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Lowest-rated nursing homes in South Dakota

All states › South Dakota › Lowest rated

These are the 25 nursing homes in South Dakota that CMS rates lowest, out of 96. Homes CMS lists as Special Focus Facilities come first, then Special Focus candidates, then the lowest overall star ratings; ties go to homes with the CMS abuse icon, a lower health inspection rating and more fines. The order comes from CMS's own ratings and flags, not from us; people often search for these as the worst-rated nursing homes in South Dakota. In South Dakota, CMS rates 18 homes 1 star, lists 1 as a Special Focus Facility and 5 as candidates, and shows its abuse icon on 12.

Ratings come from CMS and are updated monthly; these are from October 2026. A star rating summarizes a lot, so read each home's inspection history and visit before you decide.

Lowest-rated nursing homes in South Dakota

1
Avantara Norton Sioux Falls
110 beds Medicaid Medicare 7 fines Cited for abuseSpecial Focus Facility
Not rated
Inspection — Staffing — Quality —
Nurse hours 4.02 hrs/day
2
Riverview Healthcare Center Flandreau
63 beds Medicaid Medicare 6 fines Cited for abuseSFF candidate
★☆☆☆☆
Inspection 1/5 Staffing 3/5 Quality 1/5
Nurse hours 3.45 hrs/day
3
Palisade Healthcare Center Garretson
55 beds Medicaid Medicare 5 fines Cited for abuseSFF candidate
★☆☆☆☆
Inspection 1/5 Staffing 2/5 Quality 4/5
Nurse hours 3.50 hrs/day
4
Winner Regional Healthcare Center Winner
40 beds Medicaid Medicare 2 fines Cited for abuseSFF candidate
★☆☆☆☆
Inspection 1/5 Staffing 4/5 Quality 1/5
Nurse hours 5.12 hrs/day
5
Firesteel Healthcare Center Mitchell
125 beds Medicaid Medicare 6 fines SFF candidate
★☆☆☆☆
Inspection 1/5 Staffing 3/5 Quality 1/5
Nurse hours 3.54 hrs/day
6
Medicine Wheel Village Eagle Butte
50 beds Medicaid 1 fine SFF candidate
★★☆☆☆
Inspection 1/5 Staffing 5/5 Quality 4/5
Nurse hours 5.38 hrs/day
7
Avantara Arrowhead Rapid City
68 beds Medicaid Medicare 7 fines Cited for abuse
★☆☆☆☆
Inspection 1/5 Staffing 2/5 Quality 1/5
Nurse hours 3.39 hrs/day
8
Bethany Home - Brandon Brandon
60 beds Medicaid Medicare 4 fines Cited for abuse
★☆☆☆☆
Inspection 1/5 Staffing 4/5 Quality 2/5
Nurse hours 4.79 hrs/day
9
Sunset Manor Avera Health Irene
58 beds Medicaid Medicare 3 fines Cited for abuse
★☆☆☆☆
Inspection 2/5 Staffing 4/5 Quality 1/5
Nurse hours 5.16 hrs/day
10
Rolling Hills Healthcare Belle Fourche
83 beds Medicaid Medicare 5 fines
★☆☆☆☆
Inspection 1/5 Staffing 2/5 Quality 2/5
Nurse hours 3.04 hrs/day
11
Avantara Milbank Milbank
55 beds Medicaid Medicare 4 fines
★☆☆☆☆
Inspection 1/5 Staffing 2/5 Quality 2/5
Nurse hours 3.35 hrs/day
12
Sanford Chamberlain Care Center Chamberlain
44 beds Medicaid 4 fines
★☆☆☆☆
Inspection 1/5 Staffing 4/5 Quality 1/5
Nurse hours 3.97 hrs/day
13
Diamond Care Center Bridgewater
36 beds Medicaid Medicare 2 fines
★☆☆☆☆
Inspection 1/5 Staffing 1/5 Quality 4/5
Nurse hours 2.70 hrs/day
14
Five Counties Nursing Home Lemmon
38 beds Medicaid Medicare 1 fine
★☆☆☆☆
Inspection 1/5 Staffing 2/5 Quality 1/5
Nurse hours 2.88 hrs/day
15
St William's Care Center Milbank
60 beds Medicaid Medicare 3 fines
★☆☆☆☆
Inspection 2/5 Staffing 1/5 Quality 3/5
Nurse hours 3.01 hrs/day
16
Good Samaritan Society Miller Miller
50 beds Medicaid Medicare 2 fines
★☆☆☆☆
Inspection 2/5 Staffing 2/5 Quality 1/5
Nurse hours 3.25 hrs/day
17
Avantara Huron Huron
119 beds Medicaid Medicare 2 fines
★☆☆☆☆
Inspection 2/5 Staffing 2/5 Quality 1/5
Nurse hours 3.42 hrs/day
18
Wilmot Care Center Wilmot
26 beds Medicaid Medicare 2 fines
★☆☆☆☆
Inspection 2/5 Staffing 1/5 Quality 1/5
Nurse hours 4.23 hrs/day
19
Custer Care and Rehab Center Custer
43 beds Medicaid Medicare
★☆☆☆☆
Inspection 2/5 Staffing 1/5 Quality 1/5
Nurse hours —
20
Avantara Saint Cloud Rapid City
78 beds Medicaid Medicare 3 fines
★☆☆☆☆
Inspection 3/5 Staffing 1/5 Quality 1/5
Nurse hours 3.31 hrs/day
21
Good Samaritan Society Sioux Falls Center Sioux Falls
98 beds Medicaid Medicare 3 fines Cited for abuse
★★☆☆☆
Inspection 1/5 Staffing 5/5 Quality 2/5
Nurse hours 3.97 hrs/day
22
Centerville Care and Rehab Center Centerville
42 beds Medicaid Medicare 2 fines Cited for abuse
★★☆☆☆
Inspection 2/5 Staffing 4/5 Quality 2/5
Nurse hours 3.61 hrs/day
23
Avantara Pierre Pierre
65 beds Medicaid Medicare 2 fines Cited for abuse
★★☆☆☆
Inspection 2/5 Staffing 3/5 Quality 2/5
Nurse hours 3.01 hrs/day
24
United Living Community Brookings
67 beds Medicaid Medicare 2 fines Cited for abuse
★★☆☆☆
Inspection 2/5 Staffing 4/5 Quality 2/5
Nurse hours 4.83 hrs/day
25
Spearfish Canyon Healthcare Spearfish
105 beds Medicaid Medicare 1 fine Cited for abuse
★★☆☆☆
Inspection 2/5 Staffing 3/5 Quality 4/5
Nurse hours 3.67 hrs/day
Compare

How this list works

Where do the ratings come from?
From CMS's Nursing Home Care Compare (the same data as Medicare.gov), October 2026. The overall rating combines health inspections, staffing and quality measures; inspections weigh the most.
What are the Special Focus Facility list and the abuse icon?
CMS lists this nursing home as a Special Focus Facility: homes "included in a special program to stimulate improvements in their quality of care" because of a persistent record of serious problems. CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years.
Is this a recommendation?
No. It is a ranking of CMS's published ratings. Ratings can change every month, and a home's rating may not reflect a recent change in ownership or staff. Visit, ask questions and read the inspection reports.

More lists for South Dakota

Lowest-rated nursing homes in other South Dakota cities

Source: CMS Provider Data Catalog, nursing home provider information and penalties, October 2026. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data.

https://www.nursinghomesineachstate.com/south-dakota/lowest-rated-nursing-homes/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.