These are the top 20 highest-rated nursing homes in South Dakota according to the CMS 5-Star Quality Rating System (2026). All facilities listed have an overall rating of 5 stars or higher. The average rating across this list is 5.0/5. 15 of these 20 facilities have no fines on record.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Avera Maryhouse Long Term Care | Pierre | $0 | |
| 2 | Avera Brady Health and Rehab | Mitchell | $0 | |
| 3 | Alcester Care And Rehab Center, Inc | Alcester | $0 | |
| 4 | Good Samaritan Society Howard | Howard | $0 | |
| 5 | The Neighborhoods at Brookview | Brookings | $0 | |
| 6 | Good Samaritan Society Scotland | Scotland | $0 | |
| 7 | Menno-Olivet Care Center | Menno | $0 | |
| 8 | Walworth County Care Center, Inc | Selby | $0 | |
| 9 | White River Health Care Center | White River | $6,168 | |
| 10 | Westhills Village Health Care Facility | Rapid City | $8,788 | |
| 11 | Clarkson Health Care | Rapid City | $0 | |
| 12 | Avantara Lake Norden | Lake Norden | $0 | |
| 13 | Tieszen Memorial Home | Marion | $0 | |
| 14 | Avera Sister James Care Center | Yankton | $0 | |
| 15 | Bethesda Home | Webster | $0 | |
| 16 | Wakonda Heritage Manor | Wakonda | $12,675 | |
| 17 | Bethany Home Sioux Falls | Sioux Falls | $0 | |
| 18 | Sd Human Services Center - Geriatric Program | Yankton | $0 | |
| 19 | Platte Care Center | Platte | $20,183 | |
| 20 | Oakview Terrace | Freeman | $10,839 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.