# Skilled Nursing Facilities in South Dakota · Financial Profiles

State rollup · SD · Skilled Nursing Facilities  
Page: https://astrelis.co/providers/snf/state/sd  
This twin: https://astrelis.co/providers/snf/state/sd.md  
Release: 2321a4fc37a7 (2026-10-22)

The 67 current skilled nursing facilities in South Dakota (plus 2 historical records, listed and labeled below) run ahead of the national cohort: median operating margin +2.0%, versus +0.8% nationally. 46% of the state's cohort filed an operating loss; the rest held at or above break-even. Median liquidity stands at 31 days cash on hand.

## Counts

- Current skilled nursing facilities: 67
- Historical records (CMS lists the CCN as terminated; listed and labeled below, excluded from counts and medians): 2
- Records listed: 69

## Medians

- **Median operating margin:** +2.0%. Basis: n = 67 values, each facility at its own latest settled fiscal year (FY2025). Astrelis calculation.
- **Median days cash on hand:** 31 days. Basis: n = 67 values, each facility at its own latest settled fiscal year (FY2022 to FY2025). Astrelis calculation.
- **National median operating margin (the module's benchmark pool, as the page's narrative compares it):** +0.8%. Basis: n = 12,819 facilities in the national pool, each at its own latest settled fiscal year. Astrelis calculation.

Each median is over eligibility-gated latest-year values from the clean-room panel; facility rows below are shown as filed; historical records are excluded from the medians.

## Facilities (69 records: 67 current, 2 historical)

Every row is as filed; a cell states its public state ("Not reported in source", "Astrelis calculation unavailable") rather than a dash. Each facility links to its profile and to the profile's twin.

| Facility | City | Ownership | Latest FY | Operating revenue | Operating margin | Days cash |
|---|---|---|---:|---:|---:|---:|
| [ABERDEEN HEALTH AND REHAB](https://astrelis.co/providers/snf/435041) ([twin](https://astrelis.co/providers/snf/435041.md)) | Aberdeen | For profit - Limited Liability company | 2025 | $9.1M | +5.3% | 144d |
| [Alcester Care And Rehab Center, Inc](https://astrelis.co/providers/snf/435062) ([twin](https://astrelis.co/providers/snf/435062.md)) | Alcester | For profit - Corporation | 2025 | $3.4M | -3.5% | 45d |
| [AURORA BRULE NURSING HOME INC](https://astrelis.co/providers/snf/435132) ([twin](https://astrelis.co/providers/snf/435132.md)) | White Lake | For profit - Corporation | 2025 | $3.8M | -7.1% | 91d |
| [AVANTARA ARROWHEAD](https://astrelis.co/providers/snf/435051) ([twin](https://astrelis.co/providers/snf/435051.md)) | Rapid City | For profit - Limited Liability company | 2025 | $8.6M | +14.3% | 15d |
| [AVANTARA CLARK CITY](https://astrelis.co/providers/snf/435058) ([twin](https://astrelis.co/providers/snf/435058.md)) | Clark | For profit - Limited Liability company | 2025 | $4.0M | +6.3% | 15d |
| [AVANTARA GROTON](https://astrelis.co/providers/snf/435048) ([twin](https://astrelis.co/providers/snf/435048.md)) | Groton | For profit - Limited Liability company | 2025 | $5.0M | +12.9% | 13d |
| [AVANTARA HURON](https://astrelis.co/providers/snf/435020) ([twin](https://astrelis.co/providers/snf/435020.md)) | Huron | For profit - Limited Liability company | 2025 | $8.3M | +5.6% | 3d |
| [AVANTARA LAKE NORDEN](https://astrelis.co/providers/snf/435059) ([twin](https://astrelis.co/providers/snf/435059.md)) | Lake Norden | For profit - Limited Liability company | 2025 | $5.3M | +10.2% | 34d |
| [AVANTARA MILBANK](https://astrelis.co/providers/snf/435009) ([twin](https://astrelis.co/providers/snf/435009.md)) | Milbank | For profit - Corporation | 2025 | $4.1M | -10.6% | 11d |
| [AVANTARA MOUNTAIN VIEW](https://astrelis.co/providers/snf/435040) ([twin](https://astrelis.co/providers/snf/435040.md)) | Rapid City | For profit - Limited Liability company | 2025 | $11.6M | +7.2% | 16d |
| [AVANTARA NORTH](https://astrelis.co/providers/snf/435064) ([twin](https://astrelis.co/providers/snf/435064.md)) | Rapid City | For profit - Limited Liability company | 2025 | $8.7M | +12.1% | 9d |
| [AVANTARA NORTON](https://astrelis.co/providers/snf/435039) ([twin](https://astrelis.co/providers/snf/435039.md)) | Sioux Falls | For profit - Limited Liability company | 2025 | $12.9M | +8.0% | 6d |
| [AVANTARA PIERRE](https://astrelis.co/providers/snf/435047) ([twin](https://astrelis.co/providers/snf/435047.md)) | Pierre | For profit - Limited Liability company | 2025 | $7.7M | +17.7% | 47d |
| [AVANTARA REDFIELD](https://astrelis.co/providers/snf/435054) ([twin](https://astrelis.co/providers/snf/435054.md)) | Redfield | For profit - Limited Liability company | 2025 | $5.1M | +2.3% | 11d |
| [AVANTARA SAINT CLOUD](https://astrelis.co/providers/snf/435060) ([twin](https://astrelis.co/providers/snf/435060.md)) | Rapid City | For profit - Limited Liability company | 2025 | $7.9M | +7.5% | 45d |
| [AVANTARA WATERTOWN](https://astrelis.co/providers/snf/435068) ([twin](https://astrelis.co/providers/snf/435068.md)) | Watertown | For profit - Limited Liability company | 2025 | $5.8M | -2.0% | 9d |
| [Avera Eureka Health Care Center](https://astrelis.co/providers/snf/435078) ([twin](https://astrelis.co/providers/snf/435078.md)) | Eureka | Non profit - Corporation | 2025 | $5.3M | -4.0% | 913d |
