NPPES file of Aug 9, 2026

Nursing Home Deficiencies in South Dakota

South Dakota's nursing homes average 7.0 health-inspection deficiencies on their latest standard survey, at or below the national 9.2, across 94 surveyed homes. The 94 with the most citations are listed below.

CMS Care Compare nursing home file processed Jul 1, 2026, rating cycle 1 surveys ยท method ยท Care Compare on CMS.gov โ†’

South Dakota against the nation

  • Nursing homes96
  • Surveyed94
  • Average deficiencies, South Dakota7.0 per home
  • Average deficiencies, U.S.9.2 per home
  • Fines on record, South Dakota$3,086,045

Source: CMS nursing home file processed Jul 1, 2026; deficiencies from the most recent standard survey (rating cycle 1).

Most deficiencies in South Dakota

#Nursing homeCityDeficienciesComplaintsFinesInspection
1Avantara NortonSioux Falls2518$153,638Not rated
2Avantara WatertownWatertown257$6,3681 of 5
3Avantara ArrowheadRapid City205$82,8631 of 5
4Riverview Healthcare CenterFlandreau2011$176,8671 of 5
5Avantara MilbankMilbank1612$55,3611 of 5
6Medicine Wheel VillageEagle Butte163$22,6361 of 5
7Firesteel Healthcare CenterMitchell1510$153,3081 of 5
8Strand-Kjorsvig Community Rest HomeRoslyn150$49,9641 of 5
9Good Samaritan Society Sioux Falls VillageSioux Falls140$72,8121 of 5
10Bethany Home - BrandonBrandon146$51,3501 of 5
11Good Samaritan Society Sioux Falls CenterSioux Falls136$11,2612 of 5
12Avera Prince OF PeaceSioux Falls134$8,2782 of 5
13Good Samaritan Society - St Martin VillageRapid City1332 of 5
14Rolling Hills HealthcareBelle Fourche123$80,6341 of 5
15Aberdeen Health And RehabAberdeen126$64,2701 of 5
16United Living CommunityBrookings125$33,0272 of 5
17Palisade Healthcare CenterGarretson126$154,9461 of 5
18Good Samaritan Society Luther ManorSioux Falls116$21,0862 of 5
19Good Samaritan Society DE SmetDe Smet113$27,9892 of 5
20Sun Dial ManorBristol112$24,5282 of 5
21Good Samaritan Society New UnderwoodNew Underwood111$26,5952 of 5
22Diamond Care CenterBridgewater110$69,5121 of 5
23Tekakwitha Living CenterSisseton100$37,0792 of 5
24Avantara Mountain ViewRapid City106$9,3182 of 5
25Fountain Springs HealthcareRapid City103$22,5263 of 5
26St William's Care CenterMilbank101$146,1292 of 5
27Avantara HuronHuron91$8,3382 of 5
28Spearfish Canyon HealthcareSpearfish93$9,7182 of 5
29Avantara GrotonGroton90$6,1683 of 5
30Good Samaritan Society MillerMiller92$96,1272 of 5
31Aurora Brule Nursing Home IncWhite Lake90$17,9283 of 5
32Avera Mother Joseph Manor Retirement CommunityAberdeen81$8,8242 of 5
33Avantara PierrePierre80$22,0482 of 5
34Avantara Saint CloudRapid City74$24,7512 of 5
35Avantara NorthRapid City75$24,1083 of 5
36Bethesda Home of AberdeenAberdeen703 of 5
37Bethel Lutheran HomeMadison70$56,4302 of 5
38Good Samaritan Society CanistotaCanistota71$9,0093 of 5
39Centerville Care and Rehab Center IncCenterville70$55,0592 of 5
40Sunset Manor Avera HealthIrene73$40,5962 of 5
41Prairie View Healthcare CenterWoonsocket75$8,5123 of 5
42Avantara RedfieldRedfield61$23,0442 of 5
43Oakview TerraceFreeman60$10,8393 of 5
44Avera Oahe ManorGettysburg613 of 5
45Avera Rosebud Country Care CenterGregory504 of 5
46Westhills Village Health Care FacilityRapid City52$8,7884 of 5
47Avera Eureka Health Care CenterEureka50$12,2522 of 5
48Highmore HealthHighmore513 of 5
49Good Samaritan Society TyndallTyndall51$44,8153 of 5
50Wilmot Care Center IncWilmot50$28,0281 of 5
51Walworth County Care Center, IncSelby505 of 5
52Dow Rummel VillageSioux Falls52$90,0532 of 5
53Michael J Fitzmaurice South Dakota Veterans HomeHot Springs50$39,2932 of 5
54Avera Bormann ManorParkston54$47,1873 of 5
55Jenkin's Living CenterWatertown40$53,0863 of 5
56Clarkson Health CareRapid City414 of 5
57Avantara Clark CityClark42$11,0574 of 5
58Tieszen Memorial HomeMarion404 of 5
59Avera Sister James Care CenterYankton414 of 5
60Bethesda HomeWebster414 of 5
61Bethesda Of BeresfordBeresford41$16,0882 of 5
62Five Counties Nursing HomeLemmon40$20,7031 of 5
63Wakonda Heritage ManorWakonda40$12,6754 of 5
64Monument Health Sturgis Care CenterSturgis40$26,2723 of 5
65Wheatcrest Hills Healthcare CenterBritton40$37,5533 of 5
66SD Human Services Center - Geriatric ProgramYankton414 of 5
67Sanford Care Center VermillionVermillion42$44,5772 of 5
68Kadoka Nursing HomeKadoka414 of 5
69Flandreau Santee Sioux Tribe Care CenterFlandreau42$27,9673 of 5
70Avera Maryhouse Long Term CarePierre315 of 5
71Avantara Lake NordenLake Norden324 of 5
72Avera Brady Health And RehabMitchell325 of 5
73Seven Sisters Living CenterHot Springs30$8,2784 of 5
74Faulkton Senior LivingFaulkton304 of 5
75Lake Andes Senior LivingLake Andes30$102,4401 of 5
76Dells Nursing And Rehab Center IncDell Rapids31$173,0104 of 5
77Weskota Manor IncWessington Springs304 of 5
78Platte Care CenterPlatte31$20,1834 of 5
79Winner Regional Healthcare CenterWinner20$13,0394 of 5
80Good Samaritan Society HowardHoward205 of 5
81The Neighborhoods AT BrookviewBrookings215 of 5
82Good Samaritan Society ScotlandScotland205 of 5
83Bethany Home Sioux FallsSioux Falls224 of 5
84Good Samaritan Society CantonCanton20$19,6153 of 5
85Bowdle Nursing HomeBowdle204 of 5
86Scotchman Living CenterPhilip20$47,6554 of 5
87Sanford Chamberlain Care CenterChamberlain20$124,9612 of 5
88Eastern Star Home OF South Dakota, IncRedfield21$17,0964 of 5
89Prairie Heights HealthcareAberdeen104 of 5
90Pioneer Memorial Nursing HomeViborg10$32,5363 of 5
91Alcester Care And Rehab Center, IncAlcester005 of 5
92Estelline Nursing and Care CenterEstelline00$16,8263 of 5
93Menno-Olivet Care CenterMenno005 of 5
94White River Health Care CenterWhite River00$6,1685 of 5

