State data · CMS September 2026
Nursing homes in South Dakota
South Dakota has 96 nursing homes certified for Medicare or Medicaid, with 5,848 certified beds and a median occupancy of 90.3% (US median 85.7%). 32% are for-profit, 63% nonprofit and 5% government-owned, and 51% belong to a chain or affiliated group. HUD has endorsed 8 FHA-insured Section 232 nursing home loans in South Dakota since fiscal 2001, totaling $0 billion in original principal, 0 of them since fiscal 2021.
- Facilities
- 96
- Certified beds
- 5,848
- Median occupancy
- 90.3%
- Median nurse hours / resident day
- 3.62
- HUD 232 loans since FY2001
- 8
Star ratings
CMS overall ratings for the 94 rated South Dakota facilities. 1 are Special Focus Facilities and 5 are candidates, the CMS list for homes with a history of serious quality problems.
Ownership
| Measure | South Dakota | Share |
|---|---|---|
| For-profit | 31 | 32% |
| Nonprofit | 60 | 63% |
| Government | 5 | 5% |
| Changed ownership in the last 12 months | 0 | 0% |
| Private equity owner self-reported to CMS | 0 | 0% |
| REIT owner self-reported to CMS | 1 | 1% |
Largest chains and affiliated groups in South Dakota
- Good Samaritan Society: 13 facilities
- Legacy Healthcare: 13 facilities
- Avera Health: 9 facilities
- Evergreen Healthcare Group: 6 facilities
- Accura Healthcare: 3 facilities
- Eduro Healthcare: 3 facilities
- Lifespark: 1 facility
- Rural Health Development: 1 facility
Facilities with HUD Section 232 history
2 South Dakota facilities match at least one FHA-insured loan in HUD's healthcare database, most recent endorsement first.
| Facility | City | Beds | Latest endorsement | Amount |
|---|---|---|---|---|
| Lake Andes Senior Living | Lake Andes | 43 | Jun 7, 2013 | $1,120,000 |
| Wheatcrest Hills Healthcare Center | Britton | 60 | Mar 29, 2013 | $1,976,900 |
Largest by certified beds
- Avera Sister James Care Center, Yankton: 194 beds
- Good Samaritan Society Sioux Falls Village, Sioux Falls: 177 beds
- Avera Prince of Peace, Sioux Falls: 126 beds
- Firesteel Healthcare Center, Mitchell: 125 beds
- Avantara Huron, Huron: 119 beds
- Avantara Norton, Sioux Falls: 110 beds
- Jenkin's Living Center, Watertown: 110 beds
- Spearfish Canyon Healthcare, Spearfish: 105 beds
- Avantara Mountain View, Rapid City: 101 beds
- Prairie Heights Healthcare, Aberdeen: 99 beds
Every South Dakota facility
The full list is sorted by city, on one page.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.