Nursing Homes in South Dakota: Staffing, Turnover, and Penalties
South Dakota has 96 Medicare- or Medicaid-certified nursing homes in 71 cities. On CMS's August 2026 figures, nurse aides there log 2.52 hours per resident per day, 9% above the US average of 2.32, and 48.2% of nursing staff leave in a year (US 45.8%).
South Dakota averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Rapid City (8), Sioux Falls (7), Aberdeen (4). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Aberdeen (4)
- Alcester (1)
- Belle Fourche (1)
- Beresford (1)
- Bowdle (1)
- Brandon (1)
- Bridgewater (1)
- Bristol (1)
- Britton (1)
- Brookings (2)
- Canistota (1)
- Canton (1)
- Centerville (1)
- Chamberlain (1)
- Clark (1)
- Custer (1)
- Dell Rapids (1)
- De Smet (1)
- Eagle Butte (1)
- Estelline (1)
- Eureka (1)
- Faulkton (1)
- Flandreau (2)
- Freeman (1)
- Garretson (1)
- Gettysburg (1)
- Gregory (1)
- Groton (1)
- Highmore (1)
- Hot Springs (2)
- Howard (1)
- Huron (1)
- Irene (1)
- Kadoka (1)
- Lake Andes (1)
- Lake Norden (1)
- Lemmon (1)
- Madison (1)
- Marion (1)
- Menno (1)
- Milbank (2)
- Miller (1)
- Mitchell (2)
- New Underwood (1)
- Parkston (1)
- Philip (1)
- Pierre (2)
- Platte (1)
- Rapid City (8)
- Redfield (2)
- Roslyn (1)
- Scotland (1)
- Selby (1)
- Sioux Falls (7)
- Sisseton (1)
- Spearfish (1)
- Sturgis (1)
- Tyndall (1)
- Vermillion (1)
- Viborg (1)
- Wagner (1)
- Wakonda (1)
- Watertown (2)
- Webster (1)
- Wessington Springs (1)
- White Lake (1)
- White River (1)
- Wilmot (1)
- Winner (1)
- Woonsocket (1)
- Yankton (2)
Largest nursing home chains in South Dakota
CMS links 49 of South Dakota's homes to these 8 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in SD | Homes nationwide |
|---|---|---|
| Good Samaritan Society | 13 | 92 |
| Legacy Healthcare | 13 | 89 |
| Avera Health | 9 | 13 |
| Evergreen Healthcare Group | 6 | 44 |
| Accura Healthcare | 3 | 41 |
| Eduro Healthcare | 3 | 34 |
| Lifespark | 1 | 4 |
| Rural Health Development | 1 | 9 |
Chain as recorded in the CMS Provider Information file, August 2026 release