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Compare Assisted Living around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
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 |
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.
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.
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?
Pets Allowed
Housing Options: 1 Bed / 2 Bed
Building Type: Single-storey
Transportation Services
Fitness and Recreation
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.
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?
Pets Allowed
Housing Options: Suite
Building Type: Two-storey
Transportation Services
Fitness and Recreation
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?
Housing Options: Studio / Suite
Building Type: Single-story
Dining Services
Beauty Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
Exercise Programs
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.
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?
Housing Options: 1 Bed / 2 Bed
Building Type: Two-story
Transportation Services
Fitness and Recreation
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?
Minimum Age: 60 Years Old
Building Type: Single-storey
Transportation Services
Fitness and Recreation
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.
Ranking Methodology
How we rank these assisted living communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
Weighting overview
- 35%Resident Experience
- 25%Regulatory
- 15%Visual Media
- 10%Website
- 10%Stability
- 5%Environment
01
Resident & Family Experience 35%
The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.
- Includes
- Review Sentiment
- Review Volume
02
Regulatory & Safety Record 25%
State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.
- Includes
- State Inspections
- Citations/Inspection
- % Inspections w/ Citations
- Complaint Visits
- Accreditations
- BBB Rating
03
Visual Media & Transparency 15%
Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.
- Includes
- Video Tours
- Virtual Walkthroughs
- Photo Quantity
- Photo Quality
04
Website & Operator Transparency 10%
Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.
- Includes
- Website Content
- Mobile Usability
- Staff Info Available
- Owner Info Available
05
Community Stability 10%
Operational signals indicating whether a community is well-run and meeting demand.
- Includes
- Occupancy Rate
- Bed Options
06
Environment & Pricing 5%
Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.
- Includes
- Walk Score
- Pricing Transparency
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Frequently Asked Questions about Assisted Living in South Dakota
What's the difference between assisted living and memory care in South Dakota?
Assisted living in South Dakota supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.
What's the difference between assisted living and a nursing home in South Dakota?
Assisted living in South Dakota is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does South Dakota Medicaid cover assisted living?
South Dakota Medicaid does not directly pay room-and-board for assisted living, but most states (including South Dakota) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.
What is assisted living?
Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.
How many assisted living facilities are listed on this page?
This page features 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.
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