96 certified facilities, ranked by CMS overall star rating.
| Facility | City | Overall | Staffing | Fines total | |
| Avera Brady Health And Rehab | Mitchell | 5 | 5 | — | |
| Avera Maryhouse Long Term Care | Pierre | 5 | 5 | — | |
| Avera Sister James Care Center | Yankton | 5 | 5 | $8,492 | |
| Bethesda Home | Webster | 5 | 5 | — | |
| Clarkson Health Care | Rapid City | 5 | 5 | — | |
| Good Samaritan Society Scotland | Scotland | 5 | 5 | — | |
| Menno-Olivet Care Center | Menno | 5 | 5 | — | |
| Oakview Terrace | Freeman | 5 | 5 | $10,839 | |
| Platte Care Center | Platte | 5 | 5 | $20,183 | |
| Sd Human Services Center - Geriatric Program | Yankton | 5 | 5 | — | |
| Wakonda Heritage Manor | Wakonda | 5 | 5 | $12,675 | |
| White River Health Care Center | White River | 5 | 5 | $6,168 | |
| Avantara Lake Norden | Lake Norden | 5 | 4 | — | |
| Pioneer Memorial Nursing Home | Viborg | 5 | 4 | $32,536 | |
| The Neighborhoods At Brookview | Brookings | 5 | 4 | — | |
| Walworth County Care Center, Inc | Selby | 5 | 4 | — | |
| Westhills Village Health Care Facility | Rapid City | 5 | 4 | $8,788 | |
| Alcester Care And Rehab Center, Inc | Alcester | 5 | 3 | — | |
| Good Samaritan Society Howard | Howard | 5 | 3 | — | |
| Avera Prince Of Peace | Sioux Falls | 4 | 5 | $8,278 | |
| Eastern Star Home Of South Dakota, Inc | Redfield | 4 | 5 | $17,096 | |
| Kadoka Nursing Home | Kadoka | 4 | 5 | — | |
| Tieszen Memorial Home | Marion | 4 | 5 | — | |
| Avera Eureka Health Care Center | Eureka | 4 | 4 | $12,252 | |
| Avera Rosebud Country Care Center | Gregory | 4 | 4 | — | |
| Bowdle Nursing Home | Bowdle | 4 | 4 | — | |
| Weskota Manor Inc | Wessington Springs | 4 | 4 | — | |
| Dells Nursing And Rehab Center Inc | Dell Rapids | 4 | 3 | $173,010 | |
| Faulkton Senior Living | Faulkton | 4 | 3 | — | |
| Seven Sisters Living Center | Hot Springs | 4 | 3 | $8,278 | |
| Avantara Clark City | Clark | 4 | 2 | $11,057 | |
| Estelline Nursing And Care Center | Estelline | 4 | 1 | $16,826 | |
| Prairie Heights Healthcare | Aberdeen | 4 | 1 | — | |
| Avera Bormann Manor | Parkston | 3 | 5 | $47,187 | |
| Dow Rummel Village | Sioux Falls | 3 | 5 | $71,373 | |
| Sun Dial Manor | Bristol | 3 | 5 | $24,528 | |
| Bethesda Home Of Aberdeen | Aberdeen | 3 | 4 | $25,265 | |
| Jenkin'S Living Center | Watertown | 3 | 4 | $53,086 | |
| Monument Health Sturgis Care Center | Sturgis | 3 | 4 | $26,272 | |
| Scotchman Living Center | Philip | 3 | 4 | $47,655 | |
| Wheatcrest Hills Healthcare Center | Britton | 3 | 4 | $37,553 | |
| Avantara North | Rapid City | 3 | 3 | $24,108 | |
| Good Samaritan Society Canistota | Canistota | 3 | 3 | $9,009 | |
| Good Samaritan Society Tyndall | Tyndall | 3 | 3 | $44,815 | |
| Highmore Health | Highmore | 3 | 3 | — | |
| Aurora Brule Nursing Home Inc | White Lake | 3 | 2 | $17,928 | |
| Fountain Springs Healthcare | Rapid City | 3 | 2 | $22,526 | |
| Prairie View Healthcare Center | Woonsocket | 3 | 2 | $8,512 | |
| Bethany Home Sioux Falls | Sioux Falls | 3 | 1 | — | |
| Flandreau Santee Sioux Tribe Care Center | Flandreau | 3 | — | $27,967 | |
| Medicine Wheel Village | Eagle Butte | 2 | 5 | $22,636 | ⚠ |
