Threshold US · Senior housing
Nursing home supply in South Dakota
96
certified nursing homes
5,848
certified beds
61
average beds per home
2,911
beds in 1 or 2-star homes (at-risk supply)
CMS rating mix
Certified beds by CMS overall 5-star rating across South Dakota. Beds in 1 and 2-star homes are supply that may not survive, and therefore latent replacement demand.
Largest markets by beds
| City | Homes | Beds |
|---|---|---|
| Sioux Falls | 7 | 705 |
| Rapid City | 8 | 558 |
| Aberdeen | 4 | 344 |
| Yankton | 2 | 263 |
| Mitchell | 2 | 209 |
| Watertown | 2 | 161 |
| Brookings | 2 | 146 |
| Pierre | 2 | 145 |
Ownership
| Ownership type | Homes | Beds |
|---|---|---|
| Non Profit - Corporation | 49 | 2,786 |
| For Profit - Limited Liability Company | 20 | 1,525 |
| For Profit - Corporation | 10 | 519 |
| Non Profit - Other | 7 | 341 |
| Non Profit - Church Related | 4 | 321 |
Largest nursing homes
| Home | City | Beds | CMS rating |
|---|---|---|---|
| Avera Sister James Care Center | Yankton | 194 | 5-star |
| Good Samaritan Society Sioux Falls Village | Sioux Falls | 177 | 1-star |
| Avera Prince Of Peace | Sioux Falls | 126 | 3-star |
| Firesteel Healthcare Center | Mitchell | 125 | 1-star |
| Avantara Huron | Huron | 119 | 1-star |
| Jenkin'S Living Center | Watertown | 110 | 1-star |
| Avantara Norton | Sioux Falls | 110 | - |
| Spearfish Canyon Healthcare | Spearfish | 105 | 2-star |
The demand gap
Coming shortly: the population aged 85+ in each catchment and the demand gap against the national rate, from US Census Bureau data (being finalized). Supply above is live now from CMS. Join the waitlist to be first in when the South Dakota demand analysis goes live.
Appraise any South Dakota site in 60 seconds
Threshold US Care is launching in 2026. Drop a pin anywhere in South Dakota: every competing certified bed and its CMS rating, the demand gap, and the maximum land bid. Reserve founding access for South Dakota now.
Join the South Dakota waitlistAll states → · The US senior care gap →
Supply: CMS Care Compare Provider Information (public domain), latest release. Every figure is a statistical estimate for site screening, not a USPAP appraisal or investment advice.