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Best Assisted Living in Pierre, SD

Reviewed by Dr. Jordan Weiss
Updated Dec 2025
We analyzed 5 homes in Pierre, SD

Sources: CMS Centers for Medicare and Medicaid Services, and South Dakota Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Pierre, South Dakota.

Watch this Video to see Pierre's Top-rated Senior Communities
Avg. Monthly cost: $4,000
National average: $5,600
Monthly cost range: $3,500–$6,100
National average: $3,400 – $8,200
Avg. Staff-to-Resident ratio: 1:6 to 1:15
National average: 1:6

Compare Assisted Living around Pierre

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

Click column headers to sort
Edgewood Pierre
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Pierre
86Yes 6 Studio / 1 Bed / 2 Bed1Melissa Johnson
Avera Maryhouse
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Pierre
67Yes 60 Private Rooms / Semi-Private Rooms1Talli Raske
Vista Care
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Pierre
-Yes 63 ---
Dakota Heritage House
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Pierre
-Yes 57 ---
Countryside Hospice Support & Memory Center
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Pierre
-Yes 55 ---
Overview of Edgewood Pierre

Edgewood Pierre is the ideal place for residents to experience an active lifestyle where seniors can fulfill independence and support, regardless of their housing options. Specializing in assisted living and memory care support, the community understands the importance of happiness and serenity, ensuring that each resident can receive only the best care. Edgewood Pierre is the home where seniors thrive and get back on their feet quickly and independently.

Edgewood Pierre’s accommodations are focused on maintaining an active lifestyle and immersing in stimulating memory care activities in a home-like setting. Other amenities include a family-gathering room, multiple recreational rooms, a Chapel, a dining room, and a fitness center.

What does this home offer?

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Pets Allowed

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Two-story

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Contact Edgewood Pierre

Overview of Avera Maryhouse

Avera Maryhouse Long Term Care, located in Pierre, SD, offers a comprehensive range of senior living options and care services. With 80 certified beds, Avera Maryhouse provides nursing homes, assisted living, memory care for Alzheimer’s and dementia, and independent living options. Residents benefit from on-site occupational, physical, and speech therapy services, ensuring personalized care and support tailored to individual needs.

Avera Maryhouse is dedicated to improving the quality of life for its inhabitants and places a high value on comprehensive care and a lively community setting. A library, visitor and resident parking, and a variety of activities like arts and crafts, wellness and health programs, and spiritual pursuits are just a few of the community’s many amenities. Situated in close proximity to healthcare services and local conveniences, Avera Maryhouse offers residents a comfortable and supportive living in a warm and friendly setting.

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Pets Allowed

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Housing Options: Private Rooms / Semi-Private Rooms

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Building Type: 3-story

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Contact Avera Maryhouse

Vista Care

125 W Pleasant Dr #1, Pierre, SD 57501
Overview of Vista Care

Considerably one of the most affordable residential communities in Pierre, South Dakota, Vista Care provides a variety of services including home care, assisted apartment programs, residential services, and more. Vista Care is dedicated to providing creative solutions and compassionate assistance to create a loving atmosphere that enables people to live meaningful and successful lives.

With a focus on individuals with disabilities, Vista Care builds communities where individuals can live fulfilling lives with dignity and purpose. In addition to day programs, supported employment, supportive home care, and behavioral health services, Vista Care provides a comprehensive range of facilities and services, including 24/7 support, personalized intake assessment & support plan, and a team of caregivers and industry experts focused upon delivering exceptional care.

What does this home offer?

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Pets Allowed

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Contact Vista Care

Overview of Dakota Heritage House

Discover Dakota Heritage House, an assisted living facility situated in the serene surroundings of Pierre, South Dakota. Offering a haven of comfort and compassion, Dakota Heritage House is dedicated to providing unparalleled care and support to our cherished residents. With a commitment to personalized service and attention to detail, our experienced team strives to create a nurturing environment where every individual feels valued and empowered to live life to the fullest.

Nestled at 520 E Dakota Ave, Dakota Heritage House welcomes residents into a warm and inviting community enriched with an array of amenities. From tailored care plans to engaging social activities, our residents enjoy a fulfilling lifestyle designed to enhance their well-being and foster a sense of belonging. With scenic outdoor spaces, gourmet dining options, and round-the-clock security, Dakota Heritage House ensures peace of mind for residents and their families, allowing them to embrace each day with joy and confidence.

What does this home offer?

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Pets Allowed

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Contact Dakota Heritage House

Overview of Countryside Hospice Support & Memory Center

Countryside Hospice Support and Memory Center is a resident-focused senior care in a home-like setting. The staff is committed to advocating for the health of its residents, ensuring that they receive the best care possible through family-like treatment. The nurturing approach ensures a blossoming trust and respect between caregiver and senior, ideal for those who seek comfort and flexibility in a nurturing environment.

Countryside Hospice Support empathizes and emphasizes the importance of genuine care and wellness; residents are encouraged to be engaged and enriched with recreational activities, socialization, wellness plans, ADLs, and stimulating memory care activities.

What does this home offer?

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Pets Allowed

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Contact Countryside Hospice Support & Memory Center

Ranking Methodology

How we rank these assisted living communities

Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.

Public data 6 weighted categories Updated quarterly
Full methodology

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
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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 5 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.