Lake Andes Senior Living
Nursing Home · Lake Andes, SD
- 2
- open roles, live count
- 43
- beds
- 3.8
- Google rating
On the floor
What the day-to-day looks like
- Setting
- Nursing Home
- Shifts hiring now
- Days 1
Benefits
ADON listings name AD&D insurance and paid holidays. DON listings name discretionary PTO and a benefits package.
What stands out
Experienced nurses
You work a 43-bed skilled nursing floor on 12.5-hour blocks — 6am–6:30pm or 6pm–6:30am — and their DON posting says the building is agency-free and fully staffed.
Experienced nurses
Their Facebook hiring post lists RN pay at $35–$45 an hour, with a $5 night-shift premium.
As of 2026Source: facebook.com
Travel nurses
PRN RN postings list $35–$42 an hour, plus $5 for PM shifts and $10 an hour call-in pay, on those same 12.5-hour day or night blocks.
Moving here
You would be joining a 43-bed Accura HealthCare community in Lake Andes, South Dakota; the parent now runs 30+ skilled nursing, assisted living, independent living, and memory-care sites in Iowa, Minnesota, South Dakota, and Nebraska.
As of 2026Source: glassdoor.com
More about working here
Experienced nurses
The ADON listing is $35–$45 an hour for 30–40 hours a week and names AD&D insurance and paid holidays.
Experienced nurses
Accura describes an upside-down org chart here, with residents and direct-care staff at the top, and names trust, integrity, accountability, commitment, and kindness as the values.
As of 2026Source: glassdoor.com
Experienced nurses
The DON role is posted as full-time days with pay up to $110K and regional clinical and reimbursement support from Accura.
Working conditions
- Scheduling
- RN PRN day 6am–6:30pm or night 6pm–6:30am; ADON full-time 30–40 hrs/week; DON full-time days
- Pay and benefits
- ADON RN full-time: $35.00–$45.00/hr based on experience
As of 2026Source: simplyhired.com
- Pay and benefits
- RNs start at $30–$34/hr depending (older Facebook post slug)
As of 2026Source: facebook.com
- Pay and benefits
- RN sign-on bonus advertised; dollar amount not stated
The city
Living in Lake Andes, SD
Lake Andes is a small rural community in southeastern South Dakota, anchored by its namesake lake and nearby wildlife refuge. Nurses who choose this area find a quiet, close-knit prairie lifestyle with ample outdoor recreation and a slower pace of life.
Browse roles in Lake Andes
- State price level · South Dakota
- 11% below the national average
- State index 88.6 (100 = national)
- Median gross rent
- $762/mo
- rent and tenant-paid utilities
- Median household income
- $47,500/yr
- all local households, not nurse pay
U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024
Who they are
You clock in at 6am or 6pm for a 12.5-hour block on a 43-bed skilled nursing floor in Lake Andes, South Dakota. The building is an Accura HealthCare community.
- Nursing Home · Lake Andes
- Hiring days
More about Lake Andes Senior Living
Their postings describe an upside-down org chart, with residents and the people who lay hands on them at the top, and their DON posting says the place is agency-free and fully staffed. Pay on their current public posts sits at $35–$45 an hour for RNs and $35–$42 for PRN, with $5 an hour for nights (and $5 for PM on the PRN listing) and $10 an hour call-in pay. The one posting we have on file is a flat $35 an hour. They advertise a sign-on bonus without naming the dollar amount. If you are looking at leadership, ADON is listed at $35–$45 an hour for 30–40 hours a week; DON is full-time days, up to $110K, with regional clinical and reimbursement support from Accura. Accura started in 2016 with nine sites and now runs more than 30 skilled nursing, assisted living, independent living, and memory-care communities in Iowa, Minnesota, South Dakota, and Nebraska. Named values are trust, integrity, accountability, commitment, and kindness. ADON postings mention AD&D insurance and paid holidays; DON postings mention discretionary PTO. They have not published a nurse-to-patient ratio, and there is no residency or tuition support listed.
Accura names trust, integrity, accountability, commitment, and kindness. The community uses an upside-down org chart that puts residents and direct-care staff at the top.
Working here
Culture and working life
What to consider
The good
- 43-bed skilled nursing floor in Lake Andes
- RN pay listed at $35–$45/hr with a $5 night-shift premium
- PRN extras of $5/hr PM differential and $10/hr call-in pay
- DON posting states the community is agency-free and fully staffed
- Upside-down org chart with residents and direct-care staff at the top
- ADON listing names AD&D insurance and paid holidays; DON listing names discretionary PTO
The hard parts
- Their own Facebook hiring post shows different RN starting numbers — $30–$34 in an older URL slug versus $35–$45 in the body
- Sign-on bonus is advertised without a dollar amount
- No nurse-to-patient ratio is published
- No residency, tuition support, or career ladder is listed
What to weigh
Their own Facebook hiring post still carries an older $30–$34 starting range in the URL while the body text now says $35–$45 an hour, so you will want the written offer to name your rate.
As of 2026Source: facebook.com
The reality check
Before you decide
Quick facts
- Relationship
- Direct employer
- Roles last seen active
- Aug 19, 2026
- Website
- accura.healthcare ↗
Weighing a first job here?
The license clock and the job hunt run at once, and new-grad windows do the deciding. Residency commitments carry fine print worth reading before you sign.
Work here?
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A closer look at the units
Open counts come from the live roles below. Source links show where unit details were reported.
- Executive Nurses & Nurse AdministratorsDays 12 open
Skilled Nursing Facility
Employer describes Lake Andes Senior Living as a 43-bed skilled nursing facility in Lake Andes, SD.
Source location unconfirmedSource: glassdoor.com
Skilled Nursing Facility
RN PRN posting lists 12.5-hour day or night shifts: 6am–6:30pm or 6pm–6:30am.
Source location unconfirmedSource: glassdoor.com
Skilled Nursing Facility
Employer DON posting states the community is agency free and fully staffed.
Source location unconfirmedSource: glassdoor.com
Open roles
Current openings at Lake Andes Senior Living
Refreshed throughout the day.
- RN
- RN
- Day shift
- Compact license OK
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