| [Bethany Home - Brandon](https://astrelis.co/providers/snf/435130) ([twin](https://astrelis.co/providers/snf/435130.md)) | Brandon | Non profit - Corporation | 2025 | $7.3M | +2.2% | 474d |
| [BETHANY HOME SIOUX FALLS](https://astrelis.co/providers/snf/435096) ([twin](https://astrelis.co/providers/snf/435096.md)) | Sioux Falls | Non profit - Corporation | 2025 | $6.4M | -11.7% | 475d |
| [Bethel Lutheran Home](https://astrelis.co/providers/snf/435076) ([twin](https://astrelis.co/providers/snf/435076.md)) | Madison | Non profit - Church related | 2025 | $6.7M | -7.5% | 21d |
| [Bethesda Home](https://astrelis.co/providers/snf/435071) ([twin](https://astrelis.co/providers/snf/435071.md)) | Webster | Non profit - Church related | 2025 | $4.9M | -8.9% | 62d |
| [Bethesda Home of Aberdeen](https://astrelis.co/providers/snf/435073) ([twin](https://astrelis.co/providers/snf/435073.md)) | Aberdeen | Non profit - Church related | 2025 | $11.2M | -14.4% | 35d |
| [Bethesda Of Beresford](https://astrelis.co/providers/snf/435080) ([twin](https://astrelis.co/providers/snf/435080.md)) | Beresford | Non profit - Corporation | 2025 | $4.1M | +2.5% | 369d |
| [Centerville Care and Rehab Center Inc](https://astrelis.co/providers/snf/435088) ([twin](https://astrelis.co/providers/snf/435088.md)) | Centerville | For profit - Corporation | 2025 | $3.6M | -2.3% | 19d |
| [CLARKSON HEALTH CARE](https://astrelis.co/providers/snf/435037) ([twin](https://astrelis.co/providers/snf/435037.md)) | Rapid City | Non profit - Other | 2025 | $7.1M | -10.6% | 31d |
| [DELLS NURSING AND REHAB CENTER INC](https://astrelis.co/providers/snf/435129) ([twin](https://astrelis.co/providers/snf/435129.md)) | Dell Rapids | For profit - Corporation | 2025 | $3.8M | -35.0% | 9d |
| [DIAMOND CARE CENTER](https://astrelis.co/providers/snf/435114) ([twin](https://astrelis.co/providers/snf/435114.md)) | Bridgewater | For profit - Corporation | 2025 | $4.1M | +8.0% | 270d |
| [DOW RUMMEL VILLAGE](https://astrelis.co/providers/snf/435127) ([twin](https://astrelis.co/providers/snf/435127.md)) | Sioux Falls | Non profit - Corporation | 2025 | $21.5M | -26.5% | 397d |
| [Estelline Nursing and Care Center](https://astrelis.co/providers/snf/435099) ([twin](https://astrelis.co/providers/snf/435099.md)) | Estelline | Government - City | 2025 | $5.5M | +8.2% | 368d |
| [FAULKTON SENIOR LIVING](https://astrelis.co/providers/snf/435084) ([twin](https://astrelis.co/providers/snf/435084.md)) | Faulkton | For profit - Corporation | 2025 | $4.7M | +10.3% | 285d |
| [FIRESTEEL HEALTHCARE CENTER](https://astrelis.co/providers/snf/435109) ([twin](https://astrelis.co/providers/snf/435109.md)) | Mitchell | For profit - Limited Liability company | 2025 | $13.0M | +7.6% | 96d |
| [Five Counties Nursing Home](https://astrelis.co/providers/snf/435090) ([twin](https://astrelis.co/providers/snf/435090.md)) | Lemmon | Non profit - Corporation | 2025 | $4.1M | -4.0% | 226d |
| [Fountain Springs Healthcare](https://astrelis.co/providers/snf/435110) ([twin](https://astrelis.co/providers/snf/435110.md)) | Rapid City | For profit - Limited Liability company | 2025 | $13.6M | +12.9% | 93d |
| [GOOD SAMARITAN SOCIETY - ST MARTIN VILLAGE](https://astrelis.co/providers/snf/435134) ([twin](https://astrelis.co/providers/snf/435134.md)) | Rapid City | Non profit - Corporation | 2025 | $10.6M | -52.5% | 31d |
| [GOOD SAMARITAN SOCIETY CANISTOTA](https://astrelis.co/providers/snf/435087) ([twin](https://astrelis.co/providers/snf/435087.md)) | Canistota | Non profit - Corporation | 2025 | $6.5M | +14.5% | 0d |
| [GOOD SAMARITAN SOCIETY CANTON](https://astrelis.co/providers/snf/435101) ([twin](https://astrelis.co/providers/snf/435101.md)) | Canton | Non profit - Corporation | 2025 | $6.0M | +13.1% | 0d |
