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ElderCareCosts

Nursing Homes in South Dakota

South Dakota has 102 licensed nursing homes listed on ElderCareCosts across 485 cities. The median estimated cost statewide is $9,444/mo. Pick a city below for local pricing and provider listings.

95 of them have a CMS star rating.

Cost of nursing homes in South Dakota

Median monthly price, South Dakota

$9,444/mo

Estimated range $9,015 – $10,264

● South Dakota $9,444 ○ National median $10,205

Source: CareScout Cost of Care Survey 2025

Nursing Homes cost comparison (2025)
Nursing HomesSouth DakotaNational
25th percentile$9,015/mo$8,951/mo
Median$9,444/mo$10,205/mo
75th percentile$10,264/mo$12,642/mo

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

CMS rating distribution in South Dakota

CMS overall star ratings for 95 nursing homes in South Dakota. We do not re-rank these scores.

CMS star ratings in South Dakota
CMS starsProviders
5 stars21
4 stars15
3 stars18
2 stars22
1 star19

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What federal inspectors recorded in South Dakota

South Dakota has 98 facilities certified by Medicare or Medicaid, as of the CMS penalty file published October 1, 2026. CMS publishes what it fined them, when it stopped paying for new admissions, how many nursing hours they staffed, and what its inspectors wrote up. These are those records counted. A penalty is an enforcement action on a date, not a verdict on the care a resident receives today.

Facilities with a federal penalty

74%73 of 98 (74%)

A civil money penalty, a payment denial, or both, among the penalties CMS recorded between July 17, 2023 and September 23, 2026.

Facilities where CMS stopped paying for new admissions

0%0 of 98 (0%)

A payment denial is CMS refusing to pay for newly admitted Medicare and Medicaid residents until the facility corrects the problem it cited.

Median penalty total, among facilities that were fined

$35,053in fines · 72 facilities

The middle facility's total across every civil money penalty CMS recorded for it in this window, not the amount of a single fine.

Median nurse staffing hours per resident day

3.69hours · 91 facilities

0.03 hours below the national median of 3.72 hours.

Total nurse hours per resident per day from payroll records CMS collects, quarter Q2 2026. Staffing is an input, not an outcome.

Facilities with an inspection citation in the last 12 months

67%66 of 98 (67%)

Counts facilities with at least one deficiency CMS inspectors wrote up in the last 365 days. The most recent one here is dated July 16, 2026. A facility inspected and found compliant records no citation, so this is not a survey date.

These figures cover nursing homes only. CMS keeps these penalty, staffing and inspection records for Medicare and Medicaid certified nursing homes. Assisted living, memory care and home care agencies are licensed by each state under different rules, so their records are not comparable.

Each share above shows how many facilities it is based on. Where there are too few for a percentage to mean much, we show the count instead. More in our methodology.

South Dakota licensing & regulation

State-by-state licensing agency details and how to check a facility's complaint history for South Dakota are coming soon.

Medicaid & local resources in South Dakota

Long-Term Care Ombudsman

South Dakota Long-Term Care Ombudsman Program helps residents of nursing homes, assisted living, and similar settings in South Dakota resolve concerns about care and rights.

Find your local ombudsman

Medicaid programs for care at home

National helplines

Cities in South Dakota

Don't see your city? Search for it, or start from the nearest larger one.

Counties in South Dakota

Nursing Homes by county in South Dakota

Nursing Homes providers in South Dakota

Some of the licensed nursing homes in South Dakota. Open a city page for the full local list.

Compare facilities side by side
Tick Compare on the ones you like, then continue.
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Frequently asked questions

Which cities in South Dakota have nursing homes listings?

South Dakota has nursing homes listings in 485 cities and towns. Find yours in the city list on this page, or search for it by name.

Past 60 days in South Dakota: 263 updated. Most recent change Nov 1. Counts come from our ingestion diffs, not confirmed licensing actions.

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