Starfile / South Dakota / Worst rated
Worst-rated nursing homes in South Dakota
Every South Dakotanursing home rated 1 or 2 stars by CMS's Five-Star Quality Rating System, plus those under active federal scrutiny. Rankings reflect the latest CMS Care Compare data — overall star rating, active abuse citations, Special Focus Facility status, and total fines assessed in the current three-year window.
One-star facilities
19
Abuse-flagged in state
11
State avg rating
2.88 / 5
One-star facilities (most serious)
| Facility | City | Overall | Health | Staffing | Flags |
|---|---|---|---|---|---|
| RIVERVIEW HEALTHCARE CENTER | FLANDREAU | ★☆☆☆☆ | ★☆☆☆☆ | ★★★☆☆ | SFF Abuse |
| SANFORD CHAMBERLAIN CARE CENTER | CHAMBERLAIN | ★☆☆☆☆ | ★☆☆☆☆ | ★★★★☆ | Abuse |
| AVANTARA ARROWHEAD | RAPID CITY | ★☆☆☆☆ | ★☆☆☆☆ | ★★☆☆☆ | SFF Abuse |
| Good Samaritan Society Miller | MILLER | ★☆☆☆☆ | ★☆☆☆☆ | ★★★☆☆ | Abuse |
| AVANTARA SAINT CLOUD | RAPID CITY | ★☆☆☆☆ | ★★☆☆☆ | ★☆☆☆☆ | Abuse |
| PALISADE HEALTHCARE CENTER | GARRETSON | ★☆☆☆☆ | ★☆☆☆☆ | ★★★☆☆ | |
| FIRESTEEL HEALTHCARE CENTER | MITCHELL | ★☆☆☆☆ | ★☆☆☆☆ | ★★☆☆☆ | |
| LAKE ANDES SENIOR LIVING | LAKE ANDES | ★☆☆☆☆ | ★☆☆☆☆ | ★★★☆☆ | |
| GOOD SAMARITAN SOCIETY SIOUX FALLS VILLAGE | SIOUX FALLS | ★☆☆☆☆ | ★☆☆☆☆ | ★★★★☆ | |
| DIAMOND CARE CENTER | BRIDGEWATER | ★☆☆☆☆ | ★☆☆☆☆ | ★☆☆☆☆ | |
| AVANTARA MILBANK | MILBANK | ★☆☆☆☆ | ★★☆☆☆ | ★★☆☆☆ | |
| ROLLING HILLS HEALTHCARE | BELLE FOURCHE | ★☆☆☆☆ | ★☆☆☆☆ | ★☆☆☆☆ | |
| JENKIN'S LIVING CENTER | WATERTOWN | ★☆☆☆☆ | ★☆☆☆☆ | ★★★★☆ | |
| TEKAKWITHA LIVING CENTER | SISSETON | ★☆☆☆☆ | ★☆☆☆☆ | ★☆☆☆☆ | |
| Five Counties Nursing Home | LEMMON | ★☆☆☆☆ | ★☆☆☆☆ | ★★★☆☆ | SFF |
| Bethany Home - Brandon | BRANDON | ★☆☆☆☆ | ★☆☆☆☆ | ★★★★★ | |
| AVANTARA REDFIELD | REDFIELD | ★☆☆☆☆ | ★★☆☆☆ | ★★☆☆☆ | |
| MONUMENT HEALTH STURGIS CARE CENTER | STURGIS | ★☆☆☆☆ | ★★☆☆☆ | ★★★★☆ | |
| CUSTER CARE AND REHAB CENTER | CUSTER | ★☆☆☆☆ | ★☆☆☆☆ | ★☆☆☆☆ |
Two-star facilities
Source: CMS Provider Data Catalog · Nursing Home Care Compare. A low rating doesn't automatically mean a facility is dangerous today — but it is a signal to look carefully at inspection history, recent citations, and staffing. Click any facility for the full CMS record.