Nursing Homes in South Dakota

South Dakota has 96 Medicare- or Medicaid-certified nursing homes across 71 cities, with a statewide average CMS overall rating of 2.8 out of 5 stars. Browse by city below to compare CMS ratings, inspection history, and staffing, all sourced from official CMS data.

Total Facilities96
Avg CMS Rating2.8/5 ★
Cities71
CareQED Analysis

South Dakota's rating distribution is 1 star: 24 facilities (25%); 2 star: 22 facilities (23%); 3 star: 18 facilities (19%); 4 star: 15 facilities (16%); 5 star: 16 facilities (17%), and the state's average CMS overall star rating is 2.8 out of 5, which is 0.20 below the national average of 3.0. South Dakota has 31 facilities (33%) rated 4 or 5 stars and 46 facilities (48%) rated 1 or 2 stars, reflecting those distribution counts out of 96 total facilities.

South Dakota has 96 total nursing home facilities and 5,844 certified beds, with average total nurse staffing of 3.88 hours per resident day (HPRD) and 85.4% of facilities Medicare-certified and 99% Medicaid-certified. The state has 6 Special Focus Facilities on the CMS poor-performer watch list.

Frequently Asked Questions

How many nursing homes are in South Dakota?

South Dakota has 96 Medicare- or Medicaid-certified nursing homes across 71 cities listed on CareQED.

What is the average nursing home rating in South Dakota?

Nursing homes in South Dakota have a statewide average CMS overall rating of 2.8 out of 5 stars.

Data Source

This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.

CMS Provider Information updated: May 1, 2026.

CMS Survey Summary updated: May 1, 2026.

CMS Health Deficiencies updated: May 1, 2026.

CareQED Last Updated: June 22, 2026.