These are the lowest-rated nursing homes in South Dakota based on CMS data (2026). All facilities listed have an overall rating of 1 star(s) or lower. Combined, these 20 facilities have been fined a total of $1,133,357. 6 have abuse flags. This ranking is based solely on official CMS data and does not represent editorial opinion.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Rolling Hills Healthcare | Belle Fourche | $55,144 | |
| 2 | Jenkin's Living Center | Watertown | $53,086 | |
| 3 | Avantara Norton | Sioux Falls | $191,055 | |
| 4 | Good Samaritan Society Sioux Falls Village | Sioux Falls | $80,437 | |
| 5 | Avantara Arrowhead | Rapid City | $40,014 | |
| 6 | Riverview Healthcare Center | Flandreau | $93,379 | |
| 7 | Five Counties Nursing Home | Lemmon | $31,850 | |
| 8 | Lake Andes Senior Living | Lake Andes | $102,440 | |
| 9 | Firesteel Healthcare Center | Mitchell | $135,641 | |
| 10 | Diamond Care Center | Bridgewater | $69,512 | |
| 11 | Palisade Healthcare Center | Garretson | $12,149 | |
| 12 | Good Samaritan Society Miller | Miller | $20,482 | |
| 13 | Bethany Home - Brandon | Brandon | $24,385 | |
| 14 | Sanford Chamberlain Care Center | Chamberlain | $81,866 | |
| 15 | Custer Care and Rehab Center | Custer | $0 | |
| 16 | Avantara Milbank | Milbank | $55,361 | |
| 17 | Tekakwitha Living Center | Sisseton | $37,079 | |
| 18 | Avantara Redfield | Redfield | $30,051 | |
| 19 | Avantara Saint Cloud | Rapid City | $11,408 | |
| 20 | Monument Health Sturgis Care Center | Sturgis | $8,018 |
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.