South Dakota · CMS Data August 2026
Nursing Homes That Accept Medicaid in South Dakota
Where Are the Nursing Homes That Accept Medicaid in South Dakota?
CMS Care Compare lists 95 Medicaid-certified nursing homes in South Dakota, out of 96 certified nursing homes (data from August 2026). The most are in Rapid City (7), Sioux Falls (7) and Aberdeen (4). 32 of them are rated 4 or 5 stars overall.
- Matching homes
- 95
- All homes in South Dakota
- 96
- Rated 4 or 5 stars
- 32
- Average overall stars
- 2.9
How this list is made: CMS lists the home as certified for Medicaid (or for both Medicare and Medicaid). Certification means the home can bill Medicaid; ask whether a Medicaid bed is open. Homes are ordered by CMS's overall rating, then its inspection rating.
- 82Also Medicare certified
- 59Nonprofit
- 5Government-owned
- 25No fines or payment denials
- 9Has a family council
The Top 40 by CMS Rating
Stars are out of 5; blank cells are ratings CMS doesn't report for that home. Every matching home is on its city page, linked below.
Matching Homes by City
More About This List
Read how Medicaid pays for nursing home care. 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: highest-rated nursing homes in South Dakota, nonprofit nursing homes in South Dakota, nursing homes with low antipsychotic use in South Dakota.
Frequently Asked Questions
How Many Nursing Homes That Accept Medicaid Are in South Dakota?
95 of the 96 CMS-certified nursing homes in South Dakota meet this rule: CMS lists the home as certified for Medicaid (or for both Medicare and Medicaid). Certification means the home can bill Medicaid; ask whether a Medicaid bed is open.
Which Nursing Home That Accept Medicaid 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.
What Are South Dakota's Medicaid Limits for Nursing Home Care?
South Dakota 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). A Medicaid-certified home can still have no Medicaid bed open, so ask when you call.
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.