Other senior care options in South Dakota:

Page 2 of Best Assisted Living in South Dakota

Why trust this guide? Our editorial team analyzed 86 assisted living communities in SD using SD Dept. of Health (DOH) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in SD
Reviewed by
Last updated
Jul 2026
We analyzed
86 homes
Other senior care options in South Dakota:
Avg Monthly Cost: $4,625The average monthly cost across facilities in South Dakota. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 42/ 100The average Walk Score across facilities in South Dakota. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 69The average licensed bed capacity across facilities in South Dakota. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around South Dakota

Info below is compiled from the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Avera Maryhouse
AL
HOS
NH
Pierre
67
Facility 67
SD AVG 69
Rank #49 / 117
Yes
60
Facility 60
SD AVG 42
Rank #39 / 149
Private Rooms / Semi-Private Rooms
1
Facility 1
SD AVG 4
Rank #14 / 105
-Talli Raske
Touchmark at All Saints
AL
IL
MC
Sioux Falls (All Saints)
153
Facility 153
SD AVG 69
Rank #5 / 117
Yes
80
Facility 80
SD AVG 42
Rank #14 / 149
-
32
Facility 32
SD AVG 4
Rank #2 / 105
A+Amanda Snoozy
The Inn on Westport
AL
IL
MC
RC
Sioux Falls
140
Facility 140
SD AVG 69
Rank #6 / 117
No
63
Facility 63
SD AVG 42
Rank #34 / 149
-
30
Facility 30
SD AVG 4
Rank #4 / 105
A+Jill Dykstra
Bethesda Home of Aberdeen
AL
HC
NH
RC
SNF
Aberdeen (Aberdeen Township)
86
Facility 86
SD AVG 69
Rank #27 / 117
No
85
Facility 85
SD AVG 42
Rank #1 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Scott Eisenbeisz
Bethany Home Sioux Falls/Bethany Home-Brandon
AL
IL
MC
NH
SNF
Sioux Falls
112
Facility 112
SD AVG 69
Rank #11 / 117
No
65
Facility 65
SD AVG 42
Rank #25 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Amanda Peterson
Alcester Care and Rehab Center
AL
NH
SNF
Alcester (Alcester Township)
41
Facility 41
SD AVG 69
Rank #94 / 117
No
14
Facility 14
SD AVG 42
Rank #122 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Tiffany Miller
Oakview Terrace
AL
ADC
IL
MC
NH
Freeman
45
Facility 45
SD AVG 69
Rank #82 / 117
No
26
Facility 26
SD AVG 42
Rank #106 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Courtney Unruh
Menno-Olivet Care Center
AL
HOS
NH
RC
SNF
Menno
41
Facility 41
SD AVG 69
Rank #94 / 117
No
13
Facility 13
SD AVG 42
Rank #123 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Aisha Abbink
The Village at Skyline Pines Assisted Living & Memory Care
AL
MC
Rapid City
116
Facility 116
SD AVG 69
Rank #9 / 117
No
32
Facility 32
SD AVG 42
Rank #90 / 149
1 Bed / 2 Bed
1
Facility 1
SD AVG 4
Rank #14 / 105
-Kelli Back
Westhills Village
AL
HC
IL
NH
PC
SNF
Rapid City (Texas Street)
44
Facility 44
SD AVG 69
Rank #90 / 117
No
21
Facility 21
SD AVG 42
Rank #111 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Kelsey Bertsch
Legends at Lake Lorraine
AL
IL
MC
Sioux Falls
185
Facility 185
SD AVG 69
Rank #2 / 117
Yes
43
Facility 43
SD AVG 42
Rank #70 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Kyrsten Fokken
Good Samaritan Society – Sioux Falls Village
AL
IL
MC
NH
Sioux Falls (South Marion Road)
177
Facility 177
SD AVG 69
Rank #3 / 117
No
50
Facility 50
SD AVG 42
Rank #58 / 149
--A+Thomas Fraser
Edgewood Brookings
AL
ADC
MC
Brookings
50
Facility 50
SD AVG 69
Rank #68 / 117
No
55
Facility 55
SD AVG 42
Rank #48 / 149
-
30
Facility 30
SD AVG 4
Rank #4 / 105
A+Shannon Loehr
Ponderosa Lodge Senior Living
AL
IL
RC
Sioux Falls
76
Facility 76
SD AVG 69
Rank #42 / 117
No
30
Facility 30
SD AVG 42
Rank #99 / 149
1 Bed / 2 Bed
1
Facility 1
SD AVG 4
Rank #14 / 105
-Martina Castle
Edgewood Prairie Crossings Assisted Living
AL
Sioux Falls
68
Facility 68
SD AVG 69
Rank #45 / 117
No
31
Facility 31
SD AVG 42
Rank #93 / 149
Private / Semi-Private Rooms
1
Facility 1
SD AVG 4
Rank #14 / 105
-Carmen Dougherty
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Overview of Legends at Lake Lorraine

Legends at Lake Lorraine (Formerly Grand Living at Lake Lorraine) is a distinguished senior living community that sets the standard for luxury independent living, assisted living, and memory care services in Sioux Falls, South Dakota. This home is climbing the charts of excellence, offering unparalleled service and a truly engaging lifestyle that captivates residents and their families alike.

