South Dakota · CMS Data August 2026
Highest-Rated Nursing Homes in South Dakota
Where Are the Highest-Rated Nursing Homes in South Dakota?
CMS Care Compare lists 33 nursing homes rated 4 or 5 stars overall by CMS in South Dakota, out of 96 certified nursing homes (data from August 2026). The most are in Rapid City (2), Yankton (2) and Aberdeen (1). 19 hold the top rating of 5 stars.
- Matching homes
- 33
- All homes in South Dakota
- 96
- Rated 4 or 5 stars
- 33
- Average overall stars
- 4.6
How this list is made: CMS's overall star rating is 4 or 5 (out of 5). The overall rating combines health inspections, staffing and quality measures. Homes are ordered by CMS's overall rating, then its inspection rating.
- 195 stars overall
- 304+ stars for inspections
- 254+ stars for staffing
- 19No fines or payment denials
- 8Antipsychotic use below the national median
- 23Nonprofit
All 33, by CMS Rating
Stars are out of 5; blank cells are ratings CMS doesn't report for that home.
Matching Homes by City
More About This List
Read how CMS star ratings work. For assisted living and memory care rules, Medicaid limits and the ombudsman, see senior care in South Dakota. For local services, call the Eldercare Locator at 1-800-677-1116.
Other lists for South Dakota: nursing homes that accept medicaid in South Dakota, nonprofit nursing homes in South Dakota, nursing homes with low antipsychotic use in South Dakota.
Frequently Asked Questions
How Many Highest-Rated Nursing Homes Are in South Dakota?
33 of the 96 CMS-certified nursing homes in South Dakota meet this rule: CMS's overall star rating is 4 or 5 (out of 5). The overall rating combines health inspections, staffing and quality measures.
Which Highest-Rated Nursing Home in South Dakota Rates Highest?
By CMS's overall rating, then its inspection rating, Alcester Care And Rehab Center, Inc in Alcester (5 stars), Avera Brady Health and Rehab in Mitchell (5 stars) and Avera Maryhouse Long Term Care in Pierre (5 stars) rank highest. Visit and check the latest inspection report before you decide.
How Do You Check a Nursing Home in South Dakota?
Read its Care Compare page for the full inspection reports, visit at different times, and ask about staffing and openings. South Dakota's South Dakota Long-Term Care Ombudsman Program can answer questions about residents' rights.