Lowest-Rated Nursing Homes in South Dakota
Facilities in South Dakota with the lowest NursingHomeGrade Scores. A low score does not guarantee poor care in all areas — but families should review inspection records, staffing levels, and deficiency details carefully before choosing.
⚠ A low score indicates significant concerns in one or more areas: staffing, inspection violations, or quality measures. Visit each facility page for the full deficiency record and comparison data.
Rankings
| # | Facility | Location | Grade | Score | RN Hours | Deficiencies |
|---|---|---|---|---|---|---|
| 1 | FIRESTEEL HEALTHCARE CENTER | MITCHELL, SD | F | 0 | 0.51 | 16 |
| 2 | AVANTARA NORTON | SIOUX FALLS, SD | F | 3 | 0.77 | 21 |
| 3 | SANFORD CHAMBERLAIN CARE CENTER | CHAMBERLAIN, SD | F | 6 | 0.68 | 11 |
| 4 | RIVERVIEW HEALTHCARE CENTER | FLANDREAU, SD | F | 14 | 0.63 | 21 |
| 5 | CUSTER CARE AND REHAB CENTER | CUSTER, SD | F | 23 | N/A | 2 |
| 6 | AVANTARA WATERTOWN | WATERTOWN, SD | F | 26 | 1.06 | 26 |
| 7 | FLANDREAU SANTEE SIOUX TRIBE CARE CENTER | FLANDREAU, SD | F | 27 | N/A | 3 |
| 8 | ROLLING HILLS HEALTHCARE | BELLE FOURCHE, SD | F | 27 | 0.57 | 12 |
| 9 | AVANTARA ARROWHEAD | RAPID CITY, SD | F | 30 | 0.98 | 13 |
| 10 | PALISADE HEALTHCARE CENTER | GARRETSON, SD | F | 33 | 0.54 | 11 |
| 11 | WINNER REGIONAL HEALTHCARE CENTER | WINNER, SD | F | 33 | 0.75 | 18 |
| 12 | AVANTARA HURON | HURON, SD | F | 33 | 0.65 | 10 |
| 13 | Bethany Home - Brandon | BRANDON, SD | F | 34 | 0.68 | 14 |
| 14 | AVANTARA MILBANK | MILBANK, SD | F | 34 | 0.96 | 13 |
| 15 | AURORA BRULE NURSING HOME INC | WHITE LAKE, SD | D | 36 | 0.47 | 9 |
| 16 | BETHANY HOME SIOUX FALLS | SIOUX FALLS, SD | D | 37 | N/A | 2 |
| 17 | Michael J Fitzmaurice South Dakota Veterans Home | HOT SPRINGS, SD | D | 39 | N/A | 1 |
| 18 | DIAMOND CARE CENTER | BRIDGEWATER, SD | D | 39 | 0.37 | 11 |
| 19 | TEKAKWITHA LIVING CENTER | SISSETON, SD | D | 39 | 0.63 | 13 |
| 20 | Good Samaritan Society Miller | MILLER, SD | D | 41 | 0.84 | 9 |
| 21 | AVANTARA SAINT CLOUD | RAPID CITY, SD | D | 41 | 0.52 | 5 |
| 22 | AVANTARA PIERRE | PIERRE, SD | D | 41 | 0.60 | 12 |
| 23 | St William's Care Center | MILBANK, SD | D | 42 | 0.48 | 10 |
| 24 | GOOD SAMARITAN SOCIETY LUTHER MANOR | SIOUX FALLS, SD | D | 42 | 0.95 | 12 |
| 25 | GOOD SAMARITAN SOCIETY DE SMET | DE SMET, SD | D | 43 | 1.02 | 11 |
| 26 | GOOD SAMARITAN SOCIETY CANISTOTA | CANISTOTA, SD | D | 47 | 0.46 | 7 |
| 27 | AVANTARA GROTON | GROTON, SD | D | 48 | 0.62 | 9 |
| 28 | Centerville Care and Rehab Center Inc | CENTERVILLE, SD | C | 51 | 0.66 | 8 |
| 29 | AVERA OAHE MANOR | GETTYSBURG, SD | C | 52 | 0.62 | 6 |
| 30 | GOOD SAMARITAN SOCIETY TYNDALL | TYNDALL, SD | C | 52 | 0.61 | 4 |
| 31 | ABERDEEN HEALTH AND REHAB | ABERDEEN, SD | C | 52 | 0.70 | 7 |
| 32 | GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER | SIOUX FALLS, SD | C | 53 | 0.87 | 13 |
| 33 | GOOD SAMARITAN SOCIETY SIOUX FALLS VILLAGE | SIOUX FALLS, SD | C | 53 | 0.68 | 6 |
| 34 | GOOD SAMARITAN SOCIETY - ST MARTIN VILLAGE | RAPID CITY, SD | C | 55 | 1.39 | 10 |
| 35 | Five Counties Nursing Home | LEMMON, SD | C | 55 | 0.76 | 4 |
| 36 | UNITED LIVING COMMUNITY | BROOKINGS, SD | C | 55 | 0.59 | 8 |
| 37 | AVANTARA REDFIELD | REDFIELD, SD | C | 55 | 0.63 | 6 |
| 38 | AVANTARA MOUNTAIN VIEW | RAPID CITY, SD | C | 55 | 0.68 | 11 |
| 39 | Fountain Springs Healthcare | RAPID CITY, SD | C | 56 | 0.74 | 10 |
| 40 | HIGHMORE HEALTH | HIGHMORE, SD | C | 57 | 0.69 | 5 |
| 41 | Estelline Nursing and Care Center | ESTELLINE, SD | C | 59 | 0.45 | 1 |
| 42 | LAKE ANDES SENIOR LIVING | LAKE ANDES, SD | C | 59 | 0.55 | 3 |
| 43 | SEVEN SISTERS LIVING CENTER | HOT SPRINGS, SD | C | 59 | 0.54 | 3 |
| 44 | SPEARFISH CANYON HEALTHCARE | SPEARFISH, SD | C | 59 | 0.44 | 7 |
| 45 | EASTERN STAR HOME OF SOUTH DAKOTA, INC | REDFIELD, SD | C | 60 | 0.63 | 2 |
| 46 | Wilmot Care Center Inc | WILMOT, SD | C | 60 | 0.90 | 5 |
| 47 | Sunset Manor Avera Health | IRENE, SD | C | 60 | 0.85 | 7 |
| 48 | SANFORD CARE CENTER VERMILLION | VERMILLION, SD | C | 61 | 0.75 | 4 |
| 49 | GOOD SAMARITAN SOCIETY NEW UNDERWOOD | NEW UNDERWOOD, SD | C | 61 | 0.79 | 10 |
| 50 | AVERA BORMANN MANOR | PARKSTON, SD | C | 62 | 1.10 | 5 |
| 51 | Avera Mother Joseph Manor Retirement Community | ABERDEEN, SD | C | 62 | 0.96 | 7 |
| 52 | AVANTARA CLARK CITY | CLARK, SD | C | 63 | 0.73 | 3 |
| 53 | DELLS NURSING AND REHAB CENTER INC | DELL RAPIDS, SD | C | 64 | 0.52 | 3 |
| 54 | Wheatcrest Hills Healthcare Center | BRITTON, SD | C | 64 | 0.64 | 4 |
| 55 | JENKIN'S LIVING CENTER | WATERTOWN, SD | C | 64 | 0.59 | 4 |
| 56 | BOWDLE NURSING HOME | BOWDLE, SD | B | 65 | 0.39 | 2 |
| 57 | GOOD SAMARITAN SOCIETY CANTON | CANTON, SD | B | 65 | 0.76 | 1 |
| 58 | Bethesda Home of Aberdeen | ABERDEEN, SD | B | 65 | 0.79 | 7 |
| 59 | SCOTCHMAN LIVING CENTER | PHILIP, SD | B | 66 | 1.08 | 1 |
| 60 | Alcester Care And Rehab Center, Inc | ALCESTER, SD | B | 66 | 0.45 | 0 |
| 61 | Medicine Wheel Village | EAGLE BUTTE, SD | B | 68 | 1.00 | 16 |
| 62 | Strand-Kjorsvig Community Rest Home | ROSLYN, SD | B | 68 | 0.93 | 15 |
| 63 | Walworth County Care Center, Inc | SELBY, SD | B | 70 | 0.49 | 5 |
| 64 | PRAIRIE VIEW HEALTHCARE CENTER | WOONSOCKET, SD | B | 70 | 0.70 | 4 |
| 65 | Sun Dial Manor | BRISTOL, SD | B | 70 | 0.98 | 11 |
| 66 | AVANTARA NORTH | RAPID CITY, SD | B | 70 | 0.99 | 2 |
| 67 | Pioneer Memorial Nursing Home | VIBORG, SD | B | 71 | 0.50 | 0 |
| 68 | PRAIRIE HEIGHTS HEALTHCARE | ABERDEEN, SD | B | 71 | 0.53 | 1 |
| 69 | Tieszen Memorial Home | MARION, SD | B | 72 | 0.76 | 7 |
| 70 | DOW RUMMEL VILLAGE | SIOUX FALLS, SD | B | 73 | 0.82 | 6 |
| 71 | Kadoka Nursing Home | KADOKA, SD | B | 74 | 0.80 | 2 |
| 72 | Avera Rosebud Country Care Center | GREGORY, SD | B | 74 | 1.05 | 5 |
| 73 | Platte Care Center | PLATTE, SD | B | 75 | 0.89 | 3 |
| 74 | Wakonda Heritage Manor | WAKONDA, SD | B | 75 | 0.66 | 4 |
| 75 | Bethel Lutheran Home | MADISON, SD | B | 75 | 1.00 | 7 |
| 76 | MONUMENT HEALTH STURGIS CARE CENTER | STURGIS, SD | B | 76 | 0.81 | 4 |
| 77 | FAULKTON SENIOR LIVING | FAULKTON, SD | B | 76 | 0.65 | 3 |
| 78 | AVERA PRINCE OF PEACE | SIOUX FALLS, SD | B | 77 | 1.47 | 11 |
| 79 | SD HUMAN SERVICES CENTER - GERIATRIC PROGRAM | YANKTON, SD | B | 79 | 2.61 | 4 |
| 80 | AVANTARA LAKE NORDEN | LAKE NORDEN, SD | B | 79 | 0.78 | 4 |
| 81 | Bethesda Of Beresford | BERESFORD, SD | A | 81 | 1.15 | 6 |
| 82 | Weskota Manor Inc | WESSINGTON SPRINGS, SD | A | 82 | 1.10 | 3 |
| 83 | THE NEIGHBORHOODS AT BROOKVIEW | BROOKINGS, SD | A | 82 | 0.80 | 2 |
| 84 | Menno-Olivet Care Center | MENNO, SD | A | 84 | 1.01 | 0 |
| 85 | Avera Eureka Health Care Center | EUREKA, SD | A | 84 | 0.80 | 3 |
| 86 | GOOD SAMARITAN SOCIETY HOWARD | HOWARD, SD | A | 84 | 0.69 | 2 |
| 87 | White River Health Care Center | WHITE RIVER, SD | A | 85 | 0.79 | 4 |
| 88 | AVERA SISTER JAMES CARE CENTER | YANKTON, SD | A | 85 | 1.17 | 4 |
| 89 | GOOD SAMARITAN SOCIETY SCOTLAND | SCOTLAND, SD | A | 86 | 0.91 | 3 |
| 90 | OAKVIEW TERRACE | FREEMAN, SD | A | 87 | 0.95 | 6 |
| 91 | Bethesda Home | WEBSTER, SD | A | 89 | 1.15 | 4 |
| 92 | CLARKSON HEALTH CARE | RAPID CITY, SD | A | 90 | 1.12 | 1 |
| 93 | Westhills Village Health Care Facility | RAPID CITY, SD | A | 90 | 1.13 | 3 |
| 94 | AVERA BRADY HEALTH AND REHAB | MITCHELL, SD | A | 91 | 1.39 | 3 |
| 95 | AVERA MARYHOUSE LONG TERM CARE | PIERRE, SD | A | 92 | 1.02 | 2 |
Methodology
Rankings are determined by NursingHomeGrade Score, a 0–100 composite that weights RN staffing compliance (35%), health inspection deficiencies (30%), CMS quality ratings (20%), and staffing consistency (15%). Data is sourced from the CMS Provider Data Catalog and updated regularly.