Webster, SD · Day County
★★★★★CMS 5/550 bedsNon-profitMedicaid
- Nurse hours
- 4.53 /day
- Staff turnover
- 31%
- Serious cites
- 0
Bethesda Home runs on 4.53 nursing hours per resident day, roughly 17 percent above the national average, and its staff tends to stay, turnover of 30.6 percent against a national figure near 46 percent. Weekends dip about 19 percent below its own weekday staffing, so ask how that gap gets covered. The eight deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was April 2026. Church-affiliated nonprofit ownership with 50 certified beds. The weak spot is thin weekend coverage; the strong spots are retention and a clean harm record.
Bristol, SD · Day County
★★★☆☆CMS 3/537 bedsNon-profitMedicaid
- Nurse hours
- 4.08 /day
- Staff turnover
- 56%
- Serious cites
- 0
Sun Dial Manor runs a nonprofit operation with 37 beds in Bristol, and the nurse staffing numbers are genuinely strong, 4.08 hours per resident day, about 6% above the national average, which is what earns the top staffing rating. But weekend coverage drops roughly 11% below the home's own weekday level, so care thins out when families tend to visit. Turnover sits at 55.6% against a national 45.8%, and 21 deficiencies on record include 2 at the harm level and 4 tied to abuse. With a 2-star inspection rating and $24,528 in fines, the people are clearly present, the question is whether consistency and oversight hold up.
Roslyn, SD · Day County
★★☆☆☆CMS 2/535 bedsNon-profitMedicaid
- 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.