Nursing homes in South Dakota

South Dakota has 96 Medicare- or Medicaid-certified nursing homes in 51 counties, with 5,848 certified beds in total. The state average CMS overall rating is 2.9 of 5 against a national average of 3.0, and homes report 3.79 nurse staffing hours per resident per day against 3.86 nationally.

Browse by city Browse by county State averages

South Dakota against the national average

Measure	South Dakota	United States
Overall rating (1 to 5)	2.9	3.0
Health inspection rating	2.9	2.8
Staffing rating	3.5	2.9
Nurse staffing hours per resident per day	3.79	3.86
Registered nurse hours per resident per day	0.80	0.69
Nursing staff turnover	48.2%	45.8%
Health deficiencies in the latest inspection	6.7	9.2
Fines per home, past three years	1.9	0.9

Averages are published by CMS. Health inspection ratings are set within each state, so compare them across states with care.

Browse by city

Cities with at least 3 homes, by the city in each home's CMS address. Every home is also listed by county below.

Browse by county

Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026.