Source: CMS nursing home file processed Jul 1, 2026. A count is not a severity: read each home's survey report.

How to read deficiencies

Across the 94 surveyed nursing homes in South Dakota, the average facility carries 7.0 total health-inspection deficiencies on its most recent CMS standard survey, compared with a national average of 9.2. A "deficiency" is a specific F-tag citation written by state surveyors during the annual federal inspection under 42 CFR ยง483, each citation maps to a scope-and-severity grid (A through L) that determines whether it is an isolated low-harm issue or a widespread immediate-jeopardy finding. The South Dakota state-level average reflects the sum of all F-tag citations divided by the number of facilities; it does not distinguish between low-severity paperwork findings and high-severity resident-harm citations, which is why drilling into any facility's full survey report matters more than the headline count. This page uses 14,693 Medicare-certified nursing-home records from CMS Care Compare, with NPPES context where available. Every figure is traceable in the methodology.

The table below ranks up to the top 100 South Dakota facilities by total deficiency count (highest first) - the goal is transparency, not a blacklist. Facilities appear with their deficiency total, complaint-based deficiencies (citations triggered by a formal complaint rather than the routine survey), fine dollar amounts, and CMS Health Inspection component rating. A high count can reflect a facility with genuine quality problems, a more aggressive state survey team, a larger bed count with more opportunities for citation, or a complaint spike in a single cycle, context matters. Conversely, a low count does not guarantee good care; facilities rarely surveyed, or recently surveyed with a favorable cycle, can look clean while problems accumulate between inspections. The state's benchmark of 7.0 deficiencies and the national benchmark of 9.2 (average score 82) are starting reference points.

Deficiencies are based on CMS Rating Cycle 1 (the most recent completed standard survey); prior cycles appear on each facility's detail page. Important: PlainDoctor presents CMS deficiency data exactly as published at data.cms.gov - we do not aggregate, re-rank, or editorialize. This table is a research tool, not medical advice, a consumer rating, or a legal conclusion about any facility. Selecting a nursing home for yourself or a loved one should include in-person visits, reading the underlying F-tag narratives in the full CMS-2567 survey reports, interviewing staff and current residents' families, and consulting licensed clinicians, hospital discharge planners, and elder-law advisors familiar with South Dakota long-term care regulations.

Deficiencies in other large states

  1. Texas1,177
  2. California1,165
  3. Ohio922
  4. Florida694
  5. Illinois667

Common questions

What is the average deficiency count in South Dakota nursing homes?

Across the 94 surveyed facilities in South Dakota, the average is 7.0 health inspection deficiencies per facility, compared to a national average of 9.2. The national average deficiency score is 82.

What types of deficiencies do nursing homes receive?

Deficiencies are F-tag citations issued during CMS standard surveys or complaint investigations. They range from minor paperwork issues (scope A-B) to widespread immediate-jeopardy findings (scope J-L). The severity matters more than the raw count.

How does South Dakota compare nationally for nursing home deficiencies?

The South Dakota average of 7.0 deficiencies per facility is at or below the national average of 9.2. State survey teams vary in strictness, so cross-state comparisons should be made with caution.

What should I do if a South Dakota nursing home has many deficiencies?

Review the severity of individual citations, not just the count. Read the F-tag narratives in the CMS-2567 survey reports, tour the facility in person, interview staff and residents' families, and consult licensed clinicians or elder-law advisors familiar with the state's long-term care regulations.

Source: CMS Five-Star Quality Rating System, Nursing Home Provider Information, processed Jul 1, 2026 (data.cms.gov).