Nursing homes across Minnehaha County, South Dakota, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
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.
Dow Rummel Village runs a nonprofit home with 50 certified beds, and its staffing is the standout: 5.10 nurse hours per resident day, about a third more than the national average, with turnover at 31.5% against 45.8% nationally. Weekends dip roughly 17% below weekday coverage, which is common but worth asking about. The inspection record is where it gets harder, a 2-out-of-5 health inspection rating, nine deficiencies with three at harm or jeopardy level, and four fines totaling $90,053, most recently inspected January 8, 2026. Good staffing and strong quality measures don't erase a rough survey history, so ask what changed since that inspection.
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.
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.
Good Samaritan Society Luther Manor runs 92 beds under corporate ownership, and its staffing sits just barely above the national average, 3.94 nurse hours per resident day against 3.86. That thin edge narrows on weekends, when coverage drops roughly 16% below the home's own weekday level. Turnover runs 43.5%, a touch better than the 45.8% national figure. The harder numbers are on inspections: 20 deficiencies on the current record, 5 of them at harm or jeopardy level and one abuse-related, drawing two fines totaling $21,086. The most recent inspection was March 5, 2026. Families weighing this one should ask directly what changed since that survey, particularly around the harm-level findings.
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.
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.
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.
Palisade Healthcare Center runs about 18% below the national average on nurse staffing, and weekends drop roughly another 17% below its own weekday level. The inspection record is the harder problem: 29 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $154,946. A 60% annual turnover rate against a 45.8% national average means the people at the bedside keep changing. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The quality measure score looks strong on paper, but it sits on top of a staffing and inspection record that families should ask about directly.
Avantara Norton runs 110 certified beds under for-profit limited liability ownership, and its nurse staffing sits right at the national average of 3.86 hours per resident day, essentially no cushion. Weekends drop about 10% below its own weekday coverage, so the thinnest shifts are when families tend to visit. What stands out more is the inspection record: 75 deficiencies, 19 of them at harm or jeopardy level, 5 abuse-related, plus six CMS fines totaling $153,638. Staff turnover is 55.7% against a 45.8% national average, meaning more than half the nursing staff leaves each year. CMS has placed this home in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems.