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Top 10 Worst Nursing Homes in South Dakota

Top 10 of 96 nursing homes in South Dakota, ranked using our review score, based on Medicare warnings, ratings, inspection problems, and fines. Not a legal finding — use it to prioritize which report cards to read first.

  1. 1.Riverview Healthcare CenterMedicare rating: 1 out of 5 · 36 inspection problems · $176,867 in fines
    Flandreau, Moody CountyMedicare abuse warningSFF Candidate
  2. 2.Avantara ArrowheadMedicare rating: 1 out of 5 · 45 inspection problems · $153,583 in fines
    Rapid City, Pennington CountyMedicare abuse warning
  3. 3.Avantara WatertownMedicare rating: 1 out of 5 · 32 inspection problems · $6,368 in fines
    Watertown, Codington CountyMedicare abuse warningSFF Candidate
  4. 4.Winner Regional Healthcare CenterMedicare rating: 1 out of 5 · 29 inspection problems · $13,039 in fines
    Winner, Tripp CountyMedicare abuse warningSFF Candidate
  5. 5.Palisade Healthcare CenterMedicare rating: 1 out of 5 · 29 inspection problems · $154,946 in fines
    Garretson, Minnehaha CountyMedicare abuse warning
  6. 6.Avantara NortonMedicare rating: Not rated · 75 inspection problems · $215,483 in fines
    Sioux Falls, Minnehaha CountyMedicare abuse warningSFF
  7. 7.Bethany Home - BrandonMedicare rating: 1 out of 5 · 27 inspection problems · $51,350 in fines
    Brandon, Minnehaha CountyMedicare abuse warning
  8. 8.Centerville Care and Rehab Center IncMedicare rating: 1 out of 5 · 20 inspection problems · $55,059 in fines
    Centerville, Turner CountyMedicare abuse warning
  9. 9.Avantara PierreMedicare rating: 2 out of 5 · 36 inspection problems · $22,048 in fines
    Pierre, Hughes CountyMedicare abuse warning
  10. 10.Avantara Saint CloudMedicare rating: 1 out of 5 · 17 inspection problems · $24,751 in fines
    Rapid City, Pennington CountyMedicare abuse warning

What the records show for South Dakota ranking

Homes with a CMS overall rating
9 of 10
Homes rated 1 or 2 stars
9
Homes with a CMS abuse warning
10

Medicare file dates: Aug 1, 2026. These dates are not the dates of individual inspections.

Counts describe the homes in this displayed list, not every nursing home or every care incident. A missing rating or warning is not a clean bill of health. Sources and limitations.

Local records to explore

These examples come from the list above. File dates are not inspection dates; open a report for the dated findings.

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