SeniorHomeReview Cost Index

Cost of nursing home care in South Dakota.

The median nursing home in South Dakota billed $412 per day — about $12,520 per month — in its most recent federal cost report, 8% above the national median. Half of South Dakota facilities billed between $313 and $462 per day; the median facility collected $297/day across all payers, with Medicaid covering 55% of resident days.

Computed from 67 South Dakota facilities' own audited CMS cost reports (FY2023) — not a survey. Billed charges are the closest public proxy for private-pay prices; Medicare and Medicaid pay set rates. Methodology & all states.

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Nursing home costs by South Dakota city

Median billed charges in the cities with the most reporting facilities.

City	Median billed / day	≈ per month	Reporting
Rapid City	$462	$14,040	8
Sioux Falls	$469	$14,260	6

Before you compare prices

Cost is only half the decision. South Dakota's nursing homes drew 2,015 inspection citations over the last three years— every facility's citations, fines, ownership, and ratings are free on its page. Browse South Dakota facilities and open any one for its full record.