The 10 Worst Nursing Homes in South Dakota

Finding the Right Nursing Home in South Dakota: Why It Matters

When it comes to choosing a nursing home for your loved ones in South Dakota, it's crucial to have access to accurate and comprehensive information. Our "Worst Nursing Homes in South Dakota" page aims to provide you with insights into the facilities that have fallen short in various aspects of care. Understanding these ratings can help you make more informed decisions and ensure the well-being of those who matter most.

Top Worst Nursing Homes in South Dakota

Our state rankings highlight the nursing homes in South Dakota that have received the lowest quality scores based on a variety of factors, including health inspections, staffing levels, and resident care. These scores are designed to give you a clear picture of which facilities may require closer scrutiny.

Factors Considered:

• Health and safety inspections
• Staffing ratios
• Resident care and outcomes
• Compliance with federal and state regulations

Our scoring methodology is transparent and designed to provide an unbiased look at each facility's performance. Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Disclaimer: Our rankings are based on data collected from reputable sources, including government reports and independent evaluations. While we strive for accuracy, we encourage you to visit facilities and conduct your own research before making any decisions.

Worst Nursing Homes in South Dakota By City

Every city in South Dakota has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Sioux Falls

• Avantara Norton (313)
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2026-05-08)
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2026-05-08)
• Good Samaritan Society Sioux Falls Village (167)
  • Allow residents to self-administer drugs if determined clinically appropriate. (2025-05-20)
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2025-05-20)
• Good Samaritan Society Luther Manor (102)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2026-04-24)
  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2026-04-01)
• Good Samaritan Society Sioux Falls Center (100)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2026-04-14)
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2026-03-13)
• Avera Prince of Peace (72)
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (2026-01-22)
  • Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (2026-01-22)
• Dow Rummel Village (59)
  • Provide and implement an infection prevention and control program. (2026-02-22)
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2026-02-22)
• Bethany Home Sioux Falls (21)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2026-02-05)
  • Have proper medical gas storage and administration areas. (2026-02-01)

Worst Nursing Homes in Rapid City

• Avantara Arrowhead (176)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-12-06)
  • Allow residents to self-administer drugs if determined clinically appropriate. (2025-10-15)
• Avantara Saint Cloud (69)
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2026-04-14)
  • Have simulated fire drills held at unexpected times. (2026-03-10)
• Good Samaritan Society - St Martin Village (61)
  • Respond appropriately to all alleged violations. (2025-10-19)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2025-10-19)
• Avantara North (54)
  • Provide safe and appropriate respiratory care for a resident when needed. (2026-04-06)
  • Ensure services provided by the nursing facility meet professional standards of quality. (2026-04-06)
• Fountain Springs Healthcare (52)
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2025-12-16)
  • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2025-12-16)
• Avantara Mountain View (42)
  • Keep residents' personal and medical records private and confidential. (2026-02-17)
  • Allow residents to self-administer drugs if determined clinically appropriate. (2026-02-17)
• Westhills Village Health Care Facility (38)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2026-04-26)
  • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2026-04-26)
• Clarkson Health Care (26)
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2026-05-15)
  • Allow residents to self-administer drugs if determined clinically appropriate. (2025-08-21)

Worst Nursing Homes in Aberdeen

• Aberdeen Health and Rehab (176.75)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2026-03-17)
  • Respond appropriately to all alleged violations. (2025-09-22)
• Avera Mother Joseph Manor Retirement Community (62)
  • Provide and implement an infection prevention and control program. (2026-01-30)
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2026-01-30)
• Care Center of Aberdeen (53)
  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (2026-01-07)
  • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (2025-08-18)
• Bethesda Home of Aberdeen (50)
  • Ensure that residents are fully informed and understand their health status, care and treatments. (2026-04-10)
  • Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. (2026-04-10)
• Grays Harbor Health and Rehabilitation Center (36)
  • Provide or get specialized rehabilitative services as required for a resident. (2026-04-08)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2026-04-08)
• Prairie Heights Healthcare (21)
  • Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. (2025-08-05)
  • Ensure services provided by the nursing facility meet professional standards of quality. (2024-12-04)

Worst Nursing Homes in Brookings

• United Living Community (82)
  • Allow residents to self-administer drugs if determined clinically appropriate. (2026-01-18)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2026-01-18)
• Curry Village Health and Rehab of Cascadia (73)
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-09-26)
  • Develop Emergency Preparedness policies and procedures. (2025-03-13)
• The Neighborhoods at Brookview (13)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-12-31)
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2025-12-05)

Worst Nursing Homes in Watertown

• Avantara Watertown (159.75)
  • Ensure that residents are free from significant medication errors. (2025-02-28)
  • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2025-01-06)
• Watertown Rehabilitation and Nursing Center (104)
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2025-12-26)
  • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (2025-12-26)
• Jenkin's Living Center (102.75)
  • Ensure services provided by the nursing facility meet professional standards of quality. (2025-07-08)
  • Have stairways and smokeproof enclosures used as exits that meet safety requirements. (2025-03-03)
• Samaritan Keep Nursing Home Inc (96.5)
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2026-05-12)
  • Allow residents to self-administer drugs if determined clinically appropriate. (2026-05-12)
• Apple Rehab Watertown (81)
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2026-01-22)
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2025-02-12)
• Samaritan Senior Village, Inc (56)
  • Provide activities to meet all resident's needs. (2024-10-14)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-10-14)

Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in South Dakota
• Analysis of Nursing Homes in South Dakota

Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

Tips for Evaluating Nursing Homes in South Dakota:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit