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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.
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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
69
Rank
#38 / 117 | No |
0
Facility
0
SD AVG
39
Rank
#149 / 159 | - | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | Vickie Nekuda |
| 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
69
Rank
#27 / 117 | Yes |
6
Facility
6
SD AVG
39
Rank
#143 / 159 | Studio / 1 Bed / 2 Bed | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | Melissa Johnson |
| 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
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 |
| 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
69
Rank
#19 / 117 | Yes |
0
Facility
0
SD AVG
39
Rank
#149 / 159 | Studio / 1 Bed / 2 Bed | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | Krista Beauchamp |
| 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
69
Rank
#32 / 117 | Yes |
31
Facility
31
SD AVG
39
Rank
#93 / 159 | 1 Bed / 2 Bed | 29
Facility
29
SD AVG
8
Rank
#6 / 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
69
Rank
#65 / 117 | Yes |
21
Facility
21
SD AVG
39
Rank
#111 / 159 | Suite | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | Scott Eisenbeisz |
| Arrowhead Lodge Senior 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.
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.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | 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 |
| Ponderosa Lodge Senior Living |
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.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Sioux Falls | 76
Facility
76
SD AVG
69
Rank
#42 / 117 | No |
30
Facility
30
SD AVG
39
Rank
#99 / 159 | 1 Bed / 2 Bed | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | Martina Castle |
| Avera Maryhouse |
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. | Pierre | 67
Facility
67
SD AVG
69
Rank
#49 / 117 | Yes |
60
Facility
60
SD AVG
39
Rank
#39 / 159 | Private Rooms / Semi-Private Rooms | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | Talli Raske |
| Edgewood Watertown |
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 | 66
Facility
66
SD AVG
69
Rank
#50 / 117 | No |
18
Facility
18
SD AVG
39
Rank
#117 / 159 | Private Rooms | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | Jackie Clark |
| Edgewood Prairie Crossings 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.
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 | 68
Facility
68
SD AVG
69
Rank
#45 / 117 | No |
31
Facility
31
SD AVG
39
Rank
#93 / 159 | Private / Semi-Private Rooms | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | Carmen Dougherty |
| Good Samaritan Society – Echo Ridge |
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.
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 | 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 |
| Meadow Lake Assisted Living |
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 | 16
Facility
16
SD AVG
69
Rank
#115 / 117 | No |
0
Facility
0
SD AVG
39
Rank
#149 / 159 | 1 Bed | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | Chasity Chandler |
| Fountain Springs Healthcare Center |
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.
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. | 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 |
| Derian Place Senior 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. | Aberdeen | 28
Facility
28
SD AVG
69
Rank
#113 / 117 | No |
65
Facility
65
SD AVG
39
Rank
#25 / 159 | Studio / 1 Bed / 2 Bed | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | Tandy Mckiver |
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Overview of Dells Nursing and Rehab Center INC.
Dells Nursing and Rehab Center Inc. specializes in quality long-term care in a family-focused environment. The facility is committed to providing a secure and comfortable lifestyle for its residents. Family involvement and community integration are encouraged.
Overview of Centerville Care and Rehab Center
Centerville Care and Rehab Center strives to create a loving home and provide healing and compassion for all who are placed in their care. They offer Assisted Living and Skilled Care in a fully modernized facility, along with a full slate of inpatient and outpatient rehabilitation services. The center hosts events such as a Fall Festival to engage the community.
Alcester Care and Rehab Center offers long term care for individuals who can no longer live independently. Services include skilled nursing, rehabilitation, meals, and medical services, with a focus on compassionate care. The facility provides a homey atmosphere and ongoing staff training to ensure quality care.
Overview of Aurora Brule Nursing Home INC.
Aurora-Brule Care & Rehab is located in White Lake, SD. It offers long-term skilled care, assisted living, inpatient therapy, and outpatient therapy. The facility is committed to providing quality care in a family-like atmosphere.
Sioux Falls Primary Home Care Services provides compassionate assistance, certified to provide unparalleled home care services to both seniors and adults facing complex disabilities. With a profound dedication to their mission, this agency has been a pillar of support in the community since 2015. Their commitment shines through in the array of services they offer, including household cleaning, meal preparation, ambulation assistance, transportation services, and more, ensuring that individuals receive the care they truly deserve.
Their team boasts multilingual staff members proficient in Arabic, French, German, Russian, Spanish, and English, allowing them to cater to a wider range of patients. With their blend of expertise and compassion, Sioux Falls Primary Home Care Services exists as a testament to exceptional care, making them a trusted choice for individuals and families seeking reliable and culturally sensitive home care solutions.
Overview of Prosperous Home Health
Prosperous Home Health is dedicated to preserving the essence of independent living for seniors in the Sioux Falls community. Their commitment lies in ensuring that seniors can relish a healthy and autonomous lifestyle within the familiar comforts of their homes while receiving the essential support they require. The range of services they offer, including non-medical caregiving, companionship, and skilled home health, reflects their comprehensive approach to senior care.
With a focus on delivering top-tier services, their team goes above and beyond. They provide specialized care such as wound care, cancer care, stroke management, hydration management, chronic diagnosis care, and IV therapy, ensuring that every aspect of a senior’s health and well-being is meticulously looked after. Seniors and their families can trust in Prosperous Home Health’s dedication to enhancing the quality of life for those they serve, ensuring a nurturing and supportive environment for every individual in their care.
Overview of Interim Healthcare of Sioux Falls
Interim Healthcare of Sioux Falls goes above and beyond in delivering a diverse range of care services right in the comfort of one’s own home. Whether it’s personal care, companionship, or specialized therapy and nursing services, their locally owned and operated team ensures a responsive and compassionate approach to every family they assist. They prioritize holistic well-being, addressing not just physical health, but also the mind, body, spirit, and family dynamics.
With a keen focus on personalized care coordination, hospice, and specialized care, Interim Healthcare of Sioux Falls stands out for its dedication to the complete well-being of their clients. Their services extend beyond traditional caregiving; they provide bereavement and grief support, specialized Alzheimer’s care, and even hospice pet therapy. Their team, comprising highly competitive nurses and other expert staff members, is committed to providing exceptional and tailored care, making sure families feel supported and valued every step of the way.
Overview of Bethany Home Sioux Falls
Bethany Home Sioux Falls stands out as a beacon of exceptional care, firmly rooted in Christian values and boundless love. With a rich heritage of providing outstanding services, this home offers an array of amenities that elevate the senior living experience. Here, residents savor the delights of chef-prepared meals, tantalizing their taste buds and nourishing their bodies. The carefully curated social and recreational programs provide ample opportunities for residents to engage in meaningful interactions, fostering a vibrant community spirit. Safety is paramount, as evidenced by the round-the-clock emergency response system and meticulous medication administration, giving residents and their families peace of mind.
The home proudly extends its heartfelt commitment to serving seniors through their exceptional assisted living services. They diligently uphold all nursing home rules and regulations. They adhere to the highest standards of care and operate with strict compliance to ensure the safety, well-being, and comfort of every resident. By following these comprehensive guidelines, they create an environment where residents can thrive, families can trust, and quality of care remains paramount. Bethany Home Sioux Falls stands as a shining example of a compassionate and well-regulated senior living community. With also a focus on assisted living for veterans and an unwavering commitment to upholding nursing home standards, they ensure that residents receive the utmost care and support they deserve.
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 128 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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