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Where in South Dakota are you looking?
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Compare Assisted Living around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Click column headers to sort
| 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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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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