| [GOOD SAMARITAN SOCIETY DE SMET](https://astrelis.co/providers/snf/435074) ([twin](https://astrelis.co/providers/snf/435074.md)) | De Smet | Non profit - Corporation | 2025 | $4.1M | -4.8% | 0d |
| [GOOD SAMARITAN SOCIETY HOWARD](https://astrelis.co/providers/snf/435075) ([twin](https://astrelis.co/providers/snf/435075.md)) | Howard | Non profit - Corporation | 2025 | $4.5M | -1.3% | 1d |
| [GOOD SAMARITAN SOCIETY LUTHER MANOR](https://astrelis.co/providers/snf/435044) ([twin](https://astrelis.co/providers/snf/435044.md)) | Sioux Falls | For profit - Corporation | 2025 | $11.2M | +8.3% | 0d |
| [Good Samaritan Society Miller](https://astrelis.co/providers/snf/435124) ([twin](https://astrelis.co/providers/snf/435124.md)) | Miller | Non profit - Corporation | 2025 | $4.8M | -5.6% | 0d |
| [GOOD SAMARITAN SOCIETY NEW UNDERWOOD](https://astrelis.co/providers/snf/435104) ([twin](https://astrelis.co/providers/snf/435104.md)) | New Underwood | Non profit - Corporation | 2025 | $4.6M | +2.2% | 0d |
| [GOOD SAMARITAN SOCIETY SCOTLAND](https://astrelis.co/providers/snf/435095) ([twin](https://astrelis.co/providers/snf/435095.md)) | Scotland | Non profit - Corporation | 2025 | $4.4M | +4.2% | 0d |
| [GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER](https://astrelis.co/providers/snf/435046) ([twin](https://astrelis.co/providers/snf/435046.md)) | Sioux Falls | Non profit - Corporation | 2025 | $10.6M | +5.6% | 0d |
| [GOOD SAMARITAN SOCIETY SIOUX FALLS VILLAGE](https://astrelis.co/providers/snf/435045) ([twin](https://astrelis.co/providers/snf/435045.md)) | Sioux Falls | Non profit - Corporation | 2025 | $23.9M | +2.8% | 0d |
| [GOOD SAMARITAN SOCIETY TYNDALL](https://astrelis.co/providers/snf/435098) ([twin](https://astrelis.co/providers/snf/435098.md)) | Tyndall | Non profit - Corporation | 2025 | $6.6M | +6.4% | 0d |
| [GOOD SAMARITAN SOCIETY-CORSICA](https://astrelis.co/providers/snf/435089) ([twin](https://astrelis.co/providers/snf/435089.md)) · historical | Corsica | Not reported in source | 2025 | $4.9M | +4.5% | 0d |
| [GOOD SAMARITAN SOCIETY-WAGNER](https://astrelis.co/providers/snf/435106) ([twin](https://astrelis.co/providers/snf/435106.md)) · historical | Wagner | Not reported in source | 2023 | $0.6M | -223.0% | 0d |
| [HIGHMORE HEALTH](https://astrelis.co/providers/snf/435092) ([twin](https://astrelis.co/providers/snf/435092.md)) | Highmore | Non profit - Corporation | 2025 | $4.0M | +1.4% | 23d |
| [JENKIN'S LIVING CENTER](https://astrelis.co/providers/snf/435036) ([twin](https://astrelis.co/providers/snf/435036.md)) | Watertown | Non profit - Corporation | 2025 | $9.0M | -28.3% | 305d |
| [LAKE ANDES SENIOR LIVING](https://astrelis.co/providers/snf/435097) ([twin](https://astrelis.co/providers/snf/435097.md)) | Lake Andes | For profit - Individual | 2025 | $4.2M | +2.0% | -1160d |
| [PALISADE HEALTHCARE CENTER](https://astrelis.co/providers/snf/435115) ([twin](https://astrelis.co/providers/snf/435115.md)) | Garretson | For profit - Corporation | 2025 | $5.8M | +5.9% | 96d |
| [PRAIRIE HEIGHTS HEALTHCARE](https://astrelis.co/providers/snf/435004) ([twin](https://astrelis.co/providers/snf/435004.md)) | Aberdeen | For profit - Limited Liability company | 2025 | $11.9M | +11.6% | -5d |
| [PRAIRIE VIEW HEALTHCARE CENTER](https://astrelis.co/providers/snf/435118) ([twin](https://astrelis.co/providers/snf/435118.md)) | Woonsocket | For profit - Limited Liability company | 2025 | $4.7M | +8.3% | 102d |
