Nursing Homes, Home Health & Hospice in Union County

Union County, South Dakota is home to 2 Medicare-certified care providers across 5 cities. Use the care-type sections below to compare CMS ratings, inspections, staffing, and ownership.

Browse the South Dakota directory or jump to a city:

Alcester, SD 3 facilitiesAverage CMS rating 5.0 Beresford, SD 1 facilitiesAverage CMS rating 2.0 Dakota Dunes, SD 4 facilities Elk Point, SD 4 facilities North Sioux City, SD 3 facilities

Nursing Homes in Union County

2 providers in Union County: Alcester, Beresford

Nursing Home · For profit - Corporation Alcester Care And Rehab Center, Inc Alcester, SD 57001 CMS rating 5.0 / 544 beds Nursing Home · Non profit - Corporation Bethesda Of Beresford Beresford, SD 57004 CMS rating 2.0 / 539 beds

Assisted Living Facilities in Union County

1 provider in Union County: Elk Point

Assisted Living Facility Elk Point Healthcare #2, LLC Elk Point, SD 57025 No CMS rating

Home Care Agencies in Union County

3 providers in Union County: North Sioux City, Dakota Dunes

Home Care Agency Cornerstone Caregiving East LLC North Sioux City, SD 57049 No CMS rating Home Care Agency Kreber Homecare, LLC Dakota Dunes, SD 57049 No CMS rating Home Care Agency Siouxland Senior Care INC Dakota Dunes, SD 57049 No CMS rating

Senior Housing in Union County

3 providers in Union County: North Sioux City, Elk Point

Senior Housing · Project-Based Section 8 | Low-Income Housing Tax Credit (LIHTC) Northport Apartments North Sioux City, SD 57049 No CMS rating20 beds Senior Housing · Section 202 PRAC (Senior Housing) Prairie Lake Apartments North Sioux City, SD 57049 No CMS rating20 beds Senior Housing · Project-Based Section 8 Village Square Elk Point, SD 57025 No CMS rating20 beds

Hospitals in Union County

1 provider in Union County: Dakota Dunes

Hospital · Proprietary Dunes Surgical Hospital Dakota Dunes, SD 57049 No CMS rating

Dialysis Facilities in Union County

1 provider in Union County: Dakota Dunes

Dialysis Facility · Profit Fresenius Kidney Care Dakota Dunes Dakota Dunes, SD 57049 CMS rating 2.0 / 5

Community Health Centers in Union County

4 providers in Union County: Alcester, Elk Point

Community Health Center Horizon Health - Alcester Alcester, SD 57001 No CMS rating Community Health Center Horizon Health - Alcester Dental Alcester, SD 57001 No CMS rating Community Health Center Horizon Health - Elk Point Elk Point, SD 57025 No CMS rating Community Health Center Horizon Health - Union Co. Correctional Facility Elk Point, SD 57025 No CMS rating

Choosing care in Union County

A sensible first step is to line up the CMS Five-Star ratings, since they distill health inspections, staffing, and quality measures into one score. Treat a strong overall rating as a starting signal, then dig into the inspection findings and staffing numbers that produced it.

Where you can, visit each option in Union County, ask how care plans are created and revisited, and get costs, coverage, and availability confirmed in writing. Steady staffing and open communication with families count for as much as any published rating.

Frequently asked questions

How many Medicare-certified care providers does Union County have?

According to current CMS data, Union County, South Dakota has 2 certified providers: 2 nursing homes, 0 home health agencies, and 0 hospice programs.

Which cities in Union County have care providers?

Based on the current data, Alcester, Beresford, Dakota Dunes, Elk Point, North Sioux City have care providers listed. Open a city page for local listings.

Data sources

Data source: CMS Provider Data Catalog, the CMS NPI registry, and HUD open data. Data as of 2026-10-06.

Required disclosures

For general information only, not medical advice. This website shares public data and general information. It does not offer medical advice, diagnosis, or treatment guidance, and it cannot replace a consultation with a qualified health care professional or with Medicare.

Independent and unaffiliated. MedicalFacilities.org is a private, independently run directory. It is not affiliated with, nor endorsed or operated by, the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. CMS has not reviewed or endorsed this site.

Confirm details before acting. Facility records come from public federal datasets and may lag or contain errors. Always verify current ratings, services, availability, and coverage directly with the provider and on Medicare.gov.

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