Best Assisted Living in South Dakota

Why trust this guide? Our editorial team analyzed 88 assisted living communities in SD using SD Dept. of Health (DOH) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in SD
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Last updated
We analyzed These are the facilities in South Dakota our team has analyzed — not a count of every assisted living provider in South Dakota.
88 homes
Other senior care options in South Dakota:

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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-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
A named contact for the facility. Hover the name to see their role — Administrator (state administrator of record or facility-provided administrator), Nursing Director, Medical Director, or Staff. The most authoritative available is shown.
Avera Mother Joseph Manor Retirement Community
AL
IL
NH
SNF
Aberdeen
81
Facility 81
SD AVG 67
Rank #17 / 72
Yes
31
Facility 31
SD AVG 39
Rank #46 / 83
1 Bed / 2 Bed
29
Facility 29
SD AVG 5
Rank #5 / 66
-Paula Henrickson
The Inn on Westport
AL
IL
MC
RC
Sioux Falls
140
Facility 140
SD AVG 67
Rank #5 / 72
No
63
Facility 63
SD AVG 39
Rank #20 / 83
-
30
Facility 30
SD AVG 5
Rank #3 / 66
A+Jill Dykstra
The Village at Skyline Pines Assisted Living & Memory Care
AL
MC
Rapid City
116
Facility 116
SD AVG 67
Rank #7 / 72
No
32
Facility 32
SD AVG 39
Rank #45 / 83
1 Bed / 2 Bed
1
Facility 1
SD AVG 5
Rank #12 / 66
-Kelli Back
Avera Maryhouse
AL
HOS
NH
Pierre
67
Facility 67
SD AVG 67
Rank #27 / 72
Yes
60
Facility 60
SD AVG 39
Rank #23 / 83
Private Rooms / Semi-Private Rooms
1
Facility 1
SD AVG 5
Rank #12 / 66
-Talli Raske
Good Samaritan Society Canton
AL
HOS
NH
SNF
Canton
56
Facility 56
SD AVG 67
Rank #35 / 72
No
64
Facility 64
SD AVG 39
Rank #17 / 83
-
1
Facility 1
SD AVG 5
Rank #12 / 66
-Scott Larson
Edgewood Brookings
AL
ADC
MC
Brookings
50
Facility 50
SD AVG 67
Rank #39 / 72
No
55
Facility 55
SD AVG 39
Rank #26 / 83
-
30
Facility 30
SD AVG 5
Rank #3 / 66
A+Shannon Loehr
Bethesda Home of Aberdeen
AL
HC
NH
RC
SNF
Aberdeen (Melrose Addition)
86
Facility 86
SD AVG 67
Rank #14 / 72
No
12
Facility 12
SD AVG 39
Rank #70 / 83
-
1
Facility 1
SD AVG 5
Rank #12 / 66
-Scott Eisenbeisz
Bethany Home Sioux Falls/Bethany Home-Brandon
AL
IL
MC
NH
SNF
Sioux Falls
112
Facility 112
SD AVG 67
Rank #9 / 72
No
65
Facility 65
SD AVG 39
Rank #13 / 83
-
1
Facility 1
SD AVG 5
Rank #12 / 66
-Amanda Peterson
Ponderosa Lodge Senior Living
AL
IL
RC
Sioux Falls
76
Facility 76
SD AVG 67
Rank #23 / 72
No
30
Facility 30
SD AVG 39
Rank #48 / 83
1 Bed / 2 Bed
1
Facility 1
SD AVG 5
Rank #12 / 66
-Martina Castle
Edgewood Prairie Crossings Assisted Living
AL
Sioux Falls
68
Facility 68
SD AVG 67
Rank #26 / 72
No
31
Facility 31
SD AVG 39
Rank #46 / 83
Private / Semi-Private Rooms
1
Facility 1
SD AVG 5
Rank #12 / 66
-Carmen Dougherty

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other SD assisted living community we track that reports that metric, not just the 88 on this page. See how we rank facilities

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Overview of Avera Mother Joseph Manor Retirement Community

Located in a tranquil neighborhood adjacent to Manor Park in Aberdeen, South Dakota, Avera Mother Joseph Manor offers a comprehensive range of senior living lifestyle options, complemented by skilled nursing and rehabilitation services. Residents of this community can immerse themselves in the abundant local opportunities available in Aberdeen while receiving exceptional care and support.

Avera Mother Joseph Manor proudly upholds the Christian tradition of the Avera health care system, ensuring immediate access to premier health care services. With a deep commitment to respecting human dignity and valuing each individual, Avera Mother Joseph Manor operates as a division of Avera St. Luke’s Hospital, providing compassionate care to enhance the well-being of residents.

