CMS Data · 2026
South Dakota Nursing Home Staffing Ratios
State average: 3.95 total HPRD · 0.72 RN · 0.82 LPN · 2.41 CNA
South Dakota vs. National Average
Bar = South Dakota average. Marker line = U.S. national average. Source: CMS PBJ 2024.
Browse by City in South Dakota
South Dakota Nursing Home Staffing — Top 50 Facilities
Sorted by CMS overall star rating. Click any facility for detailed staffing data.
PRAIRIE HEIGHTS HEALTHCARE
ABERDEEN, SD · For profit
5★
2★
3.55
0.49
AVERA MARYHOUSE LONG TERM CARE
PIERRE, SD · Non profit
5★
5★
4.50
1.02
AVANTARA LAKE NORDEN
LAKE NORDEN, SD · For profit
5★
4★
3.19
0.79
AVERA BRADY HEALTH AND REHAB
MITCHELL, SD · Non profit
5★
5★
4.26
1.44
Alcester Care And Rehab Center, Inc
ALCESTER, SD · For profit
5★
3★
2.83
0.49
AVERA SISTER JAMES CARE CENTER
YANKTON, SD · Non profit
5★
5★
3.91
1.08
Bethesda Home
WEBSTER, SD · Non profit
5★
5★
4.28
1.03
GOOD SAMARITAN SOCIETY HOWARD
HOWARD, SD · Non profit
5★
4★
3.33
0.83
THE NEIGHBORHOODS AT BROOKVIEW
BROOKINGS, SD · Government
5★
4★
4.80
0.82
FAULKTON SENIOR LIVING
FAULKTON, SD · For profit
5★
4★
3.12
0.62
Avera Rosebud Country Care Center
GREGORY, SD · Non profit
4★
4★
4.85
1.06
Westhills Village Health Care Facility
RAPID CITY, SD · Non profit
4★
3★
3.76
1.21
⚠ 1 CMS fine on record
CLARKSON HEALTH CARE
RAPID CITY, SD · Non profit
4★
4★
3.62
0.84
AVANTARA CLARK CITY
CLARK, SD · For profit
4★
3★
3.95
0.72
⚠ 1 CMS fine on record
Tieszen Memorial Home
MARION, SD · Non profit
4★
4★
3.36
0.71
AVANTARA MOUNTAIN VIEW
RAPID CITY, SD · For profit
3★
4★
3.85
0.80
⚠ 1 CMS fine on record
Avera Mother Joseph Manor Retirement Community
ABERDEEN, SD · Non profit
3★
5★
4.22
1.06
⚠ 1 CMS fine on record
WINNER REGIONAL HEALTHCARE CENTER
WINNER, SD · Non profit
3★
4★
4.50
0.69
⚠ 2 CMS fines on record
AVANTARA NORTH
RAPID CITY, SD · For profit
3★
3★
2.95
0.99
⚠ 2 CMS fines on record
AVERA PRINCE OF PEACE
SIOUX FALLS, SD · Non profit
3★
5★
5.56
1.47
⚠ 1 CMS fine on record
SEVEN SISTERS LIVING CENTER
HOT SPRINGS, SD · Non profit
3★
4★
4.28
0.68
⚠ 1 CMS fine on record
Bethesda Home of Aberdeen
ABERDEEN, SD · Non profit
3★
4★
3.66
0.81
Bethel Lutheran Home
MADISON, SD · Non profit
3★
4★
3.68
1.02
⚠ 2 CMS fines on record
GOOD SAMARITAN SOCIETY CANISTOTA
CANISTOTA, SD · Non profit
3★
3★
3.02
0.61
⚠ 1 CMS fine on record
HIGHMORE HEALTH
HIGHMORE, SD · Non profit
3★
4★
3.14
0.77
AVANTARA MILBANK
MILBANK, SD · For profit
2★
2★
3.00
0.98
⚠ 3 CMS fines on record
SPEARFISH CANYON HEALTHCARE
SPEARFISH, SD · For profit
2★
2★
3.36
0.36
⚠ 1 CMS fine on record
GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER
SIOUX FALLS, SD · Non profit
2★
4★
3.49
0.81
⚠ 1 CMS fine on record
AVANTARA PIERRE
PIERRE, SD · For profit
2★
3★
2.89
0.73
⚠ 1 CMS fine on record
AVANTARA GROTON
GROTON, SD · For profit
2★
3★
3.69
0.65
⚠ 1 CMS fine on record
AVANTARA REDFIELD
REDFIELD, SD · For profit
2★
3★
3.17
0.63
⚠ 3 CMS fines on record
GOOD SAMARITAN SOCIETY DE SMET
DE SMET, SD · Non profit
2★
4★
3.41
0.98
⚠ 2 CMS fines on record
Avera Eureka Health Care Center
EUREKA, SD · Non profit
2★
4★
2.96
0.69
⚠ 1 CMS fine on record
UNITED LIVING COMMUNITY
BROOKINGS, SD · Non profit
2★
4★
4.64
0.59
⚠ 2 CMS fines on record
Bethesda Of Beresford
BERESFORD, SD · Non profit
2★
3★
3.58
1.09
⚠ 1 CMS fine on record
Centerville Care and Rehab Center Inc
CENTERVILLE, SD · For profit
2★
2★
3.23
0.69
⚠ 1 CMS fine on record
Sun Dial Manor
BRISTOL, SD · Non profit
2★
4★
3.54
0.90
⚠ 2 CMS fines on record
AVANTARA HURON
HURON, SD · For profit
1★
2★
3.47
0.66
⚠ 1 CMS fine on record
ROLLING HILLS HEALTHCARE
BELLE FOURCHE, SD · For profit
1★
1★
3.30
0.43
⚠ 4 CMS fines on record
JENKIN'S LIVING CENTER
WATERTOWN, SD · Non profit
1★
4★
3.58
0.67
⚠ 2 CMS fines on record
TEKAKWITHA LIVING CENTER
SISSETON, SD · Non profit
1★
2★
2.78
0.69
⚠ 3 CMS fines on record
ABERDEEN HEALTH AND REHAB
ABERDEEN, SD · For profit
1★
4★
3.70
0.69
⚠ 4 CMS fines on record
GOOD SAMARITAN SOCIETY LUTHER MANOR
SIOUX FALLS, SD · For profit
1★
4★
4.03
0.91
⚠ 2 CMS fines on record
GOOD SAMARITAN SOCIETY SIOUX FALLS VILLAGE
SIOUX FALLS, SD · Non profit
1★
4★
3.68
0.70
⚠ 5 CMS fines on record
AVANTARA ARROWHEAD
RAPID CITY, SD · For profit
1★
2★
3.24
0.78
⚠ 5 CMS fines on record
AVANTARA SAINT CLOUD
RAPID CITY, SD · For profit
1★
1★
3.35
0.52
⚠ 2 CMS fines on record
AVANTARA WATERTOWN
WATERTOWN, SD · For profit
1★
3★
3.46
1.15
⚠ 1 CMS fine on record
RIVERVIEW HEALTHCARE CENTER
FLANDREAU, SD · For profit
1★
3★
3.36
0.60
⚠ 6 CMS fines on record
Five Counties Nursing Home
LEMMON, SD · Non profit
1★
1★
—
—
⚠ 1 CMS fine on record
AVANTARA NORTON
SIOUX FALLS, SD · For profit
—
—
3.73
0.64
⚠ 6 CMS fines on record
Frequently Asked Questions
- What are the nursing home staffing requirements in South Dakota?
- CMS requires all South Dakota nursing homes to meet the federal minimums of 3.48 total nursing HPRD and 0.55 RN HPRD with 24-hour RN presence. South Dakota's state average of 3.95 total HPRD is at or above the national average of 3.89.
- What is the average RN staffing level in South Dakota nursing homes?
- South Dakota nursing homes average 0.72 RN hours per resident per day — above the U.S. national average of 0.69. Individual facilities vary widely; use this tool to compare specific nursing homes.
- How do I find the best-staffed nursing home in South Dakota?
- Sort by CMS staffing star rating (4–5 stars) and look for total HPRD above 3.89 — especially RN HPRD above 1.0. Also check staff turnover: facilities below 30% annual turnover typically provide more consistent care.
Data: CMS PBJ system via Care Compare. Revalidated every 24 hours. Not a medical recommendation.