ElderGrade

Nursing Home Watchlist — South Dakota

Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with Special Focus homes first.

Read this as a prompt, not a verdict. A citation can be years old and the management responsible may have gone. It means you ask what happened and what changed — and you get a specific answer before you sign anything.

F

29.5/100

Avantara Norton

Sioux Falls, SD · Minnehaha County

110 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
56%
Serious cites
19

Abuse icon on record

F

31/100

Riverview Healthcare Center

Flandreau, SD · Moody County

CMS 1/5 63 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
67%
Serious cites
14

Abuse icon on record

F

35.3/100

Palisade Healthcare Center

Garretson, SD · Minnehaha County

CMS 1/5 55 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
60%
Serious cites
5

Abuse icon on record

F

35.5/100

Avantara Watertown

Watertown, SD · Codington County

CMS 1/5 51 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
44%
Serious cites
4

Abuse icon on record

D

51/100

Wilmot Care Center Inc

Wilmot, SD · Roberts County

CMS 1/5 26 beds Non-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
61%
Serious cites
2

Special Focus Facility

D

54/100

Medicine Wheel Village

Eagle Butte, SD · Dewey County

CMS 2/5 50 beds Non-profit Medicaid
Nurse hours
4.79 /day
Staff turnover
31%
Serious cites
1

Special Focus Facility

D

45.9/100

Bethany Home - Brandon

Brandon, SD · Minnehaha County

CMS 1/5 60 beds Non-profit Medicaid
Nurse hours
4.66 /day
Staff turnover
54%
Serious cites
4

Abuse icon on record

C

57.5/100

Sunset Manor Avera Health

Irene, SD · Clay County

CMS 2/5 58 beds Non-profit Medicaid
Nurse hours
5.10 /day
Staff turnover
70%
Serious cites
4

Abuse icon on record

D

44/100

Avantara Saint Cloud

Rapid City, SD · Pennington County

CMS 1/5 78 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
57%
Serious cites
3

Abuse icon on record

C

64/100

Good Samaritan Society Sioux Falls Center

Sioux Falls, SD · Minnehaha County

CMS 2/5 98 beds Non-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
44%
Serious cites
3

Abuse icon on record

C

64/100

Spearfish Canyon Healthcare

Spearfish, SD · Lawrence County

CMS 2/5 105 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
59%
Serious cites
1

Abuse icon on record

F

32.3/100

Avantara Arrowhead

Rapid City, SD · Pennington County

CMS 1/5 68 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
76%
Serious cites
9

9 citation(s) involving actual harm or immediate jeopardy

F

29/100

Sanford Chamberlain Care Center

Chamberlain, SD · Brule County

CMS 1/5 44 beds Non-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
57%
Serious cites
8

8 citation(s) involving actual harm or immediate jeopardy

D

40.8/100

Avantara Milbank

Milbank, SD · Grant County

CMS 1/5 55 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
92%
Serious cites
8

8 citation(s) involving actual harm or immediate jeopardy

D

41.3/100

Firesteel Healthcare Center

Mitchell, SD · Davison County

CMS 1/5 125 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
55%
Serious cites
8

8 citation(s) involving actual harm or immediate jeopardy

F

27.5/100

Rolling Hills Healthcare

Belle Fourche, SD · Butte County

CMS 1/5 83 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
65%
Serious cites
5

5 citation(s) involving actual harm or immediate jeopardy

F

38.6/100

Avantara Huron

Huron, SD · Beadle County

CMS 2/5 119 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
55%
Serious cites
5

5 citation(s) involving actual harm or immediate jeopardy

D

46/100

Good Samaritan Society Sioux Falls Village

Sioux Falls, SD · Minnehaha County

CMS 1/5 177 beds Non-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
41%
Serious cites
5

5 citation(s) involving actual harm or immediate jeopardy

D

51.4/100

St William's Care Center

Milbank, SD · Grant County

CMS 2/5 60 beds Non-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
39%
Serious cites
5

5 citation(s) involving actual harm or immediate jeopardy

C

62.4/100

Good Samaritan Society Luther Manor

Sioux Falls, SD · Minnehaha County

CMS 2/5 92 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
44%
Serious cites
5

5 citation(s) involving actual harm or immediate jeopardy

F

25.7/100

Good Samaritan Society Miller

Miller, SD · Hand County

CMS 1/5 50 beds Non-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
71%
Serious cites
4

4 citation(s) involving actual harm or immediate jeopardy

D

45.5/100

Good Samaritan Society De Smet

De Smet, SD · Kingsbury County

CMS 1/5 46 beds Non-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
64%
Serious cites
4

4 citation(s) involving actual harm or immediate jeopardy

D

46/100

Aberdeen Health And Rehab

Aberdeen, SD · Brown County

CMS 1/5 78 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
39%
Serious cites
4

