Nursing Homes · Pierre
South Dakota Nursing Homes: 2026 Quality Guide
Choosing a South Dakota Nursing Home in 4 Steps
- Start at Medicare Care Compare. Filter by ZIP, sort by Overall Rating, focus on 4–5 star facilities with strong Staffing sub-ratings.
- Read the inspection report (Form 2567). Look for repeat citations or scope-and-severity grade G or higher.
- Visit twice — one weekday meal, one weekend or evening. Note call-light response, odors, resident engagement, and food.
- Interview staff — nurse-to-resident ratios per shift, annual turnover, antipsychotic use rate, and care planning process.
South Dakota Nursing Home Numbers
| Metric | Value |
|---|---|
| Medicare-certified facilities | 110 |
| 5-star Overall rating | 27% |
| Median semi-private room | $7,500/month |
| Median assisted living (alternative) | $4,100/month |
| State survey agency | South Dakota DOH Office of Health Facilities Licensure |
| Long-term care ombudsman | 1-866-854-5465 |
Paying for Nursing Home Care in South Dakota
- Medicare — up to 100 days of skilled care after a qualifying 3-day hospital stay.
- Medicaid — covers long-term custodial care for South Dakota residents who meet financial and medical criteria.
- Long-term care insurance — pays daily benefit once you need help with 2+ ADLs.
- Private pay — personal savings, home equity, annuities.
- Veterans benefits — VA Aid & Attendance or community living centers for eligible veterans.
South Dakota Nursing Home Rights
Federal law guarantees every nursing home resident rights to dignity, privacy, freedom from abuse and unreasonable restraint, participation in care planning, and a formal grievance process. The South Dakota ombudsman (1-866-854-5465) is your advocate.
Related
- Medicare in South Dakota
- Assisted living in South Dakota
- How to choose a nursing home (national guide)
- Printable nursing home visit checklist
Disclaimer: Figures are approximate 2026 benchmarks. Not affiliated with the U.S. government or the federal Medicare program.
Frequently Asked Questions
How many nursing homes are in South Dakota?+
Approximately 110 Medicare-certified nursing homes operate in South Dakota, with 27% rated 5 stars Overall by CMS.
How much does a nursing home cost in South Dakota?+
The median semi-private room cost is about $7,500 per month (Genworth Cost of Care Survey benchmarks). Private rooms typically cost 10–15% more.
Who regulates nursing homes in South Dakota?+
South Dakota DOH Office of Health Facilities Licensure conducts state surveys on behalf of CMS. You can view every facility's latest inspection report on Medicare Care Compare.
Who advocates for South Dakota nursing home residents?+
The state long-term care ombudsman (1-866-854-5465) is the primary advocate. Contact them if you have concerns about quality, rights, or discharge.
Does Medicare pay for long-term nursing home care in South Dakota?+
No. Medicare covers up to 100 days of skilled care after a qualifying hospital stay. Long-term custodial care is paid out-of-pocket, by long-term care insurance, or by Medicaid for those who qualify.