Melissa Magstadt, South Dakota Secretary of Health

Office of Health Facilities Licensure & Certification

This office surveys, licenses and recommends federal certification for health care facilities. Its goal is to ensure state health and safety standards are met and also federal standards if the facility is a Medicaid or Medicare provider.



  • NOTICE: Nursing Facility Bed Availability
    SB 61 from the 2019 legislative session provided that if an existing nursing facility ceases operation, the authorized beds from that existing facility will be held available by the Department of Health for eighteen months from the closure date and shall be available for use by an entity licensed to operate a nursing facility. There are currently 484 beds available due to the closure of Monument Health Custer Care Center (76 beds) effective closure February 10, 2022, Avantara Ipswich (59 beds) effective closure June 1, 2022, Good Samaritan Society Lennox (64 beds) effective closure July 15, 2022, Good Samaritan Society Deuel County (75 beds) effective closure July 15, 2022, Avantara Salem (63 beds) effective closure October 1, 2022, Avantara Armour (45 beds) effective closure October 1, 2022, Prairie Estates Care Center Elk Point (50 beds), effective closure January 14, 2023,and Avantara Arlington (52 beds), effective closure February 7, 2023. Questions or inquiries may be sent to Cassie Deffenbaugh.

Note to providers:

Pursuant to the March 22, 2013 CMS Survey & Certification Memo, the Centers for Medicare & Medicaid (CMS) may impose civil money penalties (CMPs) on nursing homes in South Dakota when serious deficiencies are identified.  At this time, the Department of Health does not intend to begin recommending CMPs to the CMS Region VIII Office.  However, this will not preclude CMS from imposing CMPs directly on South Dakota nursing facilities. DOH will closely monitor the situation and will continue to provide further information to providers regarding CMPs as it becomes available.


Consumer information

Provider information


  • New Healthcare Licensing System:

    • The annual license renewal form to operate a medical facility from July 1, 2022 to June 30, 2023 is now online. Please note the renewal process must be completed online. No paper forms are available. 

      • The renewal form is available at: Please click on the license renewal link for your provider type.

      • Please use Google Chrome as your browser for best results.

      • You will need to have the following information available to access the renewal form:

        • Administrator’s e-mail address,

        • license number, and

        • name of facility/center.

      • We would appreciate the review and submittal of your license renewal information by June 15, 2022. A new license cannot be issued until the renewal information has been reviewed and licensing fee submitted.

      • Please review the information and update as appropriate. Payment for your license must be made with a credit card or a non-cash voucher. The non-cash voucher is only available for South Dakota state facilities.

      • Our credit card system only accepts Visa or Mastercard. You can print your renewal and credit card receipt after payment information has been completed. 

      • Please save and exit the program after your information has been updated. Our program staff will need to approve the license to complete the process.

      • We are no longer mailing licenses. Once approved, you will receive an e-mail from The e-mail will provide a weblink to print your facility’s license.

      • Thank you for your assistance in keeping our database information current for your facility. Should you have any questions please email

  • Facility Engineering Forms

  • CLIA (Clinical Laboratory Improvement Amendment) certificate: Form




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