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Nursing homes in Clay County, South Dakota
Clay County, South Dakota, has 3 Medicare-certified nursing homes with 162 certified beds.
67% of them are rated 1 or 2 stars overall, a larger share than the state (45%). Inspectors recorded 36 health deficiencies over three cycles, 22.2 per 100 beds against 27.9 statewide.
Fines in the period covered total $98K across 4 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Clay County | South Dakota | US |
|---|---|---|---|
| Facilities | 3 | 96 | 14690 |
| Rated 1–2 stars overall | 67% | 45% | 41% |
| Median overall rating | 2 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 22.2 | 27.9 | 26.8 |
| Median nurse hours per resident day | 3.8 | 3.6 | 3.7 |
| Fines listed | $98K | $3.3M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Wakonda Heritage Manor | Wakonda | 38 | 5 | 4 | 5 | 8 | 21.1 | $13K | 7 May 2026 |
| Sanford Care Center Vermillion | Vermillion | 66 | 2 | 2 | 4 | 11 | 16.7 | $45K | 29 Jan 2026 |
| Sunset Manor Avera Healthabuse icon | Irene | 58 | 2 | 2 | 4 | 17 | 29.3 | $41K | 5 May 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 5 |
| F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | 4 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 4 |
| F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 4 |
| F0880 | Provide and implement an infection prevention and control program. | 3 |
Ownership
| Type | Facilities |
|---|---|
| Non profit | 3 |
Chains present: Avera Health (2).
Questions and answers
How many nursing homes are in Clay County, South Dakota?
3 Medicare-certified nursing homes with 162 certified beds.
Which nursing homes in Clay County have the highest CMS ratings?
Wakonda Heritage Manor (5 stars), Sanford Care Center Vermillion (2 stars), Sunset Manor Avera Health (2 stars)
How do Clay County nursing homes compare with South Dakota?
67% are rated 1–2 stars overall against 45% statewide; citations run at 22.2 per 100 beds against 27.9 statewide.