Page 2 of Best Assisted Living in South Dakota

Why trust this guide? Our editorial team analyzed 88 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
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Last updated
We analyzed These are the facilities in South Dakota our team has analyzed — not a count of every assisted living provider in South Dakota.
88 homes
Other senior care options in South Dakota:

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-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Number of years the company has been in operation.
A named contact for the facility. Hover the name to see their role — Administrator (state administrator of record or facility-provided administrator), Nursing Director, Medical Director, or Staff. The most authoritative available is shown.
United Living Community
AL
IL
MC
NH
SNF
Brookings (Brookings Township)
81
Facility 81
SD AVG 67
Rank #17 / 72
No
82
Facility 82
SD AVG 39
Rank #5 / 83
-
1
Facility 1
SD AVG 5
Rank #12 / 66
Liz Deberg
Derian Place Senior Living
AL
RC
Aberdeen
28
Facility 28
SD AVG 67
Rank #69 / 72
No
65
Facility 65
SD AVG 39
Rank #13 / 83
Studio / 1 Bed / 2 Bed
1
Facility 1
SD AVG 5
Rank #12 / 66
Tandy Mckiver
Edgewood Watertown
AL
IL
Watertown
66
Facility 66
SD AVG 67
Rank #28 / 72
No
18
Facility 18
SD AVG 39
Rank #62 / 83
Private Rooms
1
Facility 1
SD AVG 5
Rank #12 / 66
Jackie Clark
Legends at Lake Lorraine
AL
IL
MC
Sioux Falls
185
Facility 185
SD AVG 67
Rank #1 / 72
Yes
43
Facility 43
SD AVG 39
Rank #34 / 83
-
1
Facility 1
SD AVG 5
Rank #12 / 66
Kyrsten Fokken
Bethesda Towne Square
AL
HC
NH
RC
SNF
Aberdeen (Melrose Addition)
52
Facility 52
SD AVG 67
Rank #38 / 72
Yes
21
Facility 21
SD AVG 39
Rank #57 / 83
Suite
1
Facility 1
SD AVG 5
Rank #12 / 66
Scott Eisenbeisz
Edgewood Pierre
AL
ADC
MC
Pierre
86
Facility 86
SD AVG 67
Rank #14 / 72
Yes
6
Facility 6
SD AVG 39
Rank #79 / 83
Studio / 1 Bed / 2 Bed
1
Facility 1
SD AVG 5
Rank #12 / 66
Melissa Johnson
Tieszen Memorial Home Inc
AL
HOS
MC
NH
SNF
Marion
64
Facility 64
SD AVG 67
Rank #29 / 72
No
23
Facility 23
SD AVG 39
Rank #53 / 83
-
1
Facility 1
SD AVG 5
Rank #12 / 66
Laura Wilson
Good Samaritan Society – St Martin Village
AL
IL
MC
NH
RC
Rapid City
60
Facility 60
SD AVG 67
Rank #30 / 72
No
83
Facility 83
SD AVG 39
Rank #4 / 83
-
1
Facility 1
SD AVG 5
Rank #12 / 66
Jana Mccroden
Westhills Village
AL
HC
IL
NH
PC
SNF
Rapid City
44
Facility 44
SD AVG 67
Rank #52 / 72
No
21
Facility 21
SD AVG 39
Rank #57 / 83
-
1
Facility 1
SD AVG 5
Rank #12 / 66
Kelsey Bertsch
Good Samaritan Society Sioux Falls Village
AL
IL
MC
NH
Sioux Falls
177
Facility 177
SD AVG 67
Rank #2 / 72
No
2
Facility 2
SD AVG 39
Rank #83 / 83
-
1
Facility 1
SD AVG 5
Rank #12 / 66
Thomas Fraser

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other SD assisted living community we track that reports that metric, not just the 88 on this page. See how we rank facilities

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Overview of United Living Community

United Living Community offers independent living, assisted living, memory care, and skilled nursing in Brookings, SD. Independent living provides private living with community services and no daily care; assisted living adds help with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment; memory care provides a secured setting with supervision; and skilled nursing provides licensed nursing care on site around the clock.

The community has 81 beds. Respite care provides a short stay for a family whose usual caregiver needs to travel or recover, while short-term rehabilitation supports a temporary stay focused on rehabilitation needs. Rehabilitation services include hydrotherapy, giving residents an additional therapy option within the community.

A Walk Score of 82 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still reach nearby destinations independently. Total nurse staffing is 5 hours and 17 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Payment options are Medicare, Medicaid, and private pay; Medicare applies to short-term skilled care after a hospital stay rather than long-term residence, while Medicaid may help when savings do not cover a long stay. Liz DeBerg serves as the administrator, and the combination of several care levels may suit a resident whose needs could grow over time without leaving the community.

Contact United Living Community

Overview of Derian Place Senior Living

Set on the beautiful grounds of Aberdeen, SD, Derian Place Senior Living is a remarkable senior living community that offers assisted living and respite care. Residents live in comfortable and well-designed accommodations with a broad selection of floor plans to choose from, including a studio, one-bedroom, and two-bedroom floor plans. Acknowledging that individuals require different levels of care at varying stages of their lives, the community provides individualized and flexible care plans that change as residents’ needs change.

The community provides plenty of opportunities for socializing and companionship on a daily basis with their diverse calendar of activities. A licensed nurse is available 24/7 to provide supervision and immediately respond to residents’ needs. Encouraging lifelong learning, the community offers several signature monthly opportunities for it, including learning through guest speakers, fine arts programs, and educational series. The community works closely with their residents in understanding their goals and dreams and help them turn it into a reality.

Contact Derian Place Senior Living

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 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 Bethesda Towne Square

Bethesda Towne Square Assisted Living Community, situated in Aberdeen, provides a selection of 40 spacious apartment suites for residents to choose from. In addition, residents benefit from priority access to the on-site skilled nursing home, ensuring comprehensive care if the need arises. The community prides itself on fostering a warm and compassionate atmosphere, catering to both short-term recovery and around-the-clock long-term care. Bethesda is dedicated to promoting independence of both body and spirit, with the added support of onsite chaplain services available to all residents.

The highly trained staff at Bethesda goes above and beyond physical health care, offering a diverse range of programs aimed at maximizing social interaction. From engaging dining experiences to socialization activities and exercise programs, residents are provided with ample opportunities to thrive and connect. These offerings are delivered in welcoming and comfortable surroundings that prioritize all aspects of life, extending support beyond medical attention to encompass the holistic well-being of each resident.

Contact Bethesda Towne Square

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 Tieszen Memorial Home

Tieszen Memorial Home offers nursing home and skilled nursing care, assisted living, hospice care, memory care, and independent living in Marion, SD. The range of care levels may suit a resident whose needs grow from help with daily tasks to supervised memory care or nursing support.

Assisted living includes help with bathing, dressing, and medication while the resident maintains an apartment. Memory care provides a secured setting with supervision, while nursing home and skilled nursing provide licensed nursing care around the clock. Hospice care focuses on comfort at the end of life, and independent living offers private living with community services and no daily care.

The home has 64 beds. Total nurse staffing is 4 hours and 35 minutes per resident each day, representing the daily nursing staff time associated with each resident. Rehabilitation services are available for residents working on recovery or functional abilities. Medicare, Medicaid, and private pay are accepted, and Laura Wilson serves as the administrator.

Contact Tieszen Memorial Home Inc

Overview of Good Samaritan Society – St Martin Village

Good Samaritan Society, St Martin Village provides nursing home, assisted living, independent living, memory care, and respite care in Rapid City, SD. Assisted living provides help with daily tasks while a resident maintains an apartment, memory care offers supervision in a secured setting for someone at risk of wandering, and nursing home care provides licensed nursing care around the clock. Independent living supports private living with community services and no daily care, while respite care offers a short stay for a family whose usual caregiver needs to travel or recover.

