Every one of the 10 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
1 of these hold the top CMS rating of five. 3 sit at one. Registered nurse cover averages 0.81 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| BETHANY HOME SIOUX FALLS | Sioux Falls | 5 | 4 | 5 | 0.82 | 52 | $0 |
| DELLS NURSING AND REHAB CENTER INC | Dell Rapids | 4 | 4 | 3 | 0.52 | 50 | $173,010 |
| AVERA PRINCE OF PEACE | Sioux Falls | 3 | 2 | 5 | 1.47 | 126 | $8,278 |
| DOW RUMMEL VILLAGE | Sioux Falls | 3 | 2 | 5 | 0.82 | 50 | $90,053 |
| GOOD SAMARITAN SOCIETY LUTHER MANOR | Sioux Falls | 2 | 2 | 4 | 0.95 | 92 | $21,086 |
| GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER ⚑ | Sioux Falls | 2 | 2 | 4 | 0.87 | 98 | $11,261 |
| GOOD SAMARITAN SOCIETY SIOUX FALLS VILLAGE | Sioux Falls | 1 | 1 | 4 | 0.68 | 177 | $72,812 |
| Bethany Home - Brandon ⚑ | Brandon | 1 | 1 | 4 | 0.68 | 60 | $51,350 |
| PALISADE HEALTHCARE CENTER ⚑ | Garretson | 1 | 1 | 2 | 0.54 | 55 | $154,946 |
| AVANTARA NORTON ⚑ | Sioux Falls | - | - | - | 0.77 | 110 | $153,638 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| Non profit - Corporation | 5 |
| For profit - Corporation | 3 |
| For profit - Limited Liability company | 1 |
| Non profit - Church related | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.