Exacerbated by low Medicaid reimbursement rates, the rising cost of traveling nurses and supplies for care and services
South Dakota is the lowest paying of all the States and Territories so the Bennett County Nursing Home closed in 2023. Facilities in Huron, Madison, Mobridge, Tripp, Sioux Falls, Salem, Elk Point, Amour, Lennox, Clear Lake, Ipswich, Custer, Bryant and Rosholt also suffered as did
Presentation College in Aberdeen. Montana saw
closures that year, too.
Nikki Mersch Gronli was the US Department of Agriculture's Rural Development State Director in South Dakota for the Biden administration. She just announced for the 2026 Democratic Party primary for the nomination to compete against some Earth hater in the race for South Dakota's At-large seat in the US House of Representatives.
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