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Annual Report on Need for Additional Nursing Facility Beds or Nursing Facilities, 2025

In accordance with state law, the Department of Health, with assistance from the Department of Human Services annually considers the need for additional beds or nursing facilities in the State. If a need for additional beds or nursing facilities is identified, the Department of Health is required to solicit and evaluate proposals to address the identified need. Any facility that receives redistributed beds, or any authorized new facility, is required by law to maintain minimum Medicaid occupancy rates.

December 22, 2025 | Nursing Facility | Healthcare Facility

Healthy Relationships Cross-Program Evaluation Report, July 2024-June 2025

The following evaluation report is intended to inform SD DOH Healthy Relationships leadership on the activities and outcomes of Healthy Relationships programming for the contract year. The report also includes relevant state and county data to assist the decision-making processes for future Healthy Relationships programming.

South Dakota Mortality Report, 2025 (Provisional)

South Dakota resident deaths and leading causes of death by month.

December 2, 2025 | Mortality | Causes of Death

Homicide Deaths in South Dakota, 2020-2023

Between 2020 and 2023, South Dakota recorded 188 homicide deaths, with 2023 reporting the lowest number (39). American Indians experienced the highest homicide rate—18 times greater than White individuals—with 47% of all homicides involving firearms and over half of suspects having known relationships with their victims.

Suicide Deaths in South Dakota, 2020-2023

From 2020 to 2023, suicide deaths in South Dakota declined from 193 to 179, with 50% involving firearms and 78% of decedents being male. American Indian individuals aged 20–29 experienced the highest suicide rate at 126.1 per 100,000, highlighting a critical disparity in age and race demographics.

Violent Deaths in South Dakota, 2020-2023

The 2023 South Dakota Violent Death Reporting System (SD-VDRS) report provides a snapshot of violent deaths statewide from 2020 to 2023. In 2023, there were 232 violent deaths, down from 260 in 2022. Suicides accounted for the vast majority—77%—of all violent deaths, with firearms involved in half of all cases.

Violent Death Reporting System Data Report, 2023

The South Dakota Violent Death Reporting System (SD-VDRS) is a CDC-funded anonymous surveillance system that collects information on suicides, homicides, deaths of undetermined intent, unintentional firearm deaths, and legal intervention deaths in the state.

Childhood Blood Lead Poisoning in South Dakota: 2023 Data Snapshot

In 2023, 4,694 South Dakota children under six were tested for lead and 3.6 percent had elevated levels. More than half of those tested and most with elevated levels were enrolled in Medicaid. Some groups, including Asian and American Indian/Alaskan Native children, showed higher rates. Over half of children with elevated capillary results did not receive needed follow-up venous testing. Lead poisoning is preventable and testing at 12 and 24 months is important.

November 7, 2025 | Lead Exposure | Environmental Health

Traumatic Brain Injury Report, 2025

From 2015 to 2024, there were 2,364 TBI-related deaths among South Dakota residents. In 2024, there were 267 TBI-related deaths, which was an 11% increase from 241 deaths in 2023.

Maternal & Child Health Program Regional Partners Meeting Report, 2025

The report summarizes partner input gathered across South Dakota to identify strengths, opportunities, aspirations, and desired results for improving the health and well-being of women, children, adolescents, and families, including those with special health care needs. Key themes include strong community-based services, the need to improve healthcare access, address community factors influencing health, expand youth supports, and strengthen collaboration and data use.

November 3, 2025 | Maternal Child Health

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