| Strand-Kjorsvig Community Rest Home | Roslyn | 2 | 5 | $41,495 | |
| Bethel Lutheran Home | Madison | 2 | 4 | $56,430 | |
| Bethesda Of Beresford | Beresford | 2 | 4 | $16,088 | |
| Good Samaritan Society - St Martin Village | Rapid City | 2 | 4 | — | |
| Good Samaritan Society Canton | Canton | 2 | 4 | $19,615 | |
| Good Samaritan Society Luther Manor | Sioux Falls | 2 | 4 | $92,066 | |
| Good Samaritan Society Sioux Falls Center | Sioux Falls | 2 | 4 | $54,936 | ⚠ |
| Good Samaritan Society Sioux Falls Village | Sioux Falls | 2 | 4 | $72,812 | |
| Sanford Care Center Vermillion | Vermillion | 2 | 4 | $44,577 | |
| Sunset Manor Avera Health | Irene | 2 | 4 | $40,596 | ⚠ |
| United Living Community | Brookings | 2 | 4 | $33,027 | |
| Avantara Groton | Groton | 2 | 3 | $6,168 | |
| Avantara Huron | Huron | 2 | 3 | $8,338 | |
| Avantara Mountain View | Rapid City | 2 | 3 | $9,318 | |
| Avantara Pierre | Pierre | 2 | 3 | $22,048 | ⚠ |
| Avantara Redfield | Redfield | 2 | 3 | $23,044 | |
| Good Samaritan Society New Underwood | New Underwood | 2 | 3 | $26,595 | |
| Spearfish Canyon Healthcare | Spearfish | 2 | 3 | $9,718 | ⚠ |
| St William'S Care Center | Milbank | 2 | 3 | $132,723 | |
| Tekakwitha Living Center | Sisseton | 2 | 2 | $37,079 | |
| Avera Oahe Manor | Gettysburg | 2 | 1 | — | |
| Michael J Fitzmaurice South Dakota Veterans Home | Hot Springs | 2 | — | $39,293 | |
| Wilmot Care Center Inc | Wilmot | 1 | 5 | $28,028 | ⚠ |
| Aberdeen Health And Rehab | Aberdeen | 1 | 4 | $64,270 | |
| Avera Mother Joseph Manor Retirement Community | Aberdeen | 1 | 4 | $8,824 | |
| Bethany Home - Brandon | Brandon | 1 | 4 | $51,350 | ⚠ |
| Sanford Chamberlain Care Center | Chamberlain | 1 | 4 | $124,961 | |
| Winner Regional Healthcare Center | Winner | 1 | 4 | $13,039 | ⚠ |
| Avantara Watertown | Watertown | 1 | 3 | $6,368 | ⚠ |
| Centerville Care And Rehab Center Inc | Centerville | 1 | 3 | $55,059 | ⚠ |
| Good Samaritan Society De Smet | De Smet | 1 | 3 | $27,989 | |
| Lake Andes Senior Living | Lake Andes | 1 | 3 | $102,440 | |
| Riverview Healthcare Center | Flandreau | 1 | 3 | $176,867 | ⚠ |
| Avantara Arrowhead | Rapid City | 1 | 2 | $153,583 | ⚠ |
| Avantara Milbank | Milbank | 1 | 2 | $55,361 | |
| Firesteel Healthcare Center | Mitchell | 1 | 2 | $153,308 | |
| Five Counties Nursing Home | Lemmon | 1 | 2 | $20,703 | |
| Good Samaritan Society Miller | Miller | 1 | 2 | $96,127 | |
| Palisade Healthcare Center | Garretson | 1 | 2 | $154,946 | ⚠ |
| Rolling Hills Healthcare | Belle Fourche | 1 | 2 | $80,634 | |
| Avantara Saint Cloud | Rapid City | 1 | 1 | $24,751 | ⚠ |
| Diamond Care Center | Bridgewater | 1 | 1 | $69,512 | |
| Avantara Norton | Sioux Falls | — | — | $215,483 | ⚠ |
| Custer Care And Rehab Center | Custer | — | — | — | |
| Good Samaritan Society - Wagner | Wagner | — | — | — | |
Ratings are CMS's official 1–5 stars. ⚠ marks
facilities carrying CMS's own abuse warning icon or Special Focus (persistently
underperforming) status — details and context on each facility's page. Fines are
federal CMS penalties on the current record. 15 of 96 facilities in
South Dakota carry a CMS warning flag. Source: CMS Care Compare.