Nursing Homes and Senior Care in South Dakota

Nursing Homes by City in South Dakota

The South Dakota cities with the most CMS-certified nursing homes. All 71 cities are listed below the table. Homes in South Dakota average 3.8 hours of nursing care per resident per day; the national median is 3.7 hours.

5-Star Nursing Homes in South Dakota

Homes with CMS's top overall rating, ordered by inspection rating. See all highest-rated nursing homes in South Dakota.

Assisted Living in South Dakota

South Dakota Department of Health, Office of Health Care Facilities Licensure and Certification licenses assisted living in South Dakota. License types: Assisted Living Center. Use the state's search to check a community's license and inspection history.

• South Dakota assisted living facility search
• South Dakota assisted living rules
• South Dakota assisted living licensing (South Dakota Department of Health, Office of Health Care Facilities Licensure and Certification)

Memory Care Rules in South Dakota

South Dakota's term is "Memory care unit"; it isn't a separate license, but rules apply to facilities that offer dementia care.

• ARSD 44:70:01:01 defines a "memory care unit" as "a distinct part of a facility in which the physical environment and design maximizes functioning abilities, promotes safety, and encourages independence for a defined specific population, that is staffed by persons with training to meet the needs of residents admitted to the unit."
• Each physician's, physician assistant's, or nurse practitioner's order for confinement that includes medical symptoms that warrant seclusion or placement must be documented in the resident's chart and reviewed periodically (ARSD 44:70:04:12(1)).
• Therapeutic programming must be provided to residents by the facility and documented in the overall plan of care (ARSD 44:70:04:12(2)).
• Confinement may not be used as punishment or for the convenience of personnel (ARSD 44:70:04:12(3)).
• Confinement and its necessity must be based on a comprehensive assessment of the resident's physical, cognitive and psychosocial needs, and the risks and benefits of confinement must be communicated to the resident's family (ARSD 44:70:04:12(4)).
• Each locked door must conform to sections 18.2.2.2.5 and 19.2.2.2.5 of the NFPA 101 Life Safety Code, 2012 edition (ARSD 44:70:04:12(5)).
• Any personnel assigned to the secured unit shall have specific training regarding the unique needs of residents in that unit. At least one caregiver must be on duty on the memory care unit at all times (ARSD 44:70:04:12(6)).
• Any memory care unit must be located at grade level and have direct access to an outside area (ARSD 44:70:10:10).
• All healthcare personnel must complete orientation within thirty days of hire, and annually, on subjects including "problem solving and communication techniques related to individuals with cognitive impairment or challenging behaviors if admitted and retained in the facility" (ARSD 44:70:04:04(10)).

• South Dakota memory care rules

Medicaid Long-Term Care in South Dakota

South Dakota's Medicaid program is South Dakota Medicaid. For nursing home Medicaid, the state lists an income limit of Income minus $20 that "does not exceed 300 percent of the SSI standard" (ARSD 67:46:03:03) and an asset limit of $2,000 for an individual and $3,000 for an individual with a spouse if both spouses begin receiving long-term care services in the same month (ARSD 67:46:05:30).

• Home and Community-Based Options and Person-Centered Excellence (HOPE) Waiver: in-home care, respite, adult day and assisted living. For people age 65 and older, or age 18 and older with a qualifying disability, who meet a nursing facility level of care, are not residents of a hospital, nursing facility or ICF, have an assessed need for one or more waiver services at least once per month, and meet financial eligibility as decided by Economic Assistance. Apply through Dakota at Home, 833-663-9673.

• South Dakota Medicaid nursing facility coverage
• South Dakota Medicaid long-term care limits

Nursing Home Inspections and Complaints in South Dakota

South Dakota Department of Health, Office of Health Care Facilities Licensure and Certification inspects nursing homes in South Dakota for CMS. To file a complaint, call 605-773-3356 or use the state's complaint page.

• South Dakota nursing home inspection lookup
• File a nursing home complaint in South Dakota

South Dakota Long-Term Care Ombudsman

The South Dakota Long-Term Care Ombudsman Program is a free, confidential advocate for residents of nursing homes and assisted living. Ombudsmen help with complaints, residents' rights and problems with care. Call 833-663-9673.

• Contact the South Dakota Long-Term Care Ombudsman Program

Aging Services and Caregiver Support in South Dakota

South Dakota Department of Human Services, Division of Long Term Services and Supports (designated State Unit on Aging) runs South Dakota's aging services, delivered through local Area Agencies on Aging. Family caregivers can get help through South Dakota Caregiver Program.

• South Dakota aging services: South Dakota Department of Human Services, Division of Long Term Services and Supports (designated State Unit on Aging)
• Caregiver support in South Dakota: South Dakota Caregiver Program
• South Dakota adult day services

Guides for Your Next Step

See how to choose a nursing home, what memory care is, how Medicaid pays for nursing home care and what Medicare covers. For local help, call the Eldercare Locator at 1-800-677-1116.

Frequently Asked Questions