Page 3 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. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
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.
StoneyBrook Suites Assisted Living
AL
Ne Watertown
50
Facility 50
SD AVG 67
Rank #39 / 72
No
85
Facility 85
SD AVG 39
Rank #1 / 83
1
Facility 1
SD AVG 5
Rank #12 / 66
Casey Adolphsen
Dolan Creek Senior Living
AL
Sturgis
60
Facility 60
SD AVG 67
Rank #30 / 72
Yes
64
Facility 64
SD AVG 39
Rank #17 / 83
1
Facility 1
SD AVG 5
Rank #12 / 66
Teresa Henderson
Countryside Living
AL
IL
Wisconsin Mitchell
50
Facility 50
SD AVG 67
Rank #39 / 72
Yes
81
Facility 81
SD AVG 39
Rank #7 / 83
1
Facility 1
SD AVG 5
Rank #12 / 66
Kathy Zoss
The Village of Harmony Hill, Inc.
AL
ADC
IL
MC
Se Watertown
104
Facility 104
SD AVG 67
Rank #11 / 72
Yes
85
Facility 85
SD AVG 39
Rank #1 / 83
1
Facility 1
SD AVG 5
Rank #12 / 66
Krista Beauchamp
Washington Crossing
AL
IL
Sioux Falls
10
Facility 10
SD AVG 67
Rank #72 / 72
No
34
Facility 34
SD AVG 39
Rank #43 / 83
18
Facility 18
SD AVG 5
Rank #11 / 66
Steve Thompson
Arrowhead Lodge Senior Living
AL
IL
RC
Rapid City
48
Facility 48
SD AVG 67
Rank #45 / 72
No
12
Facility 12
SD AVG 39
Rank #70 / 83
1
Facility 1
SD AVG 5
Rank #12 / 66
Sheila Gehring
Pine Hills Retirement Community
AL
IL
Hot Springs
78
Facility 78
SD AVG 67
Rank #21 / 72
No
52
Facility 52
SD AVG 39
Rank #28 / 83
1
Facility 1
SD AVG 5
Rank #12 / 66
Vickie Nekuda
Alcester Care and Rehab Center
AL
NH
SNF
Alcester (Alcester Township)
41
Facility 41
SD AVG 67
Rank #55 / 72
No
14
Facility 14
SD AVG 39
Rank #66 / 83
1
Facility 1
SD AVG 5
Rank #12 / 66
Tiffany Miller
Five Counties Nursing Home
AL
IL
NH
SNF
W Lemmon
37
Facility 37
SD AVG 67
Rank #58 / 72
No
42
Facility 42
SD AVG 39
Rank #36 / 83
1
Facility 1
SD AVG 5
Rank #12 / 66
Jordan Fish
Wellshire Park Place
AL
Milbank
36
Facility 36
SD AVG 67
Rank #60 / 72
No
64
Facility 64
SD AVG 39
Rank #17 / 83
1
Facility 1
SD AVG 5
Rank #12 / 66
Keisha Dorscher

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 StoneyBrook Suites Assisted Living

StoneyBrook Suites Assisted Living operates out of Watertown, South Dakota, catering to seniors who require daily care. Floor plans include studio, one-bedroom, and two-bedroom layouts. This setup allows residents to pick an apartment size that fits their preference while receiving help with daily activities.

Administrator Casey Adolphsen oversees this 50-bed location. Health services cover primary care, geriatric medical care, and physical rehabilitation, which includes short-term recovery options. Resident amenities feature a swimming pool, a salon, walking paths, courtyards, and open patios. Daily errands are easy to run on foot thanks to an 85 walk score, which benefits residents who no longer drive.

Prospective representatives looking into local assisted living choices can reach out to StoneyBrook Suites Assisted Living to check current floor plan availability or set up an in-person tour.

Contact StoneyBrook Suites Assisted Living

Overview of Dolan Creek Senior Living

Dolan Creek Senior Living is an assisted living community in Sturgis, SD, with 60 beds. The community also provides housekeeping and linen services, along with assistance with daily tasks, for residents’ convenience. Moreover, a doctor is available on-site, supported by 24-hour staffing, to ensure accessibility of care at all times.

Teresa Henderson serves as administrator. Moreover, restaurant-quality dining includes three nutritious meals daily, with special diets accommodated. A salon and spa, walking trails, and outdoor sitting areas also give residents options for personal care and time outside without leaving the community.

The area has a Walk Score of 64, meaning it is somewhat walkable and some errands are possible on foot.

Contact Dolan Creek Senior Living

Overview of Countryside Living

Countryside Living in Mitchell, South Dakota, combines independent living and assisted living options within a single location. Independent living units cater to self-sufficient adults seeking community amenities, while assisted living provides structured help with bathing, dressing, and medication management. Residents can transition between these support levels as their personal needs change over time.

Administrator Kathy Zoss leads this pet-friendly, 50-bed property. On-site services include a salon and barber shop, scheduled transportation, and landscaped outdoor grounds. Certified physical therapists lead daily fitness classes, yoga, and guided movement programs. Dining plans feature nutritionist-approved meals, offering two daily meals for independent living residents and three for those in assisted living. Nearby neighborhood streets rate high in walkability with an 81 out of 100 walk score, enabling easy pedestrian access to local errands.

Families considering local senior living communities can reach out to Countryside Living to ask about current apartment availability or tour the grounds.

Contact Countryside Living

Overview of The Village of Harmony Hill

The Village of Harmony Hill offers assisted living, adult day care, independent living, and memory care in Watertown, SD. Assisted living provides help with daily tasks while a resident maintains an apartment, and memory care offers a secured setting with supervision for someone at risk of wandering. Independent living supports private living with community services and no daily care, while adult day care provides a daytime care option.

Several care levels are available in one community. If a resident’s needs grow, they may be able to move to a different level without leaving The Village of Harmony Hill. The community has 104 beds, and Krista Beauchamp serves as the administrator.

Residents can spend time outdoors in courtyards, on patios, along paved trails, or enjoying the views. Meals are prepared by chefs and cooked on site, providing dining within the community. An ecumenical chapel and religious services support residents who want worship to remain part of their routine, while Veteran Resources and Culinary Arts are among the specific programs available.

Pets are allowed, so a resident may continue living with a pet. The community has a Walk Score of 85, and the area is very walkable, meaning most errands can be done on foot. A resident who no longer drives may still be able to get out independently.

With multiple care levels and memory care, The Village of Harmony Hill may be a good fit for a resident whose support needs may change over time, including someone who needs a secured, supervised setting.

Contact The Village of Harmony Hill, Inc.

Overview of Washington Crossing

Ten beds and eighteen years in operation; that says a lot about Washington Crossing, an assisted living and independent living community in Sioux Falls, South Dakota, located at 4709 E 6th St #108. The Walk Score sits at 34, so a handful of errands are doable on foot, though most trips still call for driving.

A 10-bed community means residents and staff are likely to know each other well, something that’s harder to pull off at a 100-plus bed facility down the road. Beth Fraction serves as Community Director, giving the community a named point of leadership rather than an anonymous management layer.

Day to day, there’s a fair amount on offer: a fitness center, library, dining room, restaurant, and art studio round out the physical amenities, while the activities calendar pulls in crafting sessions, concerts, card games, and fitness classes on a regