The 10 Worst Nursing Homes in South Dakota

  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 (301.667)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-02-10)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-12-11)
• Good Samaritan Society Sioux Falls Village (148.167)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-10-04)
• Ensure services provided by the nursing facility meet professional standards of quality. (2024-06-28)
• Bethany Home Sioux Falls (42)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-12-06)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-12-06)
• Good Samaritan Society Sioux Falls Center (35.333)
• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2024-07-08)
• Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (2024-07-08)
• Good Samaritan Society Luther Manor (24)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-11-12)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-11-12)
• Dow Rummel Village (24)
• Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. (2024-09-13)
• Have properly installed hallway dispensers for alcohol-based hand rub. (2024-09-13)
• Avera Prince of Peace (15.333)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-04-28)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-04-28)

Worst Nursing Homes in Rapid City

• Avantara Arrowhead (58.667)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-08-03)
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2024-06-21)
• Avantara Mountain View (47.333)
• Ensure services provided by the nursing facility meet professional standards of quality. (2025-01-25)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2025-01-25)
• Avantara Saint Cloud (44.667)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-12-22)
• Keep residents' personal and medical records private and confidential. (2024-12-22)
• Avantara North (40)
• Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. (2025-02-28)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-02-28)
• Fountain Springs Healthcare Center (38)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-07-24)
• Provide and implement an infection prevention and control program. (2024-05-22)
• Westhills Village Health Care Facility (22.667)
• Reasonably accommodate the needs and preferences of each resident. (2025-01-05)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-01-05)
• Good Samaritan Society - St Martin Village (19.333)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-04-08)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2023-12-14)
• Clarkson Health Care (7.333)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2024-02-07)
• Provide and implement an infection prevention and control program. (2023-01-18)

Worst Nursing Homes in Aberdeen

• Dahlia Gardens Center For Nursing and Rehabilitati (90.667)
• Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (2024-10-16)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-10-16)
• Aberdeen Health and Rehab (55.333)
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2025-03-06)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-03-06)
• Grays Harbor Health and Rehabilitation Center (39.333)
• Address subsistence needs for staff and patients. (2024-04-01)
• Conduct risk assessment and an All-Hazards approach. (2024-04-01)
• Avera Mother Joseph Manor Retirement Community (30.667)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-06-19)
• Keep residents' personal and medical records private and confidential. (2023-09-18)
• Care Center of Aberdeen (22)
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2024-11-25)
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2024-01-01)
• Prairie Heights Healthcare (19.333)
• Ensure services provided by the nursing facility meet professional standards of quality. (2024-12-04)
• Ensure that residents are free from significant medication errors. (2024-12-04)
• Bethesda Home of Aberdeen (16)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2025-01-05)
• Provide safe and appropriate respiratory care for a resident when needed. (2025-01-05)

Worst Nursing Homes in Brookings

• Curry Village Health and Rehab of Cascadia (64.667)
• Allow residents to self-administer drugs if determined clinically appropriate. (2025-03-13)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2025-03-13)
• United Living Community (37.333)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-07-25)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-07-25)
• The Neighborhoods at Brookview (17.333)
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (2024-07-15)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2024-07-15)

Worst Nursing Homes in Watertown

• Watertown Health Care Center (361.167)
• Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. (2025-03-17)
• Have approved installation, maintenance and testing program for fire alarm systems. (2025-02-19)
• Watertown Rehabilitation and Nursing Center (143)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-11-25)
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2024-10-04)
• Jenkin's Living Center (115.667)
• Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. (2025-03-03)
• Have stairways and smokeproof enclosures used as exits that meet safety requirements. (2025-03-03)
• Samaritan Keep Nursing Home Inc (84)
• Inspect, test, and maintain automatic sprinkler systems. (2024-05-16)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-05-15)
• Marquardt Memorial Manor (79.333)
• Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (2024-10-28)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-10-28)
• Apple Rehab Watertown (70)
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2024-08-13)
• Keep residents' personal and medical records private and confidential. (2024-08-13)
• Samaritan Senior Village, Inc (48.667)
• 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)
• Provide activities to meet all resident's needs. (2024-10-14)
• Avantara Watertown (18)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-01-06)
• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2025-01-06)

  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

  How We Compile Nursing Home Ratings in South Dakota

Every month, we rank all of the skilled nursing facilities in South Dakota. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in South Dakota is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates South Dakota nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

• Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
• Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
• Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
• Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in South Dakota nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!