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South Dakota

Nursing Home Staffing Profile — 2025Q3

93 facilities4,827 residents3.83 avg HPRD

vs National Average

-0.07 HPRD

National avg: 3.90 · South Dakota: 3.83

📋

South Dakota ranks among the lower-performing states for nursing home staffing, with an average of 3.83 HPRD — 0.07 hours below the national average. Only 61.3% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.77 HPRD, with 50.5% of facilities meeting the 0.75 research recommendation.

3.83

Average Total HPRD

All nursing staff combined

▼ 0.07 vs national

0.77

Average RN HPRD

Recommended: 0.75

▲ 0.09 vs national

61.3%

Meet CMS Benchmark

57 of 93 facilities

19.4%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

9.7%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.66

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How South Dakota's 93 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.34

avg HPRD

30 facilities (32%)

Non-Profit

4.02

avg HPRD

59 facilities (63%)

Government

4.72

avg HPRD

4 facilities (4%)

💡 Non-profit facilities in South Dakota average 0.68 more HPRD than for-profit ones — about 20% higher staffing.

▲ Best Staffed in South Dakota

Top 5 by total nurse HPRD

A+

FLANDREAU SANTEE SIOUX TRIBE CARE CENTER

Michael J Fitzmaurice South Dakota Veterans Home

AVERA PRINCE OF PEACE

SIOUX FALLS

5.39 HPRD

RN: 1.38

MONUMENT HEALTH STURGIS CARE CENTER

STURGIS

5.27 HPRD

RN: 0.71

BETHANY HOME SIOUX FALLS

SIOUX FALLS

5.25 HPRD

RN: 0.80

▼ Most Understaffed in South Dakota

Bottom 5 by total nurse HPRD

ROLLING HILLS HEALTHCARE

BELLE FOURCHE

2.73 HPRD

RN: 0.25

WHEATCREST HILLS HEALTHCARE CENTER

Alcester Care And Rehab Center, Inc

ALCESTER

2.96 HPRD

RN: 0.48

⚖️

Compare Two Facilities Side by Side

Pick any two South Dakota nursing homes and see how they stack up across every metric

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County Breakdown

Staffing metrics by county in South Dakota — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Minnehaha	10	4.24	0.80	80.0%	Mixed B/A
▸Pennington	9	3.55	0.86	55.6%	Mixed B/C
▸Brown	5	3.83	0.71	100.0%	Mostly B
▸Hutchinson	3	4.20	0.94	66.7%	Mixed A+/A
▸Clay	3	4.06	0.72	66.7%	Mostly B
▸Day	3	3.91	0.97	66.7%	Mostly A
▸Turner	3	3.58	0.65	66.7%	Mostly B
▸Hamlin	2	3.22	0.76	0.0%	Mostly C
▸Moody	2	5.41	1.24	100.0%	Mixed A+/B
▸Codington	2	3.58	0.93	100.0%	Mostly B
▸Grant	2	3.19	0.58	0.0%	Mixed C/D
▸Fall River	2	5.49	0.89	100.0%	Mixed A+/B
▸Bon Homme	2	3.31	0.70	50.0%	Mixed B/C
▸Brookings	2	4.70	0.66	100.0%	Mixed A/C
▸Spink	2	3.84	0.59	50.0%	Mixed B/D
▸Charles Mix	2	3.25	0.73	0.0%	Mostly C
▸Mc Cook	2	2.82	0.38	0.0%	Mixed C/F
▸Union	2	3.30	0.77	50.0%	Mixed B/D
▸Davison	2	4.09	0.92	50.0%	Mixed A/D
▸Hughes	2	3.69	0.90	50.0%	Mixed A/D
▸Marshall	1	2.74	0.57	0.0%	Mostly D
▸Meade	1	5.27	0.71	100.0%	Mostly B
▸Mellette	1	4.65	0.61	100.0%	Mostly B
▸Miner	1	3.57	0.83	100.0%	Mostly B
▸Perkins	1	3.02	0.86	0.0%	Mostly C
▸Potter	1	4.02	0.73	100.0%	Mostly B
▸Roberts	1	4.59	1.00	100.0%	Mostly A
▸Sanborn	1	3.37	0.41	0.0%	Mostly C
▸Tripp	1	4.75	0.57	100.0%	Mostly B
▸Walworth	1	3.16	0.60	0.0%	Mostly C
▸Aurora	1	3.23	0.51	0.0%	Mostly C
▸Yankton	1	3.97	1.04	100.0%	Mostly B
▸Beadle	1	3.61	0.59	100.0%	Mostly B
▸Brule	1	3.63	0.82	100.0%	Mostly B
▸Butte	1	2.73	0.25	0.0%	Mostly D
▸Clark	1	3.99	0.78	100.0%	Mostly B
▸Dewey	1	4.56	0.73	100.0%	Mostly B
▸Douglas	1	3.37	0.81	0.0%	Mostly C
▸Edmunds	1	4.28	0.42	100.0%	Mostly C
▸Faulk	1	3.10	0.48	0.0%	Mostly C
▸Gregory	1	4.72	1.15	100.0%	Mostly A
▸Haakon	1	4.63	1.04	100.0%	Mostly A
▸Hand	1	3.81	0.88	100.0%	Mostly B
▸Hyde	1	2.96	0.88	0.0%	Mostly D
▸Jackson	1	3.79	0.70	100.0%	Mostly B
▸Jerauld	1	3.37	0.85	0.0%	Mostly C
▸Kingsbury	1	3.48	1.06	100.0%	Mostly B
▸Lake	1	3.82	0.77	100.0%	Mostly B
▸Lawrence	1	3.27	0.34	0.0%	Mostly D
▸Lincoln	1	3.18	0.68	0.0%	Mostly C
▸Mc Pherson	1	3.01	0.73	0.0%	Mostly C

HPRD Range in South Dakota

The spread between best and worst staffed facilities

3.23

25th pctile

3.66

Median

4.26

75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.