Staff turnover at South Dakota nursing homes
In a typical South Dakota nursing home, 46% of nursing staff left within a year. Turnover matters because residents do best with caregivers who know them.
CMS data as of August 1, 2026. Nursing homes only; assisted living is not covered by Medicare ratings. Homes averaging under 20 residents a day, such as short-stay hospital units, are left out because their numbers swing widely.
Highest nursing staff turnover in South Dakota
High turnover can mean less familiarity with each resident. Ask how long the aides on your floor have worked there.
| Nursing home | City | Nursing staff who left | Registered nurses who left | Administrators who left |
|---|---|---|---|---|
| Avantara milbank | Milbank | 92% | 87% | 2 |
| Avantara arrowhead | Rapid city | 76% | 75% | 0 |
| Prairie view healthcare center | WoonsOcket | 73% | 90% | 3 |
| Good sAmaritan sOciety miller | Miller | 71% | 43% | 2 |
| SunsEt manor avera health | Irene | 70% | 73% | 0 |
| Winner regional healthcare center | Winner | 68% | 67% | 0 |
| Good sAmaritan sOciety canisTota | CanisTota | 68% | 67% | 0 |
| Riverview healthcare center | Flandreau | 67% | 62% | 2 |
| Rolling hills healthcare | Belle fourche | 65% | 67% | 1 |
| Good sAmaritan sOciety new underwood | New underwood | 65% | 50% | 0 |
| Good sAmaritan sOciety de sMet | De sMet | 64% | 36% | 1 |
| Seven sIsTers living center | Hot sPrings | 63% | 55% | n/a |
| Wilmot care center inc | Wilmot | 61% | 29% | 1 |
| Good sAmaritan sOciety - sT martin village | Rapid city | 60% | 57% | 0 |
| PalisAde healthcare center | GarretsOn | 60% | 40% | 1 |
Lowest nursing staff turnover in South Dakota
Stable teams are a good sign, best confirmed on a visit.
| Nursing home | City | Nursing staff who left | Registered nurses who left | Administrators who left |
|---|---|---|---|---|
| Oakview terrace | Freeman | 23% | 22% | n/a |
| Avera prince of peace | Sioux falls | 25% | 11% | 1 |
| Walworth county care center, inc | Selby | 27% | 29% | 0 |
| EsTelline nursIng and care center | EsTelline | 29% | 27% | 0 |
| EasTern sTar home of sOuth dakota, inc | Redfield | 30% | 40% | 0 |
| BethesDa home | WebsTer | 31% | 0% | 1 |
| Avera sIsTer james care center | Yankton | 31% | 22% | 0 |
| Medicine wheel village | Eagle butte | 31% | 38% | 0 |
| Dow rummel village | Sioux falls | 32% | 36% | 0 |
| WheatcresT hills healthcare center | Britton | 32% | 20% | 0 |
Source: CMS Nursing Home Provider Information (total nursing staff turnover, from Payroll-Based Journal data). A ranking is a starting point for questions, not a verdict. Always check the current Medicare record and visit in person.