Contact Avera Mother Joseph Manor Retirement Community

Overview of The Inn on Westport

The Inn on Westport is a distinguished senior living community managed by The Goodman Group, bringing 50 years of expertise in developing and managing exceptional healthcare and assisted senior living communities. They offer a comprehensive range of services, including assisted living, independent living, memory care, and respite care, ensuring that each resident’s unique needs are met with the utmost care and attention. As part of their commitment to holistic well-being, they even provide specialized programs, including a Parkinson’s program, to support residents with specific health needs.
Prepare to be captivated by the serene and beautifully landscaped indoor spaces, including a stunning three-story atrium that serves as the centerpiece of the community. From the cozy café to the tranquil chapel, every corner of The Inn on Westport is thoughtfully designed to create a welcoming and nurturing environment. On-site amenities such as a bank, beauty and barber salon, and more, add convenience and luxury to residents’ lives. Recognizing the sacrifices and contributions of veterans, the home also provides an exceptional environment for assisted living for veterans. Here, veterans can connect with fellow servicemen and women, share stories, and be honored for their dedication and commitment.

Contact The Inn on Westport

Overview of The Village at Skyline Pines Assisted Living & Memory Care

The Village at Skyline Pines Assisted Living & Memory Care is situated above Mount Rushmore Road in the medical district of South Rapid City, South Dakota. This distinguished assisted living community prioritizes personalized care and independence for its residents. The compassionate staff, well-versed in assisted living, ensures exceptional service. Memory care specialists are also available to support those dealing with memory-related challenges.

The Village offers a welcoming environment with a solid clinical foundation, allowing residents to feel at home while receiving top-notch care. Perched on a secure hilltop, The Village at Skyline Pines provides city-view rooms for sunrise and city lights enthusiasts and western-view rooms with glimpses of wildlife amidst pine trees. Here, vibrant living awaits—join them to forge friendships and create cherished memories. 

Contact The Village at Skyline Pines Assisted Living & Memory Care

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.

Contact Avera Maryhouse

Overview of Good Samaritan Society Canton

Good Samaritan Society Canton offers nursing home, assisted living, hospice care, and skilled nursing in Canton, SD. Nursing home and skilled nursing include licensed nursing care around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication. Hospice care centers on comfort and support for someone nearing the end of life, and having these care types together can suit a resident whose needs grow over time without requiring a move to another community.

The community has 56 beds, placing it in the smaller community range where staff and residents may get to know one another more closely. Total nurse staffing is 3 hours and 51 minutes per resident per day, which represents the nursing time allocated to each resident across a day. The starting price is $3,137 per month, giving families a baseline for monthly budgeting, with Medicaid, Medicare, and private pay accepted.

Respite care offers a short stay when a usual caregiver needs temporary relief, while short term rehabilitation and rehabilitation services support a temporary recovery period. A salon and spa provide grooming services, transportation gives residents access to travel support through the community, and a doctor is on staff; Scott Larson serves as the administrator. A Walk Score of 64 places the area in the somewhat walkable band, where some errands can be done on foot, so a resident who no longer drives may be able to complete some errands independently.

Contact Good Samaritan Society Canton

Overview of Edgewood Brookings

Edgewood Brookings is an assisted living with memory care services in Watertown. The community understands the importance of happiness and serenity, ensuring that every resident can receive only the best care. Edgewood Brookings is the home where seniors thrive and get back on their feet quickly and independently.
Community features include essential services like transportation, housekeeping, interior and exterior maintenance, ADLs, and specialized memory programs. Amenities provided are dining areas, indoor common areas, a full-service salon, well-lit lounge areas, furnished apartments, and outdoor lounges.

Contact Edgewood Brookings

Overview of Bethesda Home of Aberdeen

Located in Aberdeen, South Dakota, Bethesda Home of Aberdeen is a skilled nursing home in Brown County. It is less than a mile from Avera St. Luke’s Hospital’s emergency room and about 2 miles from the city center. Scott Eisenbeisz owns the community and serves as CEO and Administrator. Alongside skilled nursing, it offers assisted living, home care, respite care, senior apartments, and adult day services. Families can use these options in the same community as care needs change.

The 86-bed home currently serves 82 residents. It runs close to full, with a 98% occupancy rate. Residents stay an average of about 153 days, reflecting both post-acute rehabilitation and longer-term nursing care. The community has been open for about 1 year.

Total nursing care averages 4 hours and 23 minutes per resident daily. Rehabilitation and physical rehabilitation services are also available to support residents recovering from surgery, illness, or a hospital stay. Families can choose from Medicare, Medicaid, and private pay to cover both short-term and long-term care.

