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Nursing homes in South Dakota

Explore nursing homes across South Dakota, or choose a city or county to focus your search.

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South Dakota
Photo credits
96HomesThis site's facility dataset
5,848Certified bedsTotal capacity, not current availability
83Accept MedicarePer this site's payment data; confirm with the home
95Accept MedicaidPer this site's payment data; confirm with the home

Nursing homes across South Dakota

Homes and star ratings come from Medicare (CMS) and can be a few months old. Medicare doesn’t list which homes offer memory care, hospice or other programs: look for them in a home’s own profile, or ask the home.

96 homes

Aberdeen Health and Rehab

1700 North Highway 281 · Aberdeen, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

78 certified bedsMedicareMedicaid

Alcester Care and Rehab Center

101 Church Street · Alcester, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

44 certified bedsMedicareMedicaid

Aurora Brule Nursing Home

408 South Johnston Street · White Lake, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

44 certified bedsMedicareMedicaid

Avantara Arrowhead

2500 Arrowhead Dr · Rapid City, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

68 certified bedsMedicareMedicaid

Avantara Clark City

201 8th Avenue Nw · Clark, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

35 certified bedsMedicareMedicaid

Avantara Groton

1106 North Second Street · Groton, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

37 certified bedsMedicareMedicaid

Avantara Huron

1345 Michigan Avenue Sw · Huron, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

119 certified bedsMedicareMedicaid

Avantara Lake Norden

803 Park Street · Lake Norden, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

50 certified bedsMedicareMedicaid

Avantara Milbank

1103 South Second Street · Milbank, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

55 certified bedsMedicareMedicaid

Avantara Mountain View

916 Mountain View Road · Rapid City, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

101 certified bedsMedicareMedicaid

Avantara North

1620 North 7th Street · Rapid City, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

68 certified bedsMedicareMedicaid

Avantara Norton

3600 South Norton Avenue · Sioux Falls, SD

CMS overall ratingNot yet ratedCMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

110 certified bedsMedicareMedicaid

Avantara Pierre

950 East Park Street · Pierre, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

65 certified bedsMedicareMedicaid

Avantara Redfield

1015 Third Street East · Redfield, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

58 certified bedsMedicareMedicaid

Avantara Saint Cloud

302 St Cloud Street · Rapid City, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

78 certified bedsMedicareMedicaid

Avantara Watertown

415 Fourth Ave Ne · Watertown, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

51 certified bedsMedicareMedicaid

Avera Bormann Manor

501 North 4th Street · Parkston, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

50 certified bedsMedicaid

Avera Brady Health and Rehab

500 S Ohlman · Mitchell, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

84 certified bedsMedicareMedicaid

Avera Eureka Health Care Center

202 J Avenue · Eureka, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

56 certified bedsMedicareMedicaid

Avera Maryhouse Long Term Care

717 East Dakota · Pierre, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

Inside a hospital80 certified bedsMedicareMedicaid

Avera Mother Joseph Manor Retirement Community

1002 North Jay Street · Aberdeen, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

Inside a hospital81 certified bedsMedicareMedicaid

Avera Oahe Manor

700 E Garfield · Gettysburg, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

53 certified bedsMedicaid

Avera Prince of Peace

4513 South Prince Of Peace Place · Sioux Falls, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: Non-profit (church related)

Inside a hospital126 certified bedsMedicareMedicaid

Avera Rosebud Country Care Center

126 S Logan Ave · Gregory, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

30 certified bedsMedicareMedicaid

Avera Sister James Care Center

2111 West 11th Street · Yankton, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

194 certified bedsMedicareMedicaid

Bethany Home - Brandon

3012 E Aspen Blvd · Brandon, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

58 certified bedsMedicareMedicaid

Bethany Home Sioux Falls

1901 South Holly Avenue · Sioux Falls, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

54 certified bedsMedicareMedicaid

Bethel Lutheran Home

1001 S Egan Ave · Madison, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (church related)

59 certified bedsMedicareMedicaid

Bethesda Home

129 W Hwy 12 · Webster, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (church related)

50 certified bedsMedicareMedicaid

Bethesda Home of Aberdeen

1224 S High St · Aberdeen, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (church related)

86 certified bedsMedicareMedicaid

Bethesda of Beresford

606 W Cedar · Beresford, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

39 certified bedsMedicareMedicaid

Bowdle Nursing Home

8001 W 5th Street · Bowdle, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: Government (city)

27 certified bedsMedicareMedicaid

Centerville Care and Rehab Center

500 Vermillion St · Centerville, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

42 certified bedsMedicareMedicaid

Clarkson Health Care

1015 Mt View Rd · Rapid City, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (other)

49 certified bedsMedicareMedicaid

Custer Care and Rehab Center

1065 Montgomery St · Custer, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

43 certified bedsMedicareMedicaid

Dells Nursing and Rehab Center

1400 Thresher Dr · Dell Rapids, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

50 certified bedsMedicareMedicaid

Diamond Care Center

901 N Main Ave · Bridgewater, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

36 certified bedsMedicareMedicaid

Dow Rummel Village

1321 W Dow Rummel St · Sioux Falls, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

50 certified bedsMedicareMedicaid

Eastern Star Home of South Dakota

126 W 12th Avenue · Redfield, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

30 certified bedsMedicaid

Estelline Nursing and Care Center

205 Fjerestad Avenue East · Estelline, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: Government (city)

60 certified bedsMedicareMedicaid

Faulkton Senior Living

1401 Pearl St · Faulkton, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

41 certified bedsMedicareMedicaid

Firesteel Healthcare Center

1120 East 7th Avenue · Mitchell, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

125 certified bedsMedicareMedicaid

Five Counties Nursing Home

405 6th Avenue West · Lemmon, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

