Here are 96 Nursing Homes in South Dakota

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

4.17 /day

Staff turnover

42%

Serious cites

0

Platte Care Center runs a non-profit shop with 48 beds, and its nurse staffing sits at 4.17 hours per resident day, roughly 8% above the national average, which is why CMS hands it five stars on staffing. But look closer: weekends run about 17% leaner than weekdays, and turnover is 41.9%, a bit better than the 45.8% national figure but still meaning nearly half the staff cycling through in a year. The inspection record shows 8 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with $20,183 in fines across two events. The most recent inspection was November 2025. Quality measures score just 2 of 5.

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

3.47 /day

Staff turnover

50%

Serious cites

0

Tieszen Memorial Home in Marion runs on thin nurse coverage, 3.47 hours per resident day against a national average of 3.86, and weekends dip about 13% below what the home itself staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when falls and infections don't check the calendar. Half the nursing staff turned over in the past year, above the 45.8% national figure, which means new faces are still learning residents' routines. The inspection record is cleaner: seven deficiencies, none at harm or jeopardy level, though two are abuse-related, and the last survey was December 2024.

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

3.53 /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

3.29 /day

Staff turnover

n/a

Serious cites

0

Aurora Brule Nursing Home runs about 15% below the national average for nurse staffing, at 3.29 hours per resident day, and weekends drop roughly another 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current record shows 16 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $17,928 fine. A recent inspection closed in July 2025. Quality measures score well, but that staffing number and those deficiencies sit on the other side of the ledger.

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.