Nursing Homes in South Dakota

What nursing homes in South Dakota provide

Nursing Homes in South Dakota provide round-the-clock licensed nursing, medication management, rehabilitation therapy and help with every activity of daily living. We track 92 nursing homes statewide, alongside 22 other providers — nursing homes, assisted living, memory care, hospice and home health — that families often compare before deciding.

Every Medicare-certified nursing home in South Dakota is surveyed by state inspectors on behalf of CMS roughly once a year, and those survey results feed the star ratings shown on each profile. That makes nursing homes the most transparent care type in South Dakota: you can see deficiencies, staffing hours per resident per day and penalty history before you ever tour.

Typical pricing for nursing homes in South Dakota runs $7,900 to $11,200 per month. Semi-private rooms sit at the low end of that range and private rooms typically add 15 to 25 percent. Expect the higher end of that range in Sioux Falls and other high-cost metros, and the lower end in rural counties.

How to choose a nursing home in South Dakota

With 92 nursing homes in South Dakota, families need a repeatable way to narrow the list. These six steps work in any county.

• 1. Check the government inspection reports first

  Every Clear Care Connect profile shows the real CMS inspection record — deficiencies cited, their scope and severity, and how fast they were corrected. Read that before any brochure.

• 2. Compare star ratings across a shortlist, not in isolation

  A three-star facility reads differently next to the South Dakota average of 2.88. Line up four or five nursing homes side by side instead of judging one alone.

• 3. Visit at least three facilities, including one unannounced

  Tour options in Sioux Falls plus one nearby community, then drop in once outside tour hours to see normal staffing and resident engagement.

• 4. Ask about staff-to-resident ratios and turnover

  Ask for nursing hours per resident per day and annual turnover in writing. High turnover is the strongest predictor of inconsistent care in South Dakota facilities.

• 5. Understand exactly what the monthly price includes

  Get the base rate, care-level surcharges, medication fees and past annual increases. Two South Dakota communities quoting the same headline number can differ by thousands once care tiers apply.

• 6. Read the most recent inspection findings, not just the score

  One old citation matters far less than a repeated pattern. Clear Care Connect publishes the full history so you can compare South Dakota providers on that record in one place.

Top cities for nursing homes in South Dakota

Senior care in South Dakota clusters around its largest population centers. These 8 cities hold the highest concentration of nursing homes statewide, and each links to a local directory with ratings and costs.

• Sioux Falls — 12 facilities, 5 of them nursing homes, averaging 2.5 CMS stars.
• Rapid City — 10 facilities, 7 of them nursing homes, averaging 2.8 CMS stars.
• Aberdeen — 5 facilities, 3 of them nursing homes, averaging 3.5 CMS stars.
• Milbank — 3 facilities, 2 of them nursing homes, averaging 2.0 CMS stars.
• Pierre — 3 facilities, 2 of them nursing homes, averaging 3.5 CMS stars.
• Watertown — 3 facilities, 2 of them nursing homes, averaging 2.0 CMS stars.
• Yankton — 3 facilities, 2 of them nursing homes, averaging 5.0 CMS stars.
• Brookings — 3 facilities, 1 of them nursing home, averaging 3.5 CMS stars.

Understanding CMS ratings for nursing homes in South Dakota

The Centers for Medicare & Medicaid Services scores certified facilities from one to five stars using three inputs: on-site health inspections, payroll-reported staffing levels, and clinical quality measures. Five stars means much above average within that state's peer group; one star means much below.

In South Dakota, 95 of the 114 providers we track carry a published CMS rating, and 33 — roughly 35% — hold four or five stars. The statewide average is 2.88 stars. That average is below the national midpoint, which makes checking each facility's individual inspection record especially important.

Weight the health inspection component most heavily: it is the only piece built from unannounced on-site visits by state surveyors. Staffing is the next best signal, and quality measures are partly self-reported. Clear Care Connect shows all three sub-scores, the inspection date and any penalties on every South Dakota profile.

Nursing Homes costs in South Dakota

Nursing Homes in South Dakota typically runs $7,900 to $11,200 per month. Semi-private rooms sit at the low end of that range and private rooms typically add 15 to 25 percent. Pricing tracks local housing and wage costs closely, so expect Sioux Falls to price above the South Dakota median while rural counties come in below it.

For comparison, South Dakota families budget $7,900–$11,200 a month for a nursing home, $4,500–$7,500 for assisted living, $6,000–$9,000 for memory care, and little to nothing for Medicare-covered home health or hospice. Clear Care Connect publishes an estimated monthly range on each facility page so you can sanity-check any quote.

Frequently asked questions

Ready to find the right nursing home in South Dakota?

Clear Care Connect shows real government inspection data, CMS star ratings and cost information for all 92 nursing homes in South Dakota. Compare them side by side, see what inspectors found, and choose the right care for your loved one without a sales call.

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