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South Dakota Home Health Agency Rankings & Safety Report

zReports Research Institute · Updated October 2026

Bythe zReports Healthcare Research Team · zReports Research Institute Data sourcezReports Consumer Intelligence Database™ v2026.10 Facilities analyzed23 Government sourcesthe Centers for Medicare & Medicaid Services (CMS) Last updatedOctober 2026 MethodologyConsumer Z Score™ · Database v2026.10

South Dakota has 23 active licensed home health agencys on the state's public file. zReports analyzed CMS Home Health Compare data to produce a records layer grade for every one, the government's own verdicts, mapped through one fixed rule. No facility can pay to change a score, and the grade is free.

Key findings

23active licensed home health agencys across 15 South Dakota cities appear on the state's public file.
87%hold an A or B records layer grade.
84.6is the statewide average records layer score across all graded home health agencys.
Rapid Cityhas the most licensed home health agencys in the state (6).

Key statistics

StatisticValue
Active licensed home health agencys23
Cities covered15
Statewide average records layer score84.6
Grade A facilities14 (60.9%)
Grade B facilities6 (26.1%)
Grade C facilities3 (13%)
Facilities with a clean record (no deficiencies on file)23 (100%)
Serious (high severity) findings on the record0
Moderate findings on the record0

By city

Rapid City (6)Sioux Falls (3)Mitchell (2)Yankton (1)Huron (1)Watertown (1)Aberdeen (1)Brookings (1)Spearfish (1)Pierre (1)Milbank (1)Redfield (1)Sisseton (1)Faith (1)Belle Fourche (1)

Statewide top 25

#1 Monument Health Home Plus Home Health Rapid City · A

#2 Avera @ Home Aberdeen · A

#3 Monument Health Home Plus Home Health Spearfish · A

#4 Heartland Home Health LLC Belle Fourche · A

#5 Good Samaritan Soc-Home Health Of The Black Hills Rapid City · A

#6 Sanford Home Health Sioux Falls · A

#7 State Home Care Services, INC Rapid City · A

#8 Avera @ Home Yankton · A-

#9 Avera @ Home Mitchell · A-

#10 Avera @ Home Pierre · A-

#11 Aveanna Home Health Sioux Falls · A-

#12 Avera @ Home Sioux Falls · A-

#13 Community Memorial Hospital Home Health Redfield · A-

#14 Signal Health Group West River Rapid City · A-

#15 Brookings Health System Brookings · B+

#16 Westhills Village Home Health Rapid City · B+

#17 Avera @ Home Milbank · B+

#18 Interim Healthcare Rapid City · B

#19 Prairie Lakes Home Health Watertown · B

#20 Coteau Des Prairie Health Care System Sisseton · B

#21 Huron Regional Medical Ctr Hha Huron · C

#22 Dakota Physical Therapy Home Health Care Mitchell · C

#23 West Winds Health Services, INC Faith · C

Don't see a name? Search it. Every home health agency has an answer.

Methodology

The free grade on this page contains zero zReports judgment: it maps the state's own published licensing and enforcement verdicts through one fixed rule, applied identically to every home health agency in America. Where the record and public reputation diverge, a highly reviewed facility with serious findings on file, the paid Consumer Intelligence Report™ surfaces it through the composite Consumer Z Score™ and our published ten point methodology. Facilities are never contacted and cannot pay to change a score. Read the full methodology →

About home health agency licensing in South Dakota

Home Health Agencys in South Dakota are overseen by the Centers for Medicare & Medicaid Services (CMS), whose certification, inspection, and quality-reporting data is published on the public record. This page is computed from CMS Home Health Compare data, the government’s own filings, not reviews or advertising.

Frequently asked questions

How many home health agencys are there in South Dakota?

South Dakota has 23 active licensed home health agencys on the state's public file, across 15 cities. Every one has a free records layer grade on zReports.

Which South Dakota city has the most home health agencys?

Rapid City, with 6 licensed home health agencys, followed by Sioux Falls (3) and Mitchell (2).

How are South Dakota home health agency grades calculated?

The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, CMS Home Health Compare data, through one fixed rule, applied identically to every home health agency in the country. The paid Consumer Intelligence Report™ adds the composite Consumer Z Score™, which audits the record against public reputation through our published ten point methodology.

Why can a facility with 5-star reviews have a low grade?

Reviews and records are different surfaces. Reviews reflect what visitors chose to write, and can be managed by the business. Inspection and enforcement records are filed by the state, are mandatory, and cannot be edited by the facility. When the two diverge, the record is the surface worth checking. That divergence is exactly what zReports was built to surface.

How often are these rankings updated?

Rankings refresh whenever South Dakota republishes its licensing data; facility pages carry the records-verified date for each provider. This page was generated from the current file as of October 2026.

Can a facility pay to change its score?

No. Facilities are never contacted, never notified, and cannot pay to be listed, delisted, or re-scored. zReports has no business relationship with any facility it grades, independence is the product.

Data Provenance

This report was generated from the zReports Consumer Records Database™, a continuously updated database that normalizes official government licensing, inspection, enforcement, ownership, and safety records across multiple federal and state agencies. Every statistic in this report is traceable to its originating public record. Facilities cannot pay to alter scores, rankings, or findings.

Data source: zReports Consumer Intelligence Database™ v2026.10 · Built from: CMS Provider Data Catalog · HHS OIG Exclusions List (LEIE) · Public consumer review signals (audited, never trusted, in the composite Consumer Z Score™) · Proprietary Consumer Z Score™ methodology · Updated: October 2026

Cite this report

APA, zReports Research Institute. (2026). South Dakota Home Health Agency Rankings & Safety Report (v2026.10). zReports.org. https://zreports.org/rankings/homehealth/sd

MLA, zReports Research Institute. “South Dakota Home Health Agency Rankings & Safety Report.” zReports.org, v2026.10, October 2026, zreports.org/rankings/homehealth/sd.

Plain, South Dakota Home Health Agency Rankings & Safety Report, zReports Research Institute, v2026.10, updated October 2026, zreports.org/rankings/homehealth/sd

Related research

Home Health Agencys in all states → Rapid City rankings →Sioux Falls rankings →Mitchell rankings → zReports Data Blog → How the Consumer Z Score™ works →