Other senior care options in Rapid City:

Best Assisted Living in Rapid City, SD

Why trust this guide? Our editorial team analyzed 15 assisted living communities in Rapid City, SD using South Dakota Department of Health (DOH) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in SD
Reviewed by
Last updated
Jun 2026
We analyzed
15 homes
Other senior care options in Rapid City:
Avg Monthly Cost: $7,849The average monthly cost across facilities in Rapid City, SD. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 22/ 100The average Walk Score across facilities in Rapid City, 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: 60The average licensed bed capacity across facilities in Rapid City, SD. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Rapid City (Metro Area)

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

The Village at Skyline Pines Assisted Living & Memory Care
AL
MC
Rapid City
116
Facility 116
SD AVG 69
Rank #9 / 117
No
32
Facility 32
SD AVG 39
Rank #90 / 159
1 Bed / 2 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
Kelli Back
Arrowhead Lodge Senior Living
AL
IL
RC
Rapid City
48
Facility 48
SD AVG 69
Rank #76 / 117
No
12
Facility 12
SD AVG 39
Rank #127 / 159
1 Bed / 2 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
Sheila Gehring
Westhills Village
AL
HC
IL
NC
NH
PC
Rapid City (Texas Street)
44
Facility 44
SD AVG 69
Rank #90 / 117
No
21
Facility 21
SD AVG 39
Rank #111 / 159
-
1
Facility 1
SD AVG 8
Rank #14 / 51
Kelsey Bertsch
Good Samaritan Society – Echo Ridge
AL
IL
Rapid City
34
Facility 34
SD AVG 69
Rank #108 / 117
No
11
Facility 11
SD AVG 39
Rank #131 / 159
Private Rooms
1
Facility 1
SD AVG 8
Rank #14 / 51
Lindsey Hixson
Peaceful Pines Senior Living Community
AL
ADC
IL
MC
Rapid City
-No
21
Facility 21
SD AVG 39
Rank #111 / 159
Studio / 1 Bed / 2 Bed--
Fountain Springs Healthcare Center
AL
IL
NH
Rapid City
10
Facility 10
SD AVG 69
Rank #116 / 117
No
16
Facility 16
SD AVG 39
Rank #120 / 159
Private Rooms / Semi-Private Rooms
1
Facility 1
SD AVG 8
Rank #14 / 51
Kristine Harvey
Good Samaritan Society-St Martin Village
AL
IL
MC
NH
RC
Rapid City
-No
3
Facility 3
SD AVG 39
Rank #146 / 159
1 Bed / 2 Bed--
Edgewood Rapid City
AL
Rapid City
110
Facility 110
SD AVG 69
Rank #12 / 117
No
6
Facility 6
SD AVG 39
Rank #143 / 159
-
1
Facility 1
SD AVG 8
Rank #14 / 51
Jennifer Weyrich
Morningstar Assisted Living of Rapid City
AL
Rapid City
-No
10
Facility 10
SD AVG 39
Rank #134 / 159
-
29
Facility 29
SD AVG 8
Rank #6 / 51
-
The Courtyard Westhills Village
AL
HC
IL
NC
NH
Rapid City
60
Facility 60
SD AVG 69
Rank #54 / 117
No
0
Facility 0
SD AVG 39
Rank #149 / 159
--Kelsey Bertsch
The Village at Skyline Pines
AL
MC
Rapid City
116
Facility 116
SD AVG 69
Rank #9 / 117
No
0
Facility 0
SD AVG 39
Rank #149 / 159
--Kelli Back
Good Samaritan Society – St Martin Village
AL
IL
MC
NH
RC
Rapid City
60
Facility 60
SD AVG 69
Rank #54 / 117
No
83
Facility 83
SD AVG 39
Rank #8 / 159
--Jana Mccroden
Arrowhead Lodge Senior Living
AL
Rapid City
48
Facility 48
SD AVG 69
Rank #76 / 117
No
0
Facility 0
SD AVG 39
Rank #149 / 159
--Sheila Gehring
Westhills Village Health Care Facility
AL
HC
IL
NC
NH
Rapid City
44
Facility 44
SD AVG 69
Rank #90 / 117
No
0
Facility 0
SD AVG 39
Rank #149 / 159
--Kelsey Bertsch
Good Samaritan Society- Echo Ridge
AL
IL
Rapid City
34
Facility 34
SD AVG 69
Rank #108 / 117
No
0
Facility 0
SD AVG 39
Rank #149 / 159
--Lindsey Hixson
Overview of Arrowhead Lodge Senior Living

Arrowhead Lodge Senior Living is an assisted living and independent living community in Rapid City, South Dakota, that offers personal care, independent residential living, and respite care. Licensed in January 2025, this 48-bed community is a relatively new community that features updated accommodations and a modern approach to residential care and lifestyle services for older adults in western South Dakota.

24-hour supervision and respite services are provided along with on-site nursing support, medication assistance, and meal services that accommodate special dietary needs. Utilities are included, but telephone service is excluded, and residents can access a coffee and snack station throughout the day. Daily leisure and recreational programming is also offered seven days a week, as well as a full-service beauty salon, transportation services, and fitness and recreation opportunities.

For older adults in Rapid City seeking a lifestyle-focused residential community with access to licensed care services, Arrowhead Lodge Senior Living offers a balanced combination of independence, support, and amenities. Although the surrounding area is considered car-dependent with a Walk Score of 12, the availability of scheduled transportation helps residents maintain mobility and access to local services and appointments.

Contact Arrowhead Lodge Senior Living

Overview of The Village at Skyline Pines

The Village at Skyline Pines is an assisted living and memory care community in Rapid City, South Dakota, that provides individualized support, personal care assistance, and specialized dementia care. This 116-bed community was a recipient of the 2022 Assisted Living Administrator of the Year award, reflecting a strong level of leadership experience and commitment to quality care for older adults requiring daily support or cognitive care services.

Licensed nurses and certified nursing assistants are confirmed on staff, with 24-hour staffing available to support both personal care and memory care residents. Amenities include a chapel, transportation services, and multiple shared social spaces designed to encourage connection and engagement. Structured activities and special events programming are offered seven days a week, along with three daily meals served in a communal dining setting. Religious services and access to a resource calendar are also available.

The Village at Skyline Pines offers a well-rounded combination of staffing, amenities, and structured programming for older adults in Rapid City and throughout Pennington County seeking assisted living or memory care support. Its larger campus size also allows for broader social opportunities, expanded activities, and greater staffing depth than many smaller residential communities in the Black Hills region.

Contact The Village at Skyline Pines

Overview of The Courtyard Westhills Village

The Courtyard Westhills Village is an assisted living community in Rapid City, South Dakota, offering assisted living, rehabilitation services, and respite care. With a 60-bed capacity, this community accepts Medicare, which is uncommon among similar communities. It is also affiliated with the Clarkson Health Care network as well as a broader campus that features therapy services, a Support Plus Program, and in-home care.

Amenities include a wellness space with specialized classes, activity and group areas, a welcoming outdoor inner courtyard, and a sun deck with southern exposure. Furthermore, living spaces feature handicap-accessible bathrooms and showers, generous closet space, expanded cable service, and central heating and cooling throughout. Floor plans are available in one- and two-bedroom configurations, and the building is equipped with a full fire sprinkler system and smoke detectors. Volunteer programs, clinical services, and respite stays are provided through 24-hour nursing staffing.

A comprehensive continuum of services is also provided, including therapy and in-home care, offering a level of care coordination that standalone assisted living communities often cannot match, which appeals to families and older adults anticipating progressing needs. Operating hours are Monday through Friday from 7:30 AM to 7:30 PM, and Saturday through Sunday from 8:30 AM to 5:30 PM.

The Courtyard Westhills Village is a practical option for older adults in the greater Rapid City area seeking assisted living support within a structured, amenity-rich environment, particularly those looking for seamless access to on-site rehabilitation and respite care.

Contact The Courtyard Westhills Village

Overview of Good Samaritan Society – St Martin Village

Good Samaritan Society – St. Martin Village is a nursing home in Rapid City, South Dakota, offering independent living, assisted living, long-term care, rehabilitation, and respite care. This 60-bed community is operating as part of the Evangelical Lutheran Good Samaritan Society, one of the nation’s largest nonprofit senior care organizations. This reflects a mission-centered approach focused on compassionate care and supportive living.

The community received the Bronze National Quality Award from the American Health Care Association in both 2023 and 2024, recognizing ongoing efforts toward performance improvement and quality care standards. On the other hand, registered nurse staffing significantly exceeds South Dakota averages, with both weekday and weekend RN coverage standing well above statewide benchmarks. Physical therapy staffing is also notably strong, offering therapy hours substantially higher than average and supporting residents recovering from illness, surgery, or hospitalization. Nursing and nurse aide overall hours also remain below state averages.

For a community of its size, the community’s amenities are notably extensive, which include walking trails, a wellness center, guest housing, and private dining spaces. Three daily meals are included, while volunteer opportunities and religious services are aligned with its faith-based mission. Studio, one-bedroom, and two-bedroom options are available, with monthly pricing varying based on apartment style and level of care. Rehabilitation therapy and respite care are also offered.

Located in a highly walkable area of Rapid City with a Walk Score of 83, the community has convenient access to nearby services, amenities, and neighborhood destinations, making it one of the more accessible senior living campuses in western South Dakota.

Good Samaritan Society – St. Martin Village is well-suited for older adults seeking a faith-oriented community that combines multiple levels of care, strong RN oversight, rehabilitation support, and a broad range of lifestyle amenities under one roof.

Contact Good Samaritan Society – St Martin Village

Overview of Good Samaritan Society- Echo Ridge

Good Samaritan Society – Echo Ridge is a senior living community in Rapid City, South Dakota, offering assisted living, independent living, memory care, home care, and respite care. The 34-bed community is part of the Evangelical Lutheran Good Samaritan Society, one of the nation’s largest nonprofit care organizations for older adults. As a relatively new community in the Rapid City market, it features modern residential spaces and updated care programming designed for adults aged 55 and older.

One- and two-bedroom floor plans are among the layouts available. Located near Monument Health Rapid City Hospital, the community has convenient access to medical services.

Amenities and services include a chapel, dining room, wellness center, guest accommodations, and shared community gathering spaces. A 24-hour emergency call system, an automatic fire sprinkler system, and smoke detection are also in place throughout the wheelchair-accessible building. Faith-based programming, volunteer opportunities, and religious services also reflect the mission and traditions of the Good Samaritan Society organization. Transportation services, fitness and recreational activities, caregiver support, and home-based services are also available through the broader affiliate network.

Dedicated to older adults age 55 and older in the Rapid City area, Good Samaritan Society – Echo Ridge is a strong option for those seeking a faith-centered community with multiple levels of care, modern amenities, transparent pricing, and access to a nationally recognized nonprofit support network.

Contact Good Samaritan Society- Echo Ridge

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 Rapid City, 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 15 assisted living facilities in Rapid City, SD. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Rapid City, 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 Rapid City, 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 Rapid City, 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.