38 certified bedsMedicareMedicaid

Flandreau Santee Sioux Tribe Care Center

909 Jones Dr · Flandreau, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (other)

42 certified bedsMedicaid

Fountain Springs Healthcare

2000 Wesleyan Blvd · Rapid City, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

90 certified bedsMedicareMedicaid

Good Samaritan Society - St Martin Village

4825 Jericho Way · Rapid City, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

60 certified bedsMedicareMedicaid

Good Samaritan Society - Wagner

515 W Hwy 46 · Wagner, SD

CMS overall ratingNot yet ratedCMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

50 certified bedsMedicareMedicaid

Good Samaritan Society Canistota

700 West Main St · Canistota, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

55 certified bedsMedicareMedicaid

Good Samaritan Society Canton

1022 North Dakota Avenue · Canton, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

56 certified bedsMedicareMedicaid

Good Samaritan Society De Smet

411 Calumet Avenue Nw · De Smet, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

46 certified bedsMedicareMedicaid

Good Samaritan Society Howard

300 West Hazel Avenue · Howard, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

45 certified bedsMedicareMedicaid

Good Samaritan Society Luther Manor

1500 W 38th St · Sioux Falls, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

92 certified bedsMedicareMedicaid

Good Samaritan Society Miller

421 East 4th St · Miller, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

50 certified bedsMedicareMedicaid

Good Samaritan Society New Underwood

412 South Madison · New Underwood, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

41 certified bedsMedicareMedicaid

Good Samaritan Society Scotland

130 6th Street · Scotland, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

45 certified bedsMedicareMedicaid

Good Samaritan Society Sioux Falls Center

401 West Second Street · Sioux Falls, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

98 certified bedsMedicareMedicaid

Good Samaritan Society Sioux Falls Village

3901 S Marion Rd · Sioux Falls, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

177 certified bedsMedicareMedicaid

Good Samaritan Society Tyndall

2304 Laurel Street · Tyndall, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

68 certified bedsMedicareMedicaid

Highmore Health

410 8th Street Se · Highmore, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

39 certified bedsMedicareMedicaid

Jenkin's Living Center

215 South Maple Street · Watertown, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

110 certified bedsMedicareMedicaid

Kadoka Nursing Home

605 Maple St W · Kadoka, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

31 certified bedsMedicaid

Lake Andes Senior Living

740 East Lake St · Lake Andes, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (individual)

43 certified bedsMedicareMedicaid

Medicine Wheel Village

24266 Airport Road · Eagle Butte, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (other)

50 certified bedsMedicaid

Menno-Olivet Care Center

402 S Pine Street · Menno, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

41 certified bedsMedicareMedicaid

Michael J Fitzmaurice South Dakota Veterans Home

2500 Minnekahta Avenue · Hot Springs, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: Government (state)

78 certified bedsMedicaid

Monument Health Sturgis Care Center

2140 Junction Avenue · Sturgis, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

40 certified bedsMedicareMedicaid

Oakview Terrace

510 E 8th St · Freeman, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

45 certified bedsMedicareMedicaid

Palisade Healthcare Center

920 4th St · Garretson, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

55 certified bedsMedicareMedicaid

Pioneer Memorial Nursing Home

315 North Washington St · Viborg, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

Inside a hospital46 certified bedsMedicareMedicaid

Platte Care Center

609 East 7th · Platte, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

Inside a hospital48 certified bedsMedicaid

Prairie Heights Healthcare

400 8th Avenue Nw · Aberdeen, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

99 certified bedsMedicareMedicaid

Prairie View Healthcare Center

401 South First Avenue · Woonsocket, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

42 certified bedsMedicareMedicaid

Riverview Healthcare Center

611 East 2nd Ave · Flandreau, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

63 certified bedsMedicareMedicaid

Rolling Hills Healthcare

2200 13th Ave · Belle Fourche, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

83 certified bedsMedicareMedicaid

Sanford Care Center Vermillion

125 S Walker Street · Vermillion, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

66 certified bedsMedicaid

Sanford Chamberlain Care Center

300 S Byron Blvd · Chamberlain, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

44 certified bedsMedicaid

Scotchman Living Center

503 West Pine · Philip, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

Inside a hospital42 certified bedsMedicaid

Sd Human Services Center - Geriatric Program

3515 Broadway Ave · Yankton, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Government (state)

Inside a hospital69 certified bedsMedicaid

Seven Sisters Living Center

1201 Hwy 71 South · Hot Springs, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

Inside a hospital52 certified bedsMedicareMedicaid

Spearfish Canyon Healthcare

1020 N 10th Street · Spearfish, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

105 certified bedsMedicareMedicaid

St William's Care Center

103 N Viola St · Milbank, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (other)

60 certified bedsMedicareMedicaid

Strand-Kjorsvig Community Rest Home

801 S Main · Roslyn, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

35 certified bedsMedicareMedicaid

Sun Dial Manor

410 Second Street · Bristol, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

37 certified bedsMedicareMedicaid

Sunset Manor Avera Health

129 E Clay St · Irene, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (other)

58 certified bedsMedicareMedicaid

Tekakwitha Living Center

6 E Chestnut · Sisseton, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

40 certified bedsMedicareMedicaid

The Neighborhoods at Brookview

2421 Yorkshire Dr · Brookings, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Government (city/county)

79 certified bedsMedicareMedicaid

Tieszen Memorial Home

312 East State St · Marion, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

64 certified bedsMedicareMedicaid

United Living Community

405 First Ave · Brookings, SD

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

67 certified bedsMedicareMedicaid

Wakonda Heritage Manor

515 Ohio Street · Wakonda, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

38 certified bedsMedicareMedicaid

Walworth County Care Center

4861 Lincoln Avenue · Selby, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

50 certified bedsMedicareMedicaid

Weskota Manor

608 1st Street Ne · Wessington Springs, SD

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

40 certified bedsMedicareMedicaid

Westhills Village Health Care Facility

255 Texas St · Rapid City, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (other)

44 certified bedsMedicare

Wheatcrest Hills Healthcare Center

1311 Vander Horck St · Britton, SD

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

60 certified bedsMedicareMedicaid

White River Health Care Center

515 E 8th Street · White River, SD

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

52 certified bedsMedicaid

Wilmot Care Center

501 4th St · Wilmot, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

26 certified bedsMedicareMedicaid

Winner Regional Healthcare Center

805 E 8th St · Winner, SD

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

40 certified bedsMedicareMedicaid

Distance sorting uses the selected city or county's real center. CMS ratings and family reviews remain separate.

Understand your options

Choosing nursing home care in South Dakota

This directory lists 96 nursing homes in South Dakota, with 5,848 certified beds between them. Their average CMS overall rating is 2.9 stars, close to the national average of 3.0 stars: 35 homes hold four or five stars and 41 have one or two.

Among the highest-rated homes are Avera Brady Health And Rehab (5 stars), Avera Maryhouse Long Term Care (5 stars) and Menno-Olivet Care Center (5 stars).

By ownership, 32% are for-profit, 62% non-profit and 5% government-owned. 1 home is in the CMS Special Focus Facility program for persistent quality problems and 5 homes are candidates for it. 13 homes carry the CMS abuse icon, which flags recent inspection citations related to abuse; check the inspection details on each profile.

The most homes are in Minnehaha County (10), Pennington County (9) and Brown County (5).

These figures come from the CMS data behind this directory. Ratings and inspections change, so confirm current details on each home’s profile and with the home itself.

Costs and payment

Contact your shortlisted homes for a current quote and to discuss accepted payment options.

Explore payment guides →
What should I ask before choosing a home?

Ask how the home will meet your loved one’s needs, how family members receive updates, what costs to expect, and whether you can visit before deciding.

How can I broaden my search?

Use the state map search, or select a city or county above to focus on a smaller area of South Dakota.

A little guidance goes a long way

Planning your search in South Dakota

A state-wide search can help you explore your options. Narrow the list to communities that make visits manageable for family and friends. Review each home’s information, then contact your shortlist about the care you need, payment options and next steps.

Need a hand narrowing it down?

Tell us what matters to your family and get help exploring your options.

Get help →

Feel prepared for the next step

Read practical guides about tours, coverage questions and care transitions.

Explore family guides →
Keep exploring South Dakota

Find nursing homes by location

Questions about nursing homes in South Dakota

How many nursing homes are in South Dakota?

There are 96 Medicare-certified nursing homes in South Dakota, with 5,848 certified beds in total. Bed counts show capacity, not current openings.

Which nursing homes in South Dakota have the highest Medicare rating?

Alcester Care And Rehab Center, INC (5 stars), Avera Brady Health And Rehab (5 stars), Avera Maryhouse Long Term Care (5 stars). See the full ranking.

What is the average Medicare rating of nursing homes in South Dakota?

2.9 out of 5 across 94 rated homes.

Do nursing homes in South Dakota accept Medicaid?

95 of the 96 homes accept Medicaid, according to Medicare’s records. Confirm with each home, since Medicaid beds can be limited. How nursing home Medicaid works in South Dakota.

Are any nursing homes in South Dakota on Medicare’s Special Focus list?

Yes: Avantara Norton. The Special Focus program follows homes with a history of serious quality problems. Data as of September 2026.