State health inspections have often focused on documentation and care coordination practices. These include documenting respiratory care and hospice services together. Reviews have also covered food temperatures, food safety records, hand hygiene, and skin-assessment practices, which are recurring administrative and procedural themes rather than one major concern. Families touring the community may ask how staff manage these practices daily.

The surrounding area is car-dependent, with a Walk Score of 12 out of 100. Most errands and visits require driving rather than walking. However, the nearby hospital can benefit residents needing frequent medical follow-up or transfers.

Contact Bethesda Home of Aberdeen

Overview of Bethany Home Sioux Falls/bethany Home-Brandon

Bethany Home Sioux Falls/bethany Home-Brandon offers nursing home and skilled nursing care, assisted living, independent living, and memory care in Sioux Falls, SD. Nursing home and skilled nursing care provide licensed nursing support around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication. Independent living provides private housing without daily care, and memory care provides a secured setting with supervision for someone at risk of wandering.

Because the community offers several care levels, it may be a good fit for a resident whose needs could grow over time and who may be able to remain in the same community as care needs change. The community has 112 beds, and total nurse staffing is 5h 36m per resident per day, representing the daily nursing time allocated to each resident. Amanda Peterson serves as the administrator.

The Independent Homes & Apartments program supports the independent living offering with housing for residents who do not need daily care. Rehabilitation services are available, giving residents access to therapy through the community. Medicare, Medicaid, and private pay are accepted as payment methods.

A Walk Score of 65 places the area in the somewhat walkable category, meaning some errands can be done on foot and a resident who no longer drives may still reach some nearby destinations independently.

Contact Bethany Home Sioux Falls/Bethany Home-Brandon

Overview of Ponderosa Lodge Senior Living

Ponderosa Lodge Senior Living is a newly established community in Sioux Falls, South Dakota, serving older adults seeking independent or assisted living arrangements. Located at 7400 S Louise Ave, the community provides both independent living options for active seniors who want a supportive residential setting and assisted living services for those who need help with daily activities like bathing, dressing, and medication management. The home also offers respite care, making it an option for short-term stays.

The community is modest in size at 76 beds and features one and two-bedroom housing options, allowing residents to choose a living space that suits their preferences and needs. Ponderosa Lodge opened recently—within the last year—so the setting is new. Martina Castle serves as administrator. At just over $4,000 per month for starting rates, the community is positioned competitively for the market.

The location scores a 30 on the Walk Score, which means some errands and services are accessible on foot, though most outings will require transportation. The surrounding neighborhood is typical of suburban Sioux Falls—quiet and residential, with relatively easy access to the highway. Families should be aware that the community maintains a no-pet policy, so residents’ pets will need alternative arrangements.

For a newly opened home, an in-person tour is especially worthwhile to see how the community is being developed and to get a sense of the daily operations and the team leading the facility.

Contact Ponderosa Lodge Senior Living

Overview of Edgewood Prairie Crossings Assisted Living

Located at 1810 South Dorothy Avenue in Sioux Falls, South Dakota, Edgewood Prairie Crossings Assisted Living is a 68-bed assisted living community. The single-story residence offers both private and semi-private rooms and has served residents for 1 year. The community is led by administrator Carmen Dougherty.

In addition to assisted living, the community provides short-term stays. It partners with outside medical providers to give residents additional clinical support. Transportation services, fitness programs, and recreational activities are available. Residents can conveniently access nearby medical clinics, shopping, and other destinations throughout Sioux Falls.

Residents enjoy organized social events that encourage them to connect with neighbors and stay involved in activities that match their interests. Three meals and snacks are prepared and served daily. Emergency pendant systems are also available, so residents can quickly call for assistance whenever needed.

The neighborhood has a Walk Score of 31, so a few nearby places can be reached on foot. However, most errands and outings require a car. Families interested in learning more about the community’s programs, apartment layouts, and daily routines should schedule a tour and see the community in person.

Contact Edgewood Prairie Crossings Assisted Living

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
No paid rankings Communities cannot pay to influence placement.
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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Assisted Living in South Dakota at a glance

Avg Monthly Cost: $4,625The average monthly cost across facilities in South Dakota. 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: 39/ 100The average Walk Score across facilities in South Dakota. 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: 67The average licensed bed capacity across facilities in South Dakota. Individual facilities can vary widely from this average.
National Average: 90
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Frequently Asked Questions about Assisted Living in South Dakota

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 88 assisted living facilities in South Dakota. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in South Dakota?

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 South Dakota, 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 South Dakota?

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.