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Best Assisted Living in South Dakota

Reviewed by Dr. Jordan Weiss
Updated Mar 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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Watch this Video to see South Dakota's Top-rated Senior Communities
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Home to the iconic Mount Rushmore, South Dakota is known for its stunning natural beauty, vibrant culture, and rich history. The state also boasts a low cost of living, affordable housing, and good healthcare, as well as plenty of recreational opportunities and dining options. Assisted living communities also reside across the area, providing top-notch care and excellent amenities for retirees’ comfort. Retirees are also guaranteed the finest retirement experience, especially with the state’s retirement benefits, favorable taxes, and age-friendly services.

Compare Assisted Living around South Dakota

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Pine Hills Retirement Community
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
No
0
-
1
-
Nekuda, Vickie
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
50
No
54
-
-
A+
Hahn, Christopher
Trail Ridge Senior Living Community
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
72
No
17
-
31
A+
Vernon, Michelle
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
Yes
6
Studio / 1 Bed / 2 Bed
1
-
Johnson, Melissa
Countryside 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.

Mitchell
50
No
36
-
28
-
Zoss, Kathy
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
No
63
-
30
A+
Dykstra, Jill
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
No
32
1 Bed / 2 Bed
1
-
Back, Kelli
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
48
No
6
-
1
-
Grimm, Margaret
Touchmark at All Saints
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.

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.

Sioux Falls (All Saints)
153
No
80
-
32
A+
Snoozy, Amanda
The Village of Harmony Hill
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
104
Yes
0
Studio / 1 Bed / 2 Bed
1
-
Beauchamp, Krista
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
100
No
61
-
1
-
Nickel, Ashley
Legends at Lake Lorraine
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.

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.

Sioux Falls
185
No
43
-
1
-
Fokken, Kyrsten
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
No
47
-
1
-
Elton, Jody
Avera Mother Joseph Manor Retirement Community
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.

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).

Aberdeen
81
Yes
31
1 Bed / 2 Bed
29
-
Henrickson, Paula
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.

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).

Aberdeen
52
Yes
21
Suite
1
-
Eisenbeisz, Scott
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View all Nearby Homes
United Living Community is a senior living facility in Brookings, SD. It offers a continuum of care including independent living, assisted living, skilled nursing, rehabilitation, and hydro therapy. The community focuses on providing high-quality support and living services to meet the needs of residents.
Overview of United Living Community
United Living Community is a senior living facility in Brookings, SD. It offers a continuum of care including independent living, assisted living, skilled nursing, rehabilitation, and hydro therapy. The community focuses on providing high-quality support and living services to meet the needs of residents.
Contact United Living Community
Strand-Kjorsvig Living Center has been serving Roslyn, SD since 1957. It provides a comfortable and welcoming environment for older adults, offering various care services including assisted living, hospice care, and skilled nursing care. The center also features amenities such as cable, Wi-Fi, and transportation for medical appointments.
Overview of Strand-kjorsvig Community Rest Home
Strand-Kjorsvig Living Center has been serving Roslyn, SD since 1957. It provides a comfortable and welcoming environment for older adults, offering various care services including assisted living, hospice care, and skilled nursing care. The center also features amenities such as cable, Wi-Fi, and transportation for medical appointments.
Contact Strand-Kjorsvig Community Rest Home
Tieszen Memorial Home INC is a senior living facility located in Marion, South Dakota. It offers skilled care, memory care, assisted living, and independent living options. The facility aims to provide high-quality care and a supportive environment for its residents.
Overview of Tieszen Memorial Home INC
Tieszen Memorial Home INC is a senior living facility located in Marion, South Dakota. It offers skilled care, memory care, assisted living, and independent living options. The facility aims to provide high-quality care and a supportive environment for its residents.
Contact Tieszen Memorial Home Inc
Sun Dial Manor is a not-for-profit senior care facility located in Bristol, South Dakota. It offers skilled nursing and assisted living services in a welcoming, rural setting. The facility is committed to providing compassionate, person-centered care.
Overview of Sun Dial Manor
Sun Dial Manor is a not-for-profit senior care facility located in Bristol, South Dakota. It offers skilled nursing and assisted living services in a welcoming, rural setting. The facility is committed to providing compassionate, person-centered care.
Contact Sun Dial Manor
Highmore Health has provided personalized and professional care to the community for over 50 years. It offers a range of services including rehabilitation care, memory care, long-term care, and palliative support. The facility is dedicated to providing quality care in a compassionate and dignified environment.
Overview of Highmore Health
Highmore Health has provided personalized and professional care to the community for over 50 years. It offers a range of services including rehabilitation care, memory care, long-term care, and palliative support. The facility is dedicated to providing quality care in a compassionate and dignified environment.
Contact Highmore Health
Five Counties Nursing Home is a skilled nursing facility located in Lemmon, South Dakota. It offers both short- and long-term care, as well as assisted living and independent living services. The facility is dedicated to providing personalized medical care and rehabilitation services in a nurturing environment.
Overview of Five Counties Nursing Home
Five Counties Nursing Home is a skilled nursing facility located in Lemmon, South Dakota. It offers both short- and long-term care, as well as assisted living and independent living services. The facility is dedicated to providing personalized medical care and rehabilitation services in a nurturing environment.
Contact Five Counties Nursing Home
Estelline Nursing and Care Center is located in Estelline, South Dakota. It provides various medical services and care options for residents. The center is committed to enhancing the quality of life for its residents.
Overview of Estelline Nursing and Care Center
Estelline Nursing and Care Center is located in Estelline, South Dakota. It provides various medical services and care options for residents. The center is committed to enhancing the quality of life for its residents.
Contact Estelline Nursing and Care Center
Bethesda of Beresford is a senior living community in Beresford, SD. It offers nursing services, therapy services, and independent living options. The facility has a long history of caring for its residents since its founding in 1914.
Overview of Bethesda of Beresford
Bethesda of Beresford is a senior living community in Beresford, SD. It offers nursing services, therapy services, and independent living options. The facility has a long history of caring for its residents since its founding in 1914.
Contact Bethesda of Beresford
Bethesda Home of Aberdeen offers care for children and the elderly. They provide daycare, nursing home, assisted living, in-home care, and senior living. The facility is committed to quality and personal care for all ages.
Overview of Bethesda Home of Aberdeen
Bethesda Home of Aberdeen offers care for children and the elderly. They provide daycare, nursing home, assisted living, in-home care, and senior living. The facility is committed to quality and personal care for all ages.
Contact Bethesda Home of Aberdeen
Avantara Saint Cloud offers a range of services to support residents living with dementia and Alzheimer’s disease. The facility provides specialized secured memory care and cutting-edge robotics to enhance the quality of life for residents. It is dedicated to fostering a serene environment with extensive amenities for comfort and support.
Overview of Avantara Saint Cloud
Avantara Saint Cloud offers a range of services to support residents living with dementia and Alzheimer’s disease. The facility provides specialized secured memory care and cutting-edge robotics to enhance the quality of life for residents. It is dedicated to fostering a serene environment with extensive amenities for comfort and support.
Contact Avantara Saint Cloud

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How We Score & Rank Senior Living Communities

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence. Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest portion of every community’s score comes from resident feedback and online reputation (40%), which reflects real experiences shared by families and caregivers.

An additional 45% of the score comes from a combination of transparency and operational quality signals, including:

  • Photos, videos, and virtual tours (visual transparency)
  • Website quality and digital trust indicators
  • Occupancy levels and number of units (community scale & stability)

These factors help us evaluate how well a community presents itself and how consistently it meets resident needs.

Balancing Additional Factors

The final 15% of the score comes from supportive context data, including: walkability and local accessibility, estimated property value, and pricing information.

These elements provide helpful context but carry less weight because our rankings prioritize real-world satisfaction and care consistency first.

The result is a fair, clear, and data-driven ranking system for families researching senior living options.

Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.