Here are 96 Nursing Homes in South Dakota

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

3.63 /day

Staff turnover

43%

Serious cites

0

Avera Bormann Manor runs a five-star staffing rating, and its 42.6% turnover is actually a bit better than the national average. But the 3.63 nurse hours per resident day sit about 6% under the national figure, and weekends drop roughly 18% below the home's own weekday coverage, so the hands on deck thin out right when families tend to visit. The inspection record is where the concern sharpens: 15 deficiencies, four at harm or jeopardy level and two tied to abuse, plus four fines totaling $47,187. A one-star quality measure rating alongside a three-star inspection rating suggests the clinical picture doesn't match the staffing grade.

Nurse hours

3.67 /day

Staff turnover

54%

Serious cites

0

Jenkin's Living Center runs 110 beds as a nonprofit corporation, and its most recent inspection was in May 2026. The numbers worth your attention are on the direct-care side: 3.67 nurse staffing hours per resident day sits about 5% under the national average, weekends drop roughly 12% below the home's own weekday levels, and annual turnover of 54.1% runs well above the 45.8% national figure. On its record are 27 deficiencies, three of them serious enough to involve harm or jeopardy and two tied to abuse, plus two fines totaling $53,086. Federal ratings put staffing highest and inspections and quality measures in the middle. Ask about weekend coverage, turnover on your parent's specific unit, and what changed after those harm-level findings.

Nurse hours

2.74 /day

Staff turnover

43%

Serious cites

0

Alcester Care and Rehab runs 44 certified beds under corporate for-profit ownership, and its recent inspection record is genuinely strong, a five-star health inspection rating with ten deficiencies on file, none of them causing harm or jeopardy and none tied to abuse. The tradeoff shows up in daily staffing: 2.74 nurse hours per resident, roughly 29 percent under the national average of 3.86, with weekends running about 15 percent thinner than weekdays. Turnover sits at 43.3 percent, slightly better than the 45.8 percent national figure. The state survey was just completed in August 2025, so the findings are current. Fewer hands on weekends is the thing to ask about directly.

Nurse hours

2.04 /day

Staff turnover

29%

Serious cites

0

Estelline Nursing And Care Center is city-owned, which is unusual, and its 28.8% turnover is well below the 45.8% national average, staff tend to stay. The problem is how few of them there are: 2.04 nurse hours per resident day, roughly 47% under the national average of 3.86, and weekends run about 21% thinner than weekdays. One deficiency sits on the current record, and it's at the harm level, with a $16,826 fine attached. The last inspection was April 2025, so that finding is recent. Quality measures look decent at 4 stars, but low staffing is hard to offset when something goes wrong.

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.

Nurse hours

4.06 /day

Staff turnover

56%

Serious cites

0

Avera Mother Joseph Manor runs a nonprofit shop with 81 certified beds, and the nurse staffing numbers look solid on paper, 4.06 hours per resident day, a bit above the national figure. But weekends tell a different story, with hours dropping roughly 17% below the home's own weekday levels, and annual turnover sits at 55.7%, well past the national 45.8%. The inspection record is where the real concern lives: 18 deficiencies, three of them serious enough to reach harm or jeopardy, plus one fine of $8,824. A 2025-12-17 inspection keeps the record current, though a 2-star inspection rating and 1-star quality measures don't inspire confidence. Strong staffing scores alone can't carry a record like this.

Nurse hours

3.94 /day

Staff turnover

44%

Serious cites

0

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.

Nurse hours

5.07 /day

Staff turnover

58%

Serious cites

0

Scotchman Living Center runs on unusually heavy staffing for a 42-bed nonprofit home, 5.07 nurse hours per resident day, roughly a third more than the national average. But that cushion thins on weekends, when coverage drops about 18% below its own weekday pace, and nearly 58% of staff turned over last year against a national rate under 46%. The health inspection side looks solid at four stars, yet the current record carries 13 deficiencies, including four at harm or jeopardy level and three tied to abuse, plus $47,655 in fines across three events. Quality measures sit at one star despite the generous staffing. The most recent inspection was November 2025.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

The Michael J. Fitzmaurice South Dakota Veterans Home runs 78 certified beds as a state-owned facility, and its inspection record is where the trouble shows. Fifteen deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse, with one fine totaling $39,293. That May 2025 inspection is recent enough to reflect how the home operates now. Quality measures score well at 4 out of 5, so resident care metrics look better than the inspection side, but a two-star health inspection rating and that abuse count are the numbers a family should ask about directly before deciding.

Nurse hours

3.09 /day

Staff turnover

52%

Serious cites

0

Highmore Health runs about 3.09 nurse hours per resident day, roughly a fifth below the national average, and weekends dip even further from its own weekday level. That thin coverage adds up when you consider the record: 24 deficiencies, four of them serious enough to cause harm or jeopardy, plus four abuse-related citations, even with a recent May 2025 inspection. Staff turnover sits at 51.6%, above the 45.8% national figure, meaning caregivers cycle through faster than average. Quality measures land at 2 out of 5 stars. It's a small nonprofit home, 39 beds, and the pattern here is consistent: adequate at moments, strained underneath.

Nurse hours

3.31 /day

Staff turnover

46%

Serious cites

0

Sanford Care Center Vermillion runs on tighter staffing than most homes its size, 3.31 nurse hours per resident day against a national average of 3.86, with weekends dipping roughly another 10% below its own weekday coverage. Turnover sits at 45.5%, essentially tracking the national rate, so the issue isn't retention so much as how thin the floor gets. On inspections, the record shows 11 deficiencies, three of them serious enough to involve harm or jeopardy and one tied to abuse, plus a single fine of $44,577. The last inspection was in October 2025. Two stars each for health inspections and quality measures, four for staffing, and nonprofit ownership round out the picture.

Nurse hours

2.90 /day

Staff turnover

n/a

Serious cites

0

Five Counties runs on about 2.90 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops another 13% below its own weekday level. That thin staffing sits alongside a current record of 37 deficiencies, two of them at the harm or jeopardy level and two abuse-related, plus one fine of $20,703. Ownership is nonprofit, and the last inspection was in May 2026, so the findings are recent. Both the health inspection and quality measure ratings land at one star, with staffing at two. For a 38-bed home, the ratio of citations to size is the part worth asking about directly.

Nurse hours

3.28 /day

Staff turnover

54%

Serious cites

0

Good Samaritan Society Canton runs 56 certified beds as a nonprofit, and its 3.28 nurse staffing hours per resident day sit about 15% under the national average of 3.86. Weekends drop roughly 16% below its own weekday levels, and annual turnover of 54.2% tops the national figure of 45.8%, so even the four-out-of-five staffing star looks thinner once you see who's actually on the floor. The current record carries 8 deficiencies, 2 serious enough to involve harm or jeopardy, and $19,615 in fines across two penalties. A May 2025 inspection is recent, and there's no abuse history, but a one-out-of-five quality measure rating points to real gaps in resident care.

Nurse hours

3.72 /day

Staff turnover

37%

Serious cites

0

Avantara Groton runs 37 beds under for-profit LLC ownership, and its nurse staffing sits about 4% under the national average, with weekends roughly 12% thinner than weekdays. Turnover is where it looks better than most: 37% against a national 45.8%. The trouble is care quality, CMS scores it 1 out of 5 on quality measures, and the current record carries 22 deficiencies, one serious enough to reach harm or jeopardy level, plus a $6,168 fine. That combination of thin weekend coverage, weak measured outcomes, and a harm-level finding is what pulls the grade down, even though staffing hours and turnover aren't the main problem here.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

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.

Nurse hours

3.69 /day

Staff turnover

63%

Serious cites

0

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.