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Other senior care options in Pierre:
Memory Care

Best Assisted Living in Pierre, SD

Why trust this guide? Our editorial team analyzed 2 assisted living communities in Pierre, SD using SD Dept. of Health (DOH) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in SD
Reviewed by
Jordan Weiss, PhD
Last updated
Jul 2026
We analyzed
2 homes
Other senior care options in Pierre:
Memory Care
Avg Walk Score: 32/ 100The average Walk Score across facilities in Pierre, SD. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 86The average licensed bed capacity across facilities in Pierre, SD. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Pierre

Info below is compiled from the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Edgewood Pierre
AL
ADC
MC
Pierre
86
Facility 86
SD AVG 69
Rank #27 / 117
Yes
6
Facility 6
SD AVG 42
Rank #143 / 149
Studio / 1 Bed / 2 Bed
1
Facility 1
SD AVG 4
Rank #14 / 105
Melissa Johnson
Dakota Heritage House
AL
Pierre
-Yes
57
Facility 57
SD AVG 42
Rank #44 / 149
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Front entrance of Edgewood Senior Living facility
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Overview of Edgewood Pierre
Facebook

Administered by Melissa Johnson, Edgewood Pierre is an assisted living community in Pierre, South Dakota. It offers assisted living, adult day care, and memory care. The community is located at 1950 E. 4th Street in Hughes County. The two-story building has 86 beds and offers studio, one-bedroom, and two-bedroom apartments, giving residents several choices based on their space needs.

Serving residents for about one year, Edgewood Pierre features newer construction and recently built common areas. The surrounding neighborhood has a Walk Score of 6. It’s car-dependent, so most errands require a vehicle. Families who prefer a quieter residential setting instead of a busy commercial area may find the location appealing.

Residents take part in memory care programs offered in a home-like setting. Activities are designed around comfort and familiar daily routines. Shared amenities include a chapel, a family gathering room, several recreation rooms, a dedicated dining room, and an on-site fitness center. The community also provides transportation services and welcomes pets, giving residents both structured support and everyday flexibility.

Families considering Edgewood Pierre may ask about current availability for the studio, one-bedroom, and two-bedroom apartments because different floor plans may fill at different times.

Phone: (605) 494-3400

Contact Edgewood Pierre

Dakota Heritage House
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Overview of Dakota Heritage House

Located on East Dakota Avenue, Dakota Heritage House is an assisted living community in Pierre, South Dakota, that provides assistance with activities of daily living. This community also features a single-story building.

With a Walk Score of 57, the community’s surrounding area is relatively walkable, with few errands available within walking distance. This also benefits visiting families, as they can easily access some services and destinations on foot.

For better information about Dakota Heritage House’s care levels, services, amenities, lifestyle programming, and payment options, families exploring care options are encouraged to contact the community directly or visit in-person.

Phone: (605) 224-7005

Contact Dakota Heritage House

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
Full methodology →
No paid rankings Communities cannot pay to influence placement.
Data source South Dakota Department of Health (DOH)
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Assisted Living in Pierre, SD

What's the difference between assisted living and memory care in South Dakota?

Assisted living in South Dakota supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in South Dakota?

Assisted living in South Dakota is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does South Dakota Medicaid cover assisted living?

South Dakota Medicaid does not directly pay room-and-board for assisted living, but most states (including South Dakota) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 2 assisted living facilities in Pierre, SD. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Pierre, SD?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Pierre, SD, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Pierre, SD?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.

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