Who owns South Dakota nursing homes
Ownership shapes staffing and cost decisions. Here is how South Dakota nursing homes compare by ownership type, and which chains operate the most homes.
CMS data as of August 1, 2026. Nursing homes only; assisted living is not covered by Medicare ratings.
By ownership type
| Ownership | Homes | Average Medicare stars | Typical nursing hours | Share fined |
|---|---|---|---|---|
| Non profit | 60 | 3.1 | 3.77 hrs | 70% |
| For profit | 31 | 2.2 | 3.37 hrs | 87% |
| Government | 5 | 4.0 | 4.20 hrs | 40% |
Largest chains in South Dakota
51% of South Dakota nursing homes belong to a chain. Counts are homes we list in South Dakota.
- Legacy healthcare13 homes · average 2.2 of 5 Medicare stars
- Good sAmaritan sOciety13 homes · average 2.5 of 5 Medicare stars
- Avera health9 homes · average 3.9 of 5 Medicare stars
- Evergreen healthcare group6 homes · average 2.0 of 5 Medicare stars
- Accura healthcare3 homes · average 2.0 of 5 Medicare stars
- Eduro healthcare3 homes · average 2.3 of 5 Medicare stars
- LifesPark1 home · average 1.0 of 5 Medicare stars
- Rural health development1 home · average 5.0 of 5 Medicare stars
Source: CMS Nursing Home Provider Information (ownership type, chain affiliation). Averages are simple averages of Medicare overall star ratings; they describe groups, not any single home. A ranking is a starting point for questions, not a verdict. Always check the current Medicare record and visit in person.