With several care levels in one community, Good Samaritan Society, St Martin Village can suit a resident whose needs may grow over time without requiring a move to a different community. The community has 60 beds, and Jana McCroden serves as administrator. Rehabilitation services are available for residents who need therapy during recovery or ongoing care.

A swimming pool and wellness center support exercise and water-based activities, while walking trails and a community garden provide outdoor spaces for recreation. The community also has a salon, chapel, library, coffee house, woodshop, and scheduled activities, giving residents places for personal care, worship, hobbies, and social time. Home-based services and caregiver support are also available for residents and families who need assistance beyond the community setting.

The area has a Walk Score of 83, making it very walkable, with most errands possible on foot. Shops and other daily destinations within a short walk can help a resident who no longer drives get out independently.

Contact Good Samaritan Society – St Martin Village

Overview of Westhills Village

Westhills Village sits at 255 Texas St in Rapid City, South Dakota, in a stretch of the city that’s firmly car-dependent. The Walk Score here comes in at 21, so anyone visiting should plan on driving. There’s not much within walking distance, and that’s just the nature of this part of town.

The facility has 44 beds, and right now every single one is filled. A full house at one year of operation says something on its own; this is a place that filled up fast. Rehabilitation services and respite care are both available here, meaning residents can come in for short-term recovery work or for a temporary stay while family caregivers get a break.

Staffing runs around the clock, and the numbers back that up with real specificity. Registered nurses put in about 1 hour and 13 minutes per resident each day, while licensed practical nurses contribute another 28 minutes. Add nurse aide time, and the total nursing care residents receive averages 4 hours and 36 minutes per resident, per day.

Financially, Westhills Village takes Medicare and private pay, so there’s more than one route to covering costs depending on a family’s situation. There’s also a volunteer program woven into daily life here, which tends to matter more than people expect once they’re actually living somewhere.

South Dakota’s Department of Health, Office of Health Care Facilities Licensure oversees inspections, and the recurring focus areas, medication management, infection control, and resident rights, are the same categories regulators lean on everywhere. Between the full occupancy, the staffing hours, and the rehab and respite options on the table, Westhills Village reads as a facility that’s found its footing quickly and is running at real capacity.

Contact Westhills Village

Overview of Good Samaritan Society Sioux Falls Village

Good Samaritan Society Sioux Falls Village offers nursing home care, assisted living, independent living, and memory care in Sioux Falls, South Dakota. Nursing home care provides ongoing nursing support for residents who need a higher level of medical care, while assisted living helps with dressing, bathing, medication, and other daily tasks without giving up an apartment. Independent living provides private living with community services and no daily care. Memory care provides supervision for residents living with dementia.

The range of care levels may suit a resident whose needs could grow over time and who may move between care settings without leaving the community. The home has 177 beds. Medicaid, Medicare, and private pay are accepted. Medicaid may help eligible residents whose savings do not cover a long stay, while Medicare applies to short term skilled care after a hospital stay rather than long term residence.

Total nurse staffing is 4 hours and 15 minutes per resident per day, representing the daily nurse staffing time allocated to each resident. Thomas Fraser serves as the administrator. One bedroom and two bedroom units are available, with a two bedroom layout able to suit a couple moving together or someone who wants a companion.

Inpatient and outpatient rehabilitation services give residents access to therapy at the community, and local transportation is available for medical appointments. A salon, wellness center, whirlpool, chapel, and religious services provide places for personal care, wellness activities, bathing or relaxation, and worship.

Contact Good Samaritan Society Sioux Falls Village

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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Assisted Living in South Dakota at a glance

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: 39/ 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: 67The average licensed bed capacity across facilities in South Dakota. Individual facilities can vary widely from this average.
National Average: 90
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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 88 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.