Every Medicare-certified nursing home in South Dakota, graded on inspections, staffing, turnover
and enforcement history.
6 homes in the state sit in the federal Special Focus programme.
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.
Avantara Redfield runs on 3.03 nurse hours per resident day, about 22 percent below the national average, and weekend coverage drops roughly 19 percent below its own weekday levels. Staff turnover sits at 52.1 percent against a national 45.8 percent, so the people providing that already-thin care are cycling out faster than average. The current inspection record shows 17 deficiencies, three at harm or jeopardy level and two tied to abuse, with $23,044 in fines across three events. The most recent inspection was January 28, 2026, so the record is current rather than dated. For-profit, limited liability ownership, and the family should ask directly how weekend shifts are covered before deciding.
Avantara North runs about 3.06 nursing hours per resident per day, roughly a fifth below the national average, and weekends drop further, about 20% under its own weekday baseline, which is when families tend to visit and notice. Staff turnover sits at 35.4%, better than the 45.8% national figure, so the people who are there tend to stay. The current record carries 17 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with $24,108 in fines across two penalties. The last inspection was February 2026. For-profit, LLC-owned, 68 beds.
Tekakwitha Living Center runs about 2.67 nursing hours per resident per day, roughly a third below the national average, and weekends drop another 17% beneath its own weekday staffing. That thin coverage shows up in the inspection record: 28 deficiencies, two of them serious enough to put residents in harm's way, plus an abuse-related citation and $37,079 in fines across three penalties. Its last inspection was January 2026, so the record is recent. Ownership is nonprofit, which can mean steadier local commitment, but the staffing numbers and the harm-level findings are what families should weigh here.
Prairie View runs leaner than most. At 3.61 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The bigger red flag is turnover: 73.1% of staff leaving annually against a national 45.8% means aides and nurses are constantly new, and familiarity is hard to build. Inspections turned up 11 deficiencies, including one at the harm level and one abuse-related, plus an $8,512 fine; the last survey was July 2025. For-profit LLC ownership, 42 beds, staffing and quality star ratings that don't match each other. Worth a visit on a weekend.
St. William's runs lean on direct care: 3.11 nurse hours per resident per day, roughly 20 percent under the national average, and weekends drop about 18 percent below its own weekday staffing. The inspection record is the bigger concern, 25 deficiencies, including 5 at harm or jeopardy level and 7 tied to abuse, plus four fines totaling $146,129, with the most recent inspection in February 2026. Turnover at 39.1 percent actually beats the national 45.8 percent, and the non-profit owner isn't chasing quarterly returns. But steady retention can't offset thin daily coverage and a harm-level citation history. Ask about weekend nurse coverage and the abuse-related plan of correction before you decide.
Custer Care And Rehab Center is a 43-bed nonprofit home in Custer County, and its most recent inspection, in August 2025, is about as current as records get, that matters, because federal data ages quickly and an inspection this recent is a real signal. The 17 deficiencies on the current record is a number worth asking about directly: none rose to harm or jeopardy level, and none were abuse-related, so what you're looking at is paperwork, environment, and process issues rather than immediate danger to residents. Zero harm-level findings alongside that many total citations usually points to a home that gets cited on technical compliance while keeping residents basically safe. Ask the administrator which deficiencies are still being corrected.
Spearfish Canyon Healthcare runs 105 certified beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.37 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop another 13 percent below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Staff turnover of 58.8 percent against a 45.8 percent national figure means caregivers are cycling through steadily, which matters more than any single star rating. The inspection record backs that up: 21 deficiencies, including four tied to abuse and one at the harm level, with a $9,718 fine. The most recent inspection was August 2025, so the record is current, not stale.
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.
The staffing numbers at United Living Community look strong at first glance, 4.78 nurse hours per resident day, well above the national average, and CMS agrees, giving it 4 out of 5 staffing stars. But weekends run about 12% leaner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. Turnover sits at 50%, higher than the national 45.8%, meaning the people providing that care are often new. The inspection record is where things get concerning: 22 deficiencies, including 2 at the harm level and 5 abuse-related, plus $33,027 in fines. That combination is what pulls the overall picture down to a C.
Centerville Care and Rehab runs 42 certified beds under corporate ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekends thin out further, running about 18% below the home's own weekday coverage, which matters when you're thinking about who's on hand on a Saturday night.
The inspection record shows 19 deficiencies, including one at the harm or jeopardy level and two tied to abuse. One fine totaling $55,059 has been levied. Staff turnover comes in at 43.9%, slightly better than the national 45.8%, and the most recent inspection was May 2025. The staffing and quality measure ratings both land at 2 out of 5.
Sunset Manor runs a genuinely strong bedside staffing line, 5.10 nurse hours per resident day, roughly a third more than the national norm, and that's the one number here that works in families' favor. But weekends dip about 16% below the home's own weekday coverage, and the same staff is turning over at 70.4% a year against a national 45.8%, so the people delivering that care keep changing. Inspectors cited 17 deficiencies on the current record, four at harm or jeopardy level and five tied to abuse, with $40,596 in fines, and the most recent inspection closed out in late December 2025. Nonprofit ownership hasn't kept the compliance record clean.
Diamond Care Center runs on thin coverage, 2.44 nurse staffing hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. CMS gives that staffing a 1 out of 5, and the health inspection record matches: 25 deficiencies, including two at the harm level and one tied to abuse, plus $69,512 in fines. Annual turnover sits at 54.5%, well above the national 45.8%, which makes it harder to hold onto the staff who know these 36 residents. The quality measure star of 4 out of 5 shows some care processes are being tracked well, and the last inspection was September 2025. But staffing and compliance are where families usually feel the difference day to day.
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.
Avantara Pierre runs a 65-bed for-profit home in Hughes County, and the staffing numbers are the first thing to notice: 2.81 nurse hours per resident day, roughly 27% under the national average of 3.86. Weekends thin out further, about 19% below the home's own weekday coverage. Turnover sits at 40.5%, better than the 45.8% national figure, so the people who stay seem to stay. The trouble is the record: 33 deficiencies, three of them at harm or jeopardy level, one tied to abuse, and a $22,048 fine. Inspectors were last in on April 2, 2025.
Avantara Clark City runs 35 beds in Clark, and the raw staffing number looks better than it is: 4.17 nurse hours per resident day sits about 8% above the national average, but weekend coverage drops roughly 16% below the home's own weekday level, so the hours aren't spread evenly across the week. Staff turnover of 42.4% is slightly better than the 45.8% national figure, though the CMS staffing rating still lands at 2 out of 5. Inspectors gave a 4 out of 5 health inspection rating and visited recently, in January 2026, but the record carries 7 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $11,057 fine.
Good Samaritan Society Tyndall runs 68 certified beds as a nonprofit, and its last health inspection was in January 2025. The record shows 10 deficiencies, three of them serious enough to put residents in harm or jeopardy, plus three fines totaling nearly $45,000. Nurse staffing sits at 3.58 hours per resident per day, about 7% under the national average, and weekends run roughly 15% lighter than weekdays. Staff turnover is the number that would worry me most, 58.5% a year, well above the 45.8% national rate. Quality measure scores came in at 2 out of 5 stars.
Good Samaritan Society New Underwood runs 41 certified beds as a nonprofit, and its nursing hours come to 2.82 per resident day, roughly 27% under the national average of 3.86. Weekends dip about 21% below the home's own weekday staffing, so coverage thins exactly when families tend to visit. Staff turnover sits at 64.7%, well above the 45.8% national figure, which means many of the people caring for residents haven't been there long.
The inspection record shows 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $26,595 in fines across two penalties. The most recent inspection was in December 2025.
Avantara Huron runs on thin staffing and a rough inspection history. Nurses provide 3.40 hours per resident day, roughly 12 percent under the national average, and weekends drop about 13 percent below what the home manages on weekdays. Staff turnover sits at 54.7 percent, nearly nine points above the national figure, which means the people caring for residents keep changing. The current inspection record carries 21 deficiencies, five of them serious enough to involve harm or jeopardy, and four tied to abuse. State inspectors last visited in March 2026. This is a for-profit limited liability company operating 119 certified beds, with one fine totaling $8,338 on record.
Good Samaritan Society Canistota runs 3.23 nurse hours per resident day, about 16% under the national average of 3.86, and weekend coverage drops roughly another 11% below its own weekday levels. That staffing pattern sits alongside a 68% annual turnover rate, well above the 45.8% national figure, which means the people providing care are changing over faster than average. The current inspection record shows 17 deficiencies, two serious enough to reach harm or jeopardy level, though none involve abuse, and one fine of $9,009. The most recent inspection was in March 2026, so the record is current rather than stale.