Explore Open Rooms
1 Contact details
2 What type of senior care service are you looking for?
3 What budget do you have in mind for senior care?
4 How soon do you need to find care?
5 Additional details

Thank you for your interest!

Our team will be in touch shortly to help with next steps.

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.

Explore home photos

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.

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
Rows per page:
View all Nearby Homes
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.

Contact Dells Nursing and Rehab Center Inc.

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.

Contact Centerville Care and Rehab Center

Overview of Alcester Care and Rehab Center
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.

Contact Alcester Care and Rehab Center

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.

Contact Aurora Brule Nursing Home Inc.

Overview of Sioux Falls Primary Home Care Services

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.

Contact Sioux Falls Primary Home Care Services

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.

Contact Prosperous Home Health

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.

Contact Interim Healthcare of Sioux Falls

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
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 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.