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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.

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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
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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

Avantara Norton

3600 South Norton Ave, Sioux Falls, SD 57105
Overview of Avantara Norton

Avantara Norton boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. As one of the city’s most trusted nursing homes, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Norton has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 

The areas of excellence are found in the range of an array of specialized services such as; cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. The list of accommodations extends to the comprehensive care plan physical therapy equipment, a team of  full-time therapists on-site, and a home assessment completed. 

Contact Avantara Norton

Overview of Avera Mother Joseph Manor Retirement Community

Located in a tranquil neighborhood adjacent to Manor Park in Aberdeen, South Dakota, Avera Mother Joseph Manor offers a comprehensive range of senior living lifestyle options, complemented by skilled nursing and rehabilitation services. Residents of this community can immerse themselves in the abundant local opportunities available in Aberdeen while receiving exceptional care and support.

Avera Mother Joseph Manor proudly upholds the Christian tradition of the Avera health care system, ensuring immediate access to premier health care services. With a deep commitment to respecting human dignity and valuing each individual, Avera Mother Joseph Manor operates as a division of Avera St. Luke’s Hospital, providing compassionate care to enhance the well-being of residents.

What does this home offer?

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Pets Allowed

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Housing Options: 1 Bed / 2 Bed

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Building Type: Single-storey

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Transportation Services

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Fitness and Recreation

Contact Avera Mother Joseph Manor Retirement Community

Overview of Stoneybrook Suites Assisted Living

Nestled in a convenient area of Sioux Falls, with easy access to the interstate, Stoneybrook Suites Assisted Living has undergone remarkable remodeling and improvements to cater specifically to assisted living for seniors. They are dedicated to providing comprehensive care services that encompass nursing and wellness, restorative therapy, and dietary support, all tailored to meet the unique needs of seniors in assisted living. Their commitment to excellence shines through in every aspect of their accommodations, offering a range of options, from cozy studios and one-bedroom suites to spacious two-bedroom havens designed with seniors’ comfort in mind.
Prepare to be captivated by their state-of-the-art theater, inviting coffee shop, and beautifully updated suites that exude comfort and style. Their meticulously manicured park yards and a front patio radiates immaculate charm, providing the perfect setting for assisted living for seniors. What truly sets Stoneybrook Suites Assisted Living apart is their unwavering passion for creating an environment where assisted living for seniors thrives. This dedication to exceptional care and support has earned them a reputation as one of the finest retirement centers in South Dakota.

Contact StoneyBrook Suites Assisted Living

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.

What does this home offer?

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Pets Allowed

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Housing Options: Suite

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Building Type: Two-storey

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Transportation Services

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Fitness and Recreation

Contact Bethesda Towne Square

Victorian Assisted Living

1321 Columbus St, Rapid City, SD 57701
Overview of Victorian Assisted Living

Enjoy the best of your golden years at The Victorian Senior Living Home, a distinguished community in Rapid City, SD, offering independent living and assisted living. A compassionate and highly trained team provides exceptional care around the clock to meet residents’ unique needs. Housekeeping and laundry, alongside beautifully designed floor plans, are provided, ensuring residents’ comfort and convenience.

With a thoughtfully curated calendar of engaging activities and enriching programs, residents will not run out of things to do for leisure and wellness. Mealtimes promote social interactions and satisfy dietary needs with delicious and healthy dining options. Medication management and transportation services are also provided for residents’ peace of mind. The community is a great option for those seeking a place of retirement, especially with its vibrant and nurturing environment.

What does this home offer?

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Housing Options: Studio / Suite

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Building Type: Single-story

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Dining Services

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Beauty Services

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Transportation Services

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Housekeeping Services

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Social and Recreational Activities

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Exercise Programs

Contact Victorian Assisted Living

Overview of Westhills Village

Relish a life filled with enriching experiences and a supportive environment. Nestled in Rapid City, South Dakota, Westhills Village Health Care Facility provides a range of options tailored to meet the needs of seniors such as independent senior living and retirement community to assisted living and health care services. This assisted living community has a vibrant and engaging atmosphere, ensuring residents feel right at home.
With an unwavering dedication to surpassing the needs and expectations of retirees, Westhills Village offers a comprehensive care program. Westhills Village seamlessly combines comfort, care, and convenience, making it an ideal destination for senior residents seeking an independent lifestyle and those who require additional support.

Contact Westhills Village

Overview of Arrowhead Lodge Senior Living

Arrowhead Lodge is an independent living and assisted living home with respite care in Rapid City. They pride themselves on the services that are delivered with only the best in its class brought by their premier level of care entrusted to residents. The senior living home boasts its innovative and modern approach to senior care; they have ensured that they provide a spectrum of care as they understand the unique needs of each individual. Arrowhead Lodge’s management and staff are well-trained professionals that ensure that residents are being heard and provide a lifestyle that suits their needs.

Beautifully furnished common areas, walking paths, and outdoor patios are offered for seniors to have families come visit more often and have a place to socialize. Other services include meals, security, and affordable senior housing.

What does this home offer?

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Housing Options: 1 Bed / 2 Bed

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Building Type: Two-story

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Transportation Services

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Fitness and Recreation

Contact Arrowhead Lodge Senior Living

Overview of Nano Nagle Village

Nano Nagle Village, situated in Aberdeen, South Dakota, is an assisted living senior community conveniently located near various local amenities. Residents can easily access nearby churches, retail shopping centers, health care facilities, and more. 

Dakota Plains Surgical Center is just 0.74 miles away from the community, providing convenient medical services. For residents’ convenience, there are also 11 drug stores within a one-mile radius of the facility. Additionally, residents have a choice of 19 churches within a four-mile radius, including the Church of God, Calvary Baptist Church, Church of God Family Worship, and Aberdeen Christian Fellowship. 

What does this home offer?

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Minimum Age: 60 Years Old

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Building Type: Single-storey

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Transportation Services

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Fitness and Recreation

Contact Nano Nagle 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

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.