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SD

Best Nursing Homes in South Dakota

Compare 96 Medicare-certified nursing homes in South Dakota by CMS five-star quality rating.

Nursing Homes in South Dakota — by the numbers

96facilities
2.8★average rating
29rated 4-5 stars
30%are 4-5 stars

Star-rating distribution — South Dakota

About 18.9% of South Dakota's population is aged 65 or older (173,800 residents), which shapes demand for nursing homes. Source: U.S. Census Bureau.

Highest-rated in South Dakota

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Nursing Homes by city

Rapid City
8 nursing homes
Avg rating3.3
Sioux Falls
7 nursing homes
Avg rating3.5
Aberdeen
4 nursing homes
Avg rating3.6
Brookings
2 nursing homes
Avg rating3.8
Flandreau
2 nursing homes
Avg rating2
Hot Springs
2 nursing homes
Avg rating2.5
Milbank
2 nursing homes
Avg rating2.7
Mitchell
2 nursing homes
Avg rating3.4
Pierre
2 nursing homes
Avg rating3.7
Redfield
2 nursing homes
Avg rating3.3
Watertown
2 nursing homes
Avg rating2.9
Yankton
2 nursing homes
Avg rating3.9
Alcester
1 nursing homes
Avg rating5
Belle Fourche
1 nursing homes
Avg rating3
Beresford
1 nursing homes
Avg rating2
Bowdle
1 nursing homes
Avg rating4
Brandon
1 nursing homes
Avg rating1
Bridgewater
1 nursing homes
Avg rating1
Bristol
1 nursing homes
Avg rating2
Britton
1 nursing homes
Avg rating2
Canistota
1 nursing homes
Avg rating3
Canton
1 nursing homes
Avg rating2
Centerville
1 nursing homes
Avg rating2
Chamberlain
1 nursing homes
Avg rating3
Clark
1 nursing homes
Avg rating4
Custer
1 nursing homes
Avg rating1
De Smet
1 nursing homes
Avg rating2
Dell Rapids
1 nursing homes
Avg rating4
Eagle Butte
1 nursing homes
Avg rating3
Estelline
1 nursing homes
Avg rating3
Eureka
1 nursing homes
Avg rating2
Faulkton
1 nursing homes
Avg rating5
Freeman
1 nursing homes
Avg rating5
Garretson
1 nursing homes
Avg rating1
Gettysburg
1 nursing homes
Avg rating1
Gregory
1 nursing homes
Avg rating4
Groton
1 nursing homes
Avg rating2
Highmore
1 nursing homes
Avg rating3
Howard
1 nursing homes
Avg rating5
Huron
1 nursing homes
Avg rating2.1
Irene
1 nursing homes
Avg rating2
Kadoka
1 nursing homes
Avg rating3
Lake Andes
1 nursing homes
Avg rating1
Lake Norden
1 nursing homes
Avg rating5
Lemmon
1 nursing homes
Avg rating1
Madison
1 nursing homes
Avg rating3
Marion
1 nursing homes
Avg rating4
Menno
1 nursing homes
Avg rating5
Miller
1 nursing homes
Avg rating1
New Underwood
1 nursing homes
Avg rating2
Parkston
1 nursing homes
Avg rating4
Philip
1 nursing homes
Avg rating3
Platte
1 nursing homes
Avg rating5
Roslyn
1 nursing homes
Avg rating2
Scotland
1 nursing homes
Avg rating5
Selby
1 nursing homes
Avg rating5
Sisseton
1 nursing homes
Avg rating2.9
Spearfish
1 nursing homes
Avg rating4
Sturgis
1 nursing homes
Avg rating3
Tyndall
1 nursing homes
Avg rating2
Vermillion
1 nursing homes
Avg rating2
Viborg
1 nursing homes
Avg rating3
Wagner
1 nursing homes
Avg rating5
Wakonda
1 nursing homes
Avg rating4
Webster
1 nursing homes
Avg rating5
Wessington Springs
1 nursing homes
Avg rating4
White Lake
1 nursing homes
Avg rating3
White River
1 nursing homes
Avg rating5
Wilmot
1 nursing homes
Avg rating1
Winner
1 nursing homes
Avg rating2
Woonsocket
1 nursing homes
Avg rating2

By county

Aurora County · Beadle County · Bon Homme County · Brookings County · Brown County · Brule County · Butte County · Charles Mix County · Clark County · Clay County · Codington County · Custer County · Davison County · Day County · Dewey County · Edmunds County · Fall River County · Faulk County · Grant County · Gregory County · Haakon County · Hamlin County · Hand County · Hughes County · Hutchinson County · Hyde County · Jackson County · Jerauld County · Kingsbury County · Lake County · Lawrence County · Lincoln County · Marshall County · Mc Cook County · Mc Pherson County · Meade County · Mellette County · Miner County · Minnehaha County · Moody County · Pennington County · Perkins County · Potter County · Roberts County · Sanborn County · Spink County · Tripp County · Turner County · Union County · Walworth County · Yankton County

How are these ratings calculated?

The CMS five-star quality rating comes from the Centers for Medicare & Medicaid Services. Read our plain-language explainer for nursing homes to understand exactly what each star means — and what it does not.

Data as of June 20, 2026 · Source: CMS Provider Data Catalog.