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Other Senior care options in South Dakota:

Best Assisted Living in South Dakota

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 143 homes in South Dakota

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 South Dakota.

Watch this Video to see South Dakota's Top-rated Senior Communities

Compare Assisted Living around South Dakota

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

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Pine Hills Retirement Community
SC

Senior Communitie

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.

Hot Springs
78
Facility 78
SD AVG 61
Rank #38 / 117
No
0
Facility 0
SD AVG 40
Rank #148 / 158
-
1
Facility 1
SD AVG
Rank #14 / 51
-Vickie Nekuda
Dow Rummel Village
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).

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.

Sioux Falls
79
Facility 79
SD AVG 61
Rank #36 / 117
No
54
Facility 54
SD AVG 40
Rank #52 / 158
-
-
Facility -
SD AVG
A+Christopher Hahn
Trail Ridge Senior Living Community
SC

Senior Communitie

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.

Sioux Falls (West Ralph Rogers Road)
72
Facility 72
SD AVG 61
Rank #43 / 117
No
17
Facility 17
SD AVG 40
Rank #118 / 158
-
31
Facility 31
SD AVG
Rank #3 / 51
A+Michelle Vernon
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
86
Facility 86
SD AVG 61
Rank #27 / 117
Yes
6
Facility 6
SD AVG 40
Rank #142 / 158
Studio / 1 Bed / 2 Bed
1
Facility 1
SD AVG
Rank #14 / 51
-Melissa Johnson
Countryside Living
SC

Senior Communitie

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.

Mitchell
50
Facility 50
SD AVG 61
Rank #69 / 117
No
36
Facility 36
SD AVG 40
Rank #83 / 158
-
28
Facility 28
SD AVG
Rank #8 / 51
-Kathy Zoss
The Inn on Westport
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.

Sioux Falls
140
Facility 140
SD AVG 61
Rank #6 / 117
No
63
Facility 63
SD AVG 40
Rank #34 / 158
-
30
Facility 30
SD AVG
Rank #4 / 51
A+Jill Dykstra
The Village at Skyline Pines Assisted Living & Memory 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.

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.

Rapid City
116
Facility 116
SD AVG 61
Rank #9 / 117
No
32
Facility 32
SD AVG 40
Rank #90 / 158
1 Bed / 2 Bed
1
Facility 1
SD AVG
Rank #14 / 51
-Kelli Back
Avantara Lake Norden
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).

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.

Lake Norden (Park Street)
50
Facility 50
SD AVG 61
Rank #69 / 117
No
6
Facility 6
SD AVG 40
Rank #142 / 158
-
1
Facility 1
SD AVG
Rank #14 / 51
-Margaret Grimm
Touchmark at All Saints
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.

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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Sioux Falls (All Saints)
153
Facility 153
SD AVG 61
Rank #5 / 117
No
80
Facility 80
SD AVG 40
Rank #14 / 158
-
32
Facility 32
SD AVG
Rank #2 / 51
A+Amanda Snoozy
The Village of Harmony Hill
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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.

Watertown (Sheridan Township)
104
Facility 104
SD AVG 61
Rank #19 / 117
Yes
0
Facility 0
SD AVG 40
Rank #148 / 158
Studio / 1 Bed / 2 Bed
1
Facility 1
SD AVG
Rank #14 / 51
-Krista Beauchamp
Avantara Norton
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).

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.

Sioux Falls
110
Facility 110
SD AVG 61
Rank #12 / 117
No
61
Facility 61
SD AVG 40
Rank #37 / 158
-
1
Facility 1
SD AVG
Rank #14 / 51
-Ashley Nickel
Legends at Lake Lorraine
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.

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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Sioux Falls
185
Facility 185
SD AVG 61
Rank #2 / 117
No
43
Facility 43
SD AVG 40
Rank #70 / 158
-
1
Facility 1
SD AVG
Rank #14 / 51
-Kyrsten Fokken
StoneyBrook Suites Assisted Living
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.

Sioux Falls
54
Facility 54
SD AVG 61
Rank #65 / 117
No
47
Facility 47
SD AVG 40
Rank #64 / 158
-
1
Facility 1
SD AVG
Rank #14 / 51
-Jody Elton
Avera Mother Joseph Manor Retirement Community
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).

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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Aberdeen
81
Facility 81
SD AVG 61
Rank #32 / 117
Yes
31
Facility 31
SD AVG 40
Rank #93 / 158
1 Bed / 2 Bed
29
Facility 29
SD AVG
Rank #5 / 51
-Paula Henrickson
Bethesda Towne Square
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.

Aberdeen (Melrose Addition)
52
Facility 52
SD AVG 61
Rank #66 / 117
Yes
21
Facility 21
SD AVG 40
Rank #111 / 158
Suite
1
Facility 1
SD AVG
Rank #14 / 51
-Scott Eisenbeisz
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View all Nearby Homes
Overview of Rolling Hills Healthcare
Rolling Hills Healthcare focuses on providing skilled nursing, short-term rehabilitation, and long-term care services in a compassionate environment. The facility emphasizes individual wellness and rehabilitation to ensure the best experience for residents. A dedicated team crafts tailored solutions for each individual to ensure they receive the best possible service.

Contact Rolling Hills Healthcare

Overview of Oakview Terrace
Oakview Terrace is an assisted living and memory care facility located in New Port Richey, Florida. It provides compassionate care in a serene environment, focusing on personalized support for residents. The facility offers a range of services including assisted living, memory care, and wellness programs.

Contact Oakview Terrace

Overview of Avantara Norton
Avantara Norton is a rehabilitation facility located in Sioux Falls, South Dakota. It offers a range of healthcare services including post-surgical care, short-term rehabilitation, cardiac care, and wound care. The facility is dedicated to providing quality, personalized medical care with a focus on enhancing mobility and independence for its guests.

Contact Avantara Norton

Overview of Avantara Mountain View
Avantara Mountain View is a rehabilitation facility located in Rapid City, South Dakota. It offers a range of healthcare services including post-surgical care, short-term rehabilitation, and specialized programs for stroke and cardiac recovery. The facility is committed to providing personalized care in a supportive environment.

Contact Avantara Mountain View

Overview of South Dakota Developmental Center – Redfield
The South Dakota Developmental Center (SDDC) provides comprehensive specialized services designed to enhance quality of life and community inclusion for people with Intellectual Disabilities and/or Developmental Disabilities.

Contact South Dakota Developmental Center – Redfield

Overview of Avantara Milbank
Avantara Milbank is a rehabilitation facility located in Milbank, South Dakota. It offers a range of healthcare services including short-term rehabilitation, post-surgical care, and specialized programs for stroke and cardiac recovery. The facility prides itself on providing quality medical care with a personal touch.

Contact Avantara Milbank

LifeScape

2501 W 26Th St, Sioux Falls, SD 57105
Overview of Lifescape
Lifescape is an independent, non-profit organization located in Sioux Falls, South Dakota. It provides a variety of services for children and adults with disabilities and medical rehabilitation needs. The organization aims to empower individuals to live their best life through comprehensive support and innovative solutions.

Contact LifeScape

Overview of Menno-olivet Care Center

Menno-olivet Care Center is a skilled nursing facility located in Menno, SD. It offers long-term care, assisted living, rehabilitation, and respite care services. The center is committed to providing high-quality, compassionate care guided by its mission of sharing God’s love through service to people.

Contact Menno-Olivet Care Center

Overview of Trail Ridge Retirement Community
Trail Ridge Retirement Community is a senior living community located in Sioux Falls, SD. It offers a variety of living options including independent living, assisted living, and memory care. The community is designed to provide a supportive environment with wellness programs and personalized care.

Contact Trail Ridge Retirement Community

Overview of Stoneybrook Suites Assisted Living
Stoneybrook Suites Assisted Living is dedicated to fostering the well-being of each resident by nurturing the mind, body, and spirit. The facility aims to maintain each resident’s enjoyment of independence and dignity in a secure and supportive environment. It invites individuals to experience a community where joy is found in serving others.

Contact StoneyBrook Suites 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
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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 9 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.