Most working residents leave Presho for work: only 12% work in town. The top destinations are Chamberlain (10%), Oacoma (9%) and Sioux Falls (6%). Half commute less than 35 miles.

Chamberlain

10%

Oacoma

Sioux Falls

Pierre

12%Work in townlive and work in Presho 35 miWhere do people commute?the commute map 208Jobs based herebalanced

Census LEHD 2023 · ACSWork & commute in Presho →

Health in Presho

Compared with South Dakota

4better than SD·1worse

of 26 measures CDC estimates. The other 21 are too close to call.

Conditions 1▲ 1▼ 10 close Habits all close Care 3▲ 4 close Mind all close

BetterToo close to callWorse

What stands out

6.7%Fewer uninsured adultsSD 8.8% · better 9.9%Fewer older adults who have lost all their teethSD 12.7% · better 11.2%More adults who have had cancerSD 9.2% · worse

Care nearby

Avera St. Mary's HospitalPierre · 34.4 mi · ER

Access Health - PreshoPresho · 0.2 mi · sliding-scale fees

Primary careShortage · county-wide

DentalShortage · county-wide

Mental healthShortage · county-wide

CDC PLACES 2025 · modeled estimates for adults · CDC's estimate for Presho · CMS · HRSAHealth in Presho →

Natural hazards in Presho

Very high

Expected storm and flood damage is higher than in 85% of U.S. communities.

🌊 Inland flooding🥶 Cold waves🧊 Hail

0Does Presho flood?no paid flood claims on record NoneDisasters that paid out hereof 14 declared for Lyman County

FEMA National Risk Index December 2025 · OpenFEMANatural hazards in Presho →

Climate in Presho

Full climate →

Presho has cold, snowy winters and warm summers, with very little rain. A typical July afternoon reaches 88°, a January night drops to 10°, and about 40 inches of snow falls in a normal winter.

34° / 12°Winter

59° / 33°Spring

85° / 59°Summer

62° / 36°Fall

How much snow does Presho get?About 40 inches a winter.Rain & snow →When is the first frost?Around Sep 28, with the last in spring around May 12.Frost dates →Is it warmer than it used to be?+1.1° vs. the 20th century.Then & now →

NOAA U.S. Climate Normals, 1991–2020Climate in Presho →

Schools in Presho

All Presho schools →

School Grade C

The public schools Presho’s kids attend trail 69% of South Dakota’s districts on state tests. Among towns with similar incomes, they rank near the bottom.

DistrictLyman School District 42-1Schools2

Lyman Middle School - 02 C-Middle · Grades 6–8 · 84 students Lyman High School - 01 CHigh · Grades 9–12 · 80 students

School data from the U.S. Department of Education (NCES, EDFacts). The School Grade is our own summary of state test results, graded within SD. Ratings are from neighbors.