, and there are fewer of them on Saturdays and Sundays. Inspection history is steadier. Five deficiencies on record, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was December 11, 2025. A for-profit corporation owns the 41-bed building. Good survey results and quality scores sit alongside thin daily staffing.

Nurse hours

3.15 /day

Staff turnover

38%

Serious cites

0

Lake Andes Senior Living runs on 3.15 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage dips about 5% below its own weekday level. Turnover sits at 38.2%, better than the 45.8% national figure, so the staff who are there tend to stay, even if there aren't enough of them. The inspection record is where the trouble concentrates: 21 deficiencies, three serious enough to put residents at risk of harm, and two fines totaling $102,440. A 1-out-of-5 inspection rating alongside a 4-out-of-5 quality measure score suggests the day-to-day care metrics look fine on paper while the survey history tells a harder story.

Nurse hours

2.69 /day

Staff turnover

32%

Serious cites

0

Wheatcrest Hills runs a lean nursing floor, 2.69 nurse hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday numbers. That's the kind of gap families notice at 2 a.m., not on a brochure. Turnover sits at 32.4%, meaningfully better than the 45.8% national figure, and the last inspection was recent, December 2025. The record isn't clean, though. Fourteen deficiencies are logged, three of them serious enough to involve harm or jeopardy, with four fines totaling $37,553. No abuse findings appear. Corporate-owned, 60 beds, mid-range marks on health inspections and quality measures, a home with real strengths in retention and none in raw staffing depth.

Nurse hours

3.79 /day

Staff turnover

54%

Serious cites

0

Fountain Springs runs 90 certified beds in Rapid City under for-profit limited liability ownership, and the nurse staffing numbers sit slightly under the national mark, 3.79 hours per resident day against 3.86. That gap is small, but weekend coverage drops about 11% below weekday levels, and turnover hits 53.7% compared to 45.8% nationally, meaning the faces around a resident change more often than at the typical home. The inspection record shows 18 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $22,526 in fines across two penalties. The most recent inspection was December 9, 2025, so the picture is current.

Nurse hours

3.61 /day

Staff turnover

39%

Serious cites

0

Aberdeen Health and Rehab is a for-profit limited liability company home with 78 certified beds, and its staffing numbers tell two different stories. Nurses provide 3.61 hours per resident day, about 7% under the national average, and weekends run roughly 16% thinner than weekdays, but annual turnover of 38.6% actually beats the national 45.8%, so people tend to stay once hired. The trouble sits elsewhere: a 1-out-of-5 inspection rating, 24 deficiencies on the current record including four at the harm level and two tied to abuse, and $64,270 in fines across four penalties. The most recent inspection was June 4, 2026.

Nurse hours

3.61 /day

Staff turnover

41%

Serious cites

0

Avantara Mountain View runs 101 certified beds in Rapid City under for-profit LLC ownership, and its nurse staffing sits at 3.61 hours per resident day, roughly 7% under the national average of 3.86. Weekends thin out further, running about 15% below the home's own weekday coverage, so the hours a resident gets on a Saturday look different from a Tuesday. Turnover is 41.4%, a bit better than the 45.8% national figure, which matters because familiar aides tend to notice changes sooner. The inspection record is where the concern concentrates: 21 deficiencies, two at harm or jeopardy level, one abuse-related, and a $9,318 fine. The most recent inspection was January 6, 2026.