4 citation(s) involving actual harm or immediate jeopardy

D

51.5/100

Avera Bormann Manor

Parkston, SD · Hutchinson County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
43%
Serious cites
4

4 citation(s) involving actual harm or immediate jeopardy

C

57.5/100

Scotchman Living Center

Philip, SD · Haakon County

CMS 3/5 42 beds Non-profit Medicaid
Nurse hours
5.07 /day
Staff turnover
58%
Serious cites
4

4 citation(s) involving actual harm or immediate jeopardy

C

69/100

Highmore Health

Highmore, SD · Hyde County

CMS 3/5 39 beds Non-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
52%
Serious cites
4

4 citation(s) involving actual harm or immediate jeopardy

D

48.6/100

Lake Andes Senior Living

Lake Andes, SD · Charles Mix County

CMS 1/5 43 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
38%
Serious cites
3

3 citation(s) involving actual harm or immediate jeopardy

D

51/100

Sanford Care Center Vermillion

Vermillion, SD · Clay County

CMS 2/5 66 beds Non-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
46%
Serious cites
3

3 citation(s) involving actual harm or immediate jeopardy

D

51.5/100

Jenkin's Living Center

Watertown, SD · Codington County

CMS 3/5 110 beds Non-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
54%
Serious cites
3

3 citation(s) involving actual harm or immediate jeopardy

D

51.5/100

Good Samaritan Society Tyndall

Tyndall, SD · Bon Homme County

CMS 3/5 68 beds Non-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
59%
Serious cites
3

3 citation(s) involving actual harm or immediate jeopardy

D

53/100

Avantara Pierre

Pierre, SD · Hughes County

CMS 2/5 65 beds For-profit Medicaid
Nurse hours
2.81 /day
Staff turnover
41%
Serious cites
3

3 citation(s) involving actual harm or immediate jeopardy

D

53.5/100

Avantara Redfield

Redfield, SD · Spink County

CMS 2/5 58 beds For-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
52%
Serious cites
3

3 citation(s) involving actual harm or immediate jeopardy

D

54.5/100

Flandreau Santee Sioux Tribe Care Center

Flandreau, SD · Moody County

CMS 3/5 42 beds Non-profit Medicaid
Nurse hours
/day
Staff turnover
Serious cites
3

3 citation(s) involving actual harm or immediate jeopardy

C

62/100

Wheatcrest Hills Healthcare Center

Britton, SD · Marshall County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
2.69 /day
Staff turnover
32%
Serious cites
3

3 citation(s) involving actual harm or immediate jeopardy

C

65.5/100

Avera Mother Joseph Manor Retirement Community

Aberdeen, SD · Brown County

CMS 1/5 81 beds Non-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
56%
Serious cites
3

3 citation(s) involving actual harm or immediate jeopardy

B

74.5/100

Dow Rummel Village

Sioux Falls, SD · Minnehaha County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
5.10 /day
Staff turnover
32%
Serious cites
3

3 citation(s) involving actual harm or immediate jeopardy

D

50.3/100

Good Samaritan Society New Underwood

New Underwood, SD · Pennington County

CMS 2/5 41 beds Non-profit Medicaid
Nurse hours
2.82 /day
Staff turnover
65%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

D

52.4/100

Five Counties Nursing Home

Lemmon, SD · Perkins County

CMS 1/5 38 beds Non-profit Medicaid
Nurse hours
2.90 /day
Staff turnover
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

D

53.5/100

Good Samaritan Society Canton

Canton, SD · Lincoln County

CMS 2/5 56 beds Non-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
54%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

D

53.5/100

Diamond Care Center

Bridgewater, SD · Mc Cook County

CMS 1/5 36 beds For-profit Medicaid
Nurse hours
2.44 /day
Staff turnover
55%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

D

54.9/100

Tekakwitha Living Center

Sisseton, SD · Roberts County

CMS 2/5 40 beds Non-profit Medicaid
Nurse hours
2.67 /day
Staff turnover
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

C

55/100

Good Samaritan Society Canistota

Canistota, SD · Mc Cook County

CMS 3/5 55 beds Non-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
68%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

C

57/100

Fountain Springs Healthcare

Rapid City, SD · Pennington County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
54%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

C

57.5/100

Avantara North

Rapid City, SD · Pennington County

CMS 3/5 68 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
35%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

C

58/100

Pioneer Memorial Nursing Home

Viborg, SD · Turner County

CMS 3/5 46 beds Non-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
52%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

C

61.5/100

Michael J Fitzmaurice South Dakota Veterans Home

Hot Springs, SD · Fall River County

CMS 2/5 78 beds Government Medicaid
Nurse hours
/day
Staff turnover
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

C

63.1/100

Avantara Mountain View

Rapid City, SD · Pennington County

CMS 2/5 101 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
41%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

C

64/100

Avantara Lake Norden

Lake Norden, SD · Hamlin County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
33%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

C

64/100

Eastern Star Home Of South Dakota, Inc

Redfield, SD · Spink County

CMS 4/5 30 beds Non-profit Medicaid
Nurse hours
4.61 /day
Staff turnover
30%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

C

66.9/100

United Living Community

Brookings, SD · Brookings County

CMS 2/5 67 beds Non-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
50%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

C

67.4/100

Strand-Kjorsvig Community Rest Home

Roslyn, SD · Day County

CMS 2/5 35 beds Non-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
48%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

C

68/100

Bethel Lutheran Home

Madison, SD · Lake County

CMS 2/5 59 beds Non-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
52%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

C

69.5/100

Monument Health Sturgis Care Center

Sturgis, SD · Meade County

CMS 3/5 40 beds Non-profit Medicaid
Nurse hours
5.09 /day
Staff turnover
55%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

B

71.5/100

Platte Care Center

Platte, SD · Charles Mix County

CMS 5/5 48 beds Non-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
42%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

B

71.6/100

Sun Dial Manor

Bristol, SD · Day County

CMS 3/5 37 beds Non-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
56%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

A

93/100

Oakview Terrace

Freeman, SD · Hutchinson County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
23%
Serious cites
2

2 citation(s) involving actual harm or immediate jeopardy

C

55.5/100

Centerville Care And Rehab Center Inc

Centerville, SD · Turner County

CMS 2/5 42 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
44%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

C

59.5/100

Avantara Clark City

Clark, SD · Clark County

CMS 4/5 35 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
42%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

C

61/100

Prairie View Healthcare Center

Woonsocket, SD · Sanborn County

CMS 3/5 42 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
73%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

C

61.5/100

Estelline Nursing And Care Center

Estelline, SD · Hamlin County

CMS 2/5 60 beds Government Medicaid
Nurse hours
2.04 /day
Staff turnover
29%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

C

62/100

Seven Sisters Living Center

Hot Springs, SD · Fall River County

CMS 4/5 52 beds Non-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
63%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

C

62/100

Dells Nursing And Rehab Center Inc

Dell Rapids, SD · Minnehaha County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
42%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

C

63/100

Avantara Groton

Groton, SD · Brown County

CMS 2/5 37 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
37%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

C

63.5/100

Winner Regional Healthcare Center

Winner, SD · Tripp County

CMS 3/5 40 beds Non-profit Medicaid
Nurse hours
4.99 /day
Staff turnover
68%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

C

69.1/100

Bethesda Of Beresford

Beresford, SD · Union County

CMS 2/5 39 beds Non-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
50%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

B

71.5/100

Aurora Brule Nursing Home Inc

White Lake, SD · Aurora County

CMS 3/5 44 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

B

75.5/100

Bethesda Home Of Aberdeen

Aberdeen, SD · Brown County

CMS 3/5 86 beds Non-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
39%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

B

78.5/100

Westhills Village Health Care Facility

Rapid City, SD · Pennington County

CMS 5/5 44 beds Non-profit
Nurse hours
3.70 /day
Staff turnover
46%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

B

79.5/100

Avera Eureka Health Care Center

Eureka, SD · Mc Pherson County

CMS 2/5 56 beds Non-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
33%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

B

80.5/100

Wakonda Heritage Manor

Wakonda, SD · Clay County

CMS 5/5 38 beds Non-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
33%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

B

82/100

Menno-Olivet Care Center

Menno, SD · Hutchinson County

CMS 5/5 41 beds Non-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
36%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

B

82/100

White River Health Care Center

White River, SD · Mellette County

CMS 5/5 52 beds Non-profit Medicaid
Nurse hours
5.48 /day
Staff turnover
48%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

A

85/100

Avera Sister James Care Center

Yankton, SD · Yankton County

CMS 5/5 194 beds Non-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
31%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

A

87.5/100

Clarkson Health Care

Rapid City, SD · Pennington County

CMS 5/5 49 beds Non-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
34%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

A

90/100

Avera Prince Of Peace

Sioux Falls, SD · Minnehaha County

CMS 3/5 126 beds Non-profit Medicaid
Nurse hours
5.74 /day
Staff turnover
25%
Serious cites
1

1 citation(s) involving actual harm or immediate jeopardy

What to do if a home you use is on this list

  1. 1. Read the citations themselves on the home's profile — the inspector's own words tell you whether this was paperwork or a person being hurt.
  2. 2. Ask the administrator directly what happened, when, and what specifically changed afterwards. Ask who was in charge then and whether they still are.
  3. 3. Call your state's Long-Term Care Ombudsman. The service is free, independent, and they know which homes generate complaints.
  4. 4. If you believe someone is at risk right now, contact emergency services and Adult Protective Services — do not wait on a process.
Residents' rights and how to complain →