| [RIVERVIEW HEALTHCARE CENTER](https://astrelis.co/providers/snf/435086) ([twin](https://astrelis.co/providers/snf/435086.md)) | Flandreau | For profit - Limited Liability company | 2025 | $6.4M | -5.0% | 83d |
| [ROLLING HILLS HEALTHCARE](https://astrelis.co/providers/snf/435035) ([twin](https://astrelis.co/providers/snf/435035.md)) | Belle Fourche | For profit - Limited Liability company | 2025 | $7.1M | -1.3% | -4d |
| [SPEARFISH CANYON HEALTHCARE](https://astrelis.co/providers/snf/435043) ([twin](https://astrelis.co/providers/snf/435043.md)) | Spearfish | For profit - Limited Liability company | 2025 | $11.4M | +9.5% | -3d |
| [St William's Care Center](https://astrelis.co/providers/snf/435122) ([twin](https://astrelis.co/providers/snf/435122.md)) | Milbank | Non profit - Other | 2025 | $5.2M | -14.6% | 18d |
| [Strand-Kjorsvig Community Rest Home](https://astrelis.co/providers/snf/435125) ([twin](https://astrelis.co/providers/snf/435125.md)) | Roslyn | Non profit - Corporation | 2025 | $2.6M | -14.4% | 5d |
| [Sun Dial Manor](https://astrelis.co/providers/snf/435093) ([twin](https://astrelis.co/providers/snf/435093.md)) | Bristol | Non profit - Corporation | 2025 | $2.9M | -11.7% | 59d |
| [Sunset Manor Avera Health](https://astrelis.co/providers/snf/435100) ([twin](https://astrelis.co/providers/snf/435100.md)) | Irene | Non profit - Other | 2025 | $6.3M | -7.5% | 116d |
| [TEKAKWITHA LIVING CENTER](https://astrelis.co/providers/snf/435038) ([twin](https://astrelis.co/providers/snf/435038.md)) | Sisseton | Non profit - Corporation | 2025 | $3.6M | -14.8% | 10d |
| [Tieszen Memorial Home](https://astrelis.co/providers/snf/435069) ([twin](https://astrelis.co/providers/snf/435069.md)) | Marion | Non profit - Corporation | 2025 | $6.9M | +1.8% | 226d |
| [UNITED LIVING COMMUNITY](https://astrelis.co/providers/snf/435079) ([twin](https://astrelis.co/providers/snf/435079.md)) | Brookings | Non profit - Corporation | 2025 | $9.6M | -14.9% | 44d |
| [Wakonda Heritage Manor](https://astrelis.co/providers/snf/435094) ([twin](https://astrelis.co/providers/snf/435094.md)) | Wakonda | Non profit - Other | 2025 | $3.2M | -8.2% | 67d |
| [Walworth County Care Center, Inc](https://astrelis.co/providers/snf/435123) ([twin](https://astrelis.co/providers/snf/435123.md)) | Selby | Non profit - Corporation | 2025 | $4.6M | +6.1% | 408d |
| [Weskota Manor Inc](https://astrelis.co/providers/snf/435133) ([twin](https://astrelis.co/providers/snf/435133.md)) | Wessington Springs | Non profit - Corporation | 2025 | $3.7M | -6.9% | 217d |
| [Westhills Village Health Care Facility](https://astrelis.co/providers/snf/435033) ([twin](https://astrelis.co/providers/snf/435033.md)) | Rapid City | Non profit - Other | 2025 | $7.2M | -147.9% | 21d |
| [Wheatcrest Hills Healthcare Center](https://astrelis.co/providers/snf/435105) ([twin](https://astrelis.co/providers/snf/435105.md)) | Britton | For profit - Corporation | 2025 | $4.5M | +2.7% | 93d |
| [Wilmot Care Center Inc](https://astrelis.co/providers/snf/435119) ([twin](https://astrelis.co/providers/snf/435119.md)) | Wilmot | Non profit - Corporation | 2025 | $3.3M | -1.7% | 54d |

## Sources

Financial figures are compiled from public HCRIS Medicare cost reports and standardized by Astrelis. State medians use eligibility-gated latest-year values from the clean-room panel; facility rows are shown as filed. Values are source-reported context, not audited by Astrelis, and not a ranking.

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Skilled Nursing Facilities in South Dakota · Financial Profiles", https://astrelis.co/providers/snf/state/sd, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.