Indulge in the grand spa and fitness center, where you can rejuvenate your body and nurture your well-being. Legends at Lake Lorraine also goes above and beyond to provide life-enriching experiences through a variety of programs. From world-class music entertainment performances to delightful cocktail evenings and friendly games of bocce ball, there’s always something exciting happening.

Contact Legends at Lake Lorraine

Overview of Good Samaritan Society – Sioux Falls Village

Good Samaritan Society in Sioux Falls Village is an incredible senior living community that offers a comprehensive range of care services, including assisted living places and various assisted living levels of care. From affordable housing and independent living to rehabilitation and memory care, they cater to the diverse needs of seniors at every stage of life.
This exceptional home ensures that residents have access to the support they require, whether it’s in the form of personalized assistance with daily activities or specialized memory care for those facing cognitive challenges. Residents can enjoy the freedom and flexibility to personalize their living spaces within the assisted living places, adding their own cherished furnishings and personal touches. In addition to the comfortable and inviting accommodations, the community offers a wealth of amenities, including a well-stocked library, a serene chapel, and a refreshing indoor pool. For those seeking to prioritize their well-being, a state-of-the-art wellness center provides opportunities for fitness and personal growth.

Contact Good Samaritan Society – Sioux Falls Village

Overview of Edgewood Brookings

Edgewood Brookings is an assisted living with memory care services in Watertown. The community understands the importance of happiness and serenity, ensuring that every resident can receive only the best care. Edgewood Brookings is the home where seniors thrive and get back on their feet quickly and independently.
Community features include essential services like transportation, housekeeping, interior and exterior maintenance, ADLs, and specialized memory programs. Amenities provided are dining areas, indoor common areas, a full-service salon, well-lit lounge areas, furnished apartments, and outdoor lounges.

Contact Edgewood Brookings

Overview of Ponderosa Lodge Senior Living

Ponderosa Lodge Senior Living is a newly established community in Sioux Falls, South Dakota, serving older adults seeking independent or assisted living arrangements. Located at 7400 S Louise Ave, the community provides both independent living options for active seniors who want a supportive residential setting and assisted living services for those who need help with daily activities like bathing, dressing, and medication management. The home also offers respite care, making it an option for short-term stays.

The community is modest in size at 76 beds and features one and two-bedroom housing options, allowing residents to choose a living space that suits their preferences and needs. Ponderosa Lodge opened recently—within the last year—so the setting is new. Martina Castle serves as administrator. At just over $4,000 per month for starting rates, the community is positioned competitively for the market.

The location scores a 30 on the Walk Score, which means some errands and services are accessible on foot, though most outings will require transportation. The surrounding neighborhood is typical of suburban Sioux Falls—quiet and residential, with relatively easy access to the highway. Families should be aware that the community maintains a no-pet policy, so residents’ pets will need alternative arrangements.

For a newly opened home, an in-person tour is especially worthwhile to see how the community is being developed and to get a sense of the daily operations and the team leading the facility.

Contact Ponderosa Lodge Senior Living

Overview of Edgewood Prairie Crossings Assisted Living

Located at 1810 South Dorothy Avenue in Sioux Falls, South Dakota, Edgewood Prairie Crossings Assisted Living is a 68-bed assisted living community. The single-story residence offers both private and semi-private rooms and has served residents for 1 year. The community is led by administrator Carmen Dougherty.

In addition to assisted living, the community provides short-term stays. It partners with outside medical providers to give residents additional clinical support. Transportation services, fitness programs, and recreational activities are available. Residents can conveniently access nearby medical clinics, shopping, and other destinations throughout Sioux Falls.

Residents enjoy organized social events that encourage them to connect with neighbors and stay involved in activities that match their interests. Three meals and snacks are prepared and served daily. Emergency pendant systems are also available, so residents can quickly call for assistance whenever needed.

The neighborhood has a Walk Score of 31, so a few nearby places can be reached on foot. However, most errands and outings require a car. Families interested in learning more about the community’s programs, apartment layouts, and daily routines should schedule a tour and see the community in person.

