South Dakota has 98 Medicare & Medicaid–certified nursing homes on federal record. Below is the current landscape from the CMS Care Compare database (August 2026 release) — the same data ClearPath decodes and ranks in every family report.
19 South Dakota facilities hold a 5-star overall rating — more than fit this list. The ten shown lead within that group on CMS health-inspection, staffing, and quality-measure ratings.
| Facility | City | Overall | Staffing |
|---|---|---|---|
| Avera Brady Health And Rehab | Mitchell | ★★★★★ | ★★★★★ |
| Avera Maryhouse Long Term Care | Pierre | ★★★★★ | ★★★★★ |
| White River Health Care Center | White River | ★★★★★ | ★★★★★ |
| Good Samaritan Society Scotland | Scotland | ★★★★★ | ★★★★★ |
| Menno-Olivet Care Center | Menno | ★★★★★ | ★★★★★ |
| Pioneer Memorial Nursing Home | Viborg | ★★★★★ | ★★★★☆ |
| Walworth County Care Center, Inc | Selby | ★★★★★ | ★★★★☆ |
| The Neighborhoods At Brookview | Brookings | ★★★★★ | ★★★★☆ |
| Good Samaritan Society Howard | Howard | ★★★★★ | ★★★☆☆ |
| Alcester Care And Rehab Center, Inc | Alcester | ★★★★★ | ★★★☆☆ |
Ranked by CMS overall and staffing star ratings. A ClearPath report goes deeper — inspection citations, fines, staffing turnover, review analysis, and safety-flag screening for every facility in your search area.
CMS currently flags 13 South Dakota facilities with an abuse icon and lists 7 in the Special Focus program for persistent quality problems. These designations appear automatically in every ClearPath report and cap a facility’s ranking regardless of its star rating.
| Facility | City | Federal Flag |
|---|---|---|
| Avantara Norton | Sioux Falls | Special Focus Abuse Flag |
| Avantara Watertown | Watertown | Special Focus Abuse Flag |
| Custer Care And Rehab Center | Custer | Special Focus |
| Medicine Wheel Village | Eagle Butte | Special Focus |
| Riverview Healthcare Center | Flandreau | Special Focus Abuse Flag |
| Winner Regional Healthcare Center | Winner | Special Focus Abuse Flag |
| Wilmot Care Center Inc | Wilmot | Special Focus |
Star ratings are only the surface. ClearPath reads the full federal record for every certified facility in your South Dakota search area — abuse citations, inspection failures, fines, staffing collapse — and hands you a ranked, plain-English report in minutes. Nursing home reports from $47 · Assisted living from $29 in 11 states. One-time, no subscription. Paid by families, never by facilities.
Get Your Ranked Report →See a free sample report firstSource: CMS Care Compare (data.cms.gov), August 2026 monthly release. Ratings and flags change monthly — ClearPath refreshes automatically. ClearPath Senior Guide is independent and accepts no referral fees or placement incentives from any facility.