Best-Rated Nursing Homes in South Dakota (2026)
The 10 highest-rated nursing homes in South Dakota, ranked from Medicare’s star ratings, inspections and staffing, using data as of September 2026. No home paid to be on this list.
- 1
Avera Brady Health and Rehab
Medicare rates it 5 out of 5 overall, with 5 for health inspections, 5 for staffing and 4 for quality of care. Nurses and aides spend about 4 hr 24 min a day with each resident (South Dakota average 3 hr 47 min). Its recent inspections found no citations for resident harm. Quality ratings: 3 of 5 for short-term rehab, 5 of 5 for long-term care.
- 2
Avera Maryhouse Long Term CareInside a hospital
Medicare rates it 5 out of 5 overall, with 5 for health inspections, 5 for staffing and 4 for quality of care. Nurses and aides spend about 4 hr 37 min a day with each resident (South Dakota average 3 hr 47 min). Its recent inspections found no citations for resident harm. Quality ratings: 5 of 5 for short-term rehab, 2 of 5 for long-term care.
- 3
Menno-Olivet Care Center
Medicare rates it 5 out of 5 overall, with 5 for health inspections, 5 for staffing and 2 for quality of care. Nurses and aides spend about 4 hr 24 min a day with each resident (South Dakota average 3 hr 47 min). Its recent inspections found no citations for resident harm.
- 4
Walworth County Care Center
Medicare rates it 5 out of 5 overall, with 5 for health inspections, 4 for staffing and 4 for quality of care. Nurses and aides spend about 3 hr 02 min a day with each resident (South Dakota average 3 hr 47 min). Its recent inspections found no citations for resident harm.
- 5
Pioneer Memorial Nursing HomeInside a hospital
Medicare rates it 5 out of 5 overall, with 5 for health inspections, 4 for staffing and 4 for quality of care. Nurses and aides spend about 3 hr 55 min a day with each resident (South Dakota average 3 hr 47 min). Its recent inspections found no citations for resident harm. It was fined $32,536 in the last three years.
- 6
The Neighborhoods at Brookview
Medicare rates it 5 out of 5 overall, with 5 for health inspections, 4 for staffing and 3 for quality of care. Nurses and aides spend about 4 hr 36 min a day with each resident (South Dakota average 3 hr 47 min). Its recent inspections found no citations for resident harm. Quality ratings: 5 of 5 for short-term rehab, 2 of 5 for long-term care.
- 7
Good Samaritan Society Howard
Medicare rates it 5 out of 5 overall, with 5 for health inspections, 3 for staffing and 5 for quality of care. Nurses and aides spend about 3 hr 23 min a day with each resident (South Dakota average 3 hr 47 min). Its recent inspections found no citations for resident harm.
- 8
Alcester Care and Rehab Center
Medicare rates it 5 out of 5 overall, with 5 for health inspections, 3 for staffing and 3 for quality of care. Nurses and aides spend about 2 hr 44 min a day with each resident (South Dakota average 3 hr 47 min). Its recent inspections found no citations for resident harm. Quality ratings: 4 of 5 for short-term rehab, 1 of 5 for long-term care.
- 9
Bethesda Home
Medicare rates it 5 out of 5 overall, with 4 for health inspections, 5 for staffing and 4 for quality of care. Nurses and aides spend about 4 hr 32 min a day with each resident (South Dakota average 3 hr 47 min). Its recent inspections found no citations for resident harm.
- 10
White River Health Care Center
Medicare rates it 5 out of 5 overall, with 4 for health inspections, 5 for staffing and 4 for quality of care. Nurses and aides spend about 5 hr 29 min a day with each resident (South Dakota average 3 hr 47 min). Its recent inspections found no citations for resident harm. It was fined $6,168 in the last three years.
Tick “Compare” on two to four homes to see them side by side. See all nursing homes in South Dakota →
How we rank. Homes are ordered by Medicare’s overall star rating. When two homes tie, the one with the better health inspection rating goes first, then staffing rating, then quality rating, then fewer serious citations, then lower fines. Homes still tied are listed alphabetically.
Best-rated nursing homes by county in South Dakota
About nursing homes in South Dakota
What is the best-rated nursing home in South Dakota?
By Medicare’s ratings, Avera Brady Health And Rehab ranks first in South Dakota, with an overall rating of 5 out of 5. Ratings are a starting point; visit and ask about anything in a home’s inspection record.
How many nursing homes are in South Dakota?
80 homes in South Dakota qualify for this ranking: rated by Medicare and not on its Special Focus or abuse lists. See every nursing home in South Dakota, including homes not yet rated.
How is this list ranked?
By Medicare’s overall star rating, then its health inspection, staffing and quality ratings, then fewer serious citations and fines. Homes on Medicare’s Special Focus list or with its abuse icon are not included, nor are children’s facilities. Paid or sponsored listings never affect the order.
Medicare ratings can lag behind changes at a home. Always visit, ask about recent inspections, and confirm openings, insurance and care needs with each home. How we use Medicare data