Contact Edgewood Prairie Crossings Assisted Living

Overview of Edgewood Pierre

Administered by Melissa Johnson, Edgewood Pierre is an assisted living community in Pierre, South Dakota. It offers assisted living, adult day care, and memory care. The community is located at 1950 E. 4th Street in Hughes County. The two-story building has 86 beds and offers studio, one-bedroom, and two-bedroom apartments, giving residents several choices based on their space needs.

Serving residents for about one year, Edgewood Pierre features newer construction and recently built common areas. The surrounding neighborhood has a Walk Score of 6. It’s car-dependent, so most errands require a vehicle. Families who prefer a quieter residential setting instead of a busy commercial area may find the location appealing.

Residents take part in memory care programs offered in a home-like setting. Activities are designed around comfort and familiar daily routines. Shared amenities include a chapel, a family gathering room, several recreation rooms, a dedicated dining room, and an on-site fitness center. The community also provides transportation services and welcomes pets, giving residents both structured support and everyday flexibility.

Families considering Edgewood Pierre may ask about current availability for the studio, one-bedroom, and two-bedroom apartments because different floor plans may fill at different times.

Contact Edgewood Pierre

Overview of Edgewood Watertown

Located on 14th Avenue Northeast in Watertown, South Dakota, Edgewood Watertown is a community offering assisted living and independent living in Codington County. The community is about 1.25 miles from Prairie Lakes Hospital, giving residents and families convenient access to nearby medical care.

The community opened about a year ago. It features a two-story building with 66 beds and private rooms. Residents are moving into a newer community rather than one with many years of established operations. Edgewood Watertown is part of the Edgewood Senior Living family of communities, led by administrator Jackie Clark.

Daily support includes housekeeping, transportation, interior and exterior maintenance, and assistance with activities of daily living. Residents also have access to specialized programs that focus on movement and neurological health, including LSVT Big and Loud, the Parkinson’s Care Program, Parkinson’s Wellness Recovery, Rocky Steady Boxing, and the CaringEdge therapy program. Together, these services highlight the community’s focus on supporting residents living with Parkinson’s disease and similar conditions. Transportation services, fitness programs, and recreational activities are also available here.

The neighborhood has a Walk Score of 18, making it a car-dependent location where most errands and outings require a vehicle. Families traveling from outside the area should drive when they visit.

Contact Edgewood Watertown

Overview of Tieszen Memorial Home

Located in Marion, South Dakota, Tieszen Memorial Home is a nursing home in Turner County. Tieszen Memorial Home operates the community, and Laura Wilson serves as administrator. Alongside skilled nursing, it offers assisted living, memory care, and hospice care, giving families a full continuum of care as residents’ needs change.

The 64-bed home is almost full, with occupancy around 93%. Residents stay an average of about 409 days, a figure that shows that most residents stay here for long-term care rather than short rehabilitation stays. The community has been operating for about 1 year. Rehabilitation Services and a Wellness Center support residents’ ongoing health and activity needs. Skilled care and apartment-style housing options are also available.

Total nursing care averages about 4 hours and 33 minutes per resident daily, and it’s a central part of daily life. Families can choose from Medicare, Medicaid, and private pay to cover both short-term and long-term stays.

The community is in a small, rural part of South Dakota, with a Walk Score of 23. Most errands and outings require driving. Families visiting from outside the area may want to plan transportation before visiting.

Contact Tieszen Memorial Home Inc

Overview of Trail Ridge Senior Living Community

Trail Ridge Senior Living Community is a vibrant community with an energetic atmosphere. The senior living community offers housing for independent living, assisted living, and memory care; they are a not-for-profit faith-based community. Trail Ridge understands that individuals are unique and have their own needs, which is why they provide innovative ways to attend to their residents as soon as possible. During their 27 years of service, they have gained the trust of many families in South Dakota. 
Their calendar-filled engaging social and educational activities maximize the community amenities that keep residents stimulated and an enhanced standard of living through their amenities such as the 24-hour emergency communication system, game room, and library available/

Contact Trail Ridge Senior Living Community

Overview of Countryside Living

Countryside Living is a retirement community that houses assisted living and independent living where its services and community features are designed with the thought of ensuring that residents maintain an active lifestyle with endless opportunities. The community’s goal is to ensure that their residents live every day as a way to live a purposeful living as individuals who are constantly growing and learning as they begin their new journey. Countryside Living is the ideal place for comfort, convenience, and choice– with the help of their professional care staff dedicated to attending to your needs.
The countryside lifestyle is inclusive of ADLs, scheduled activities, and medical supervision. 

Contact Countryside 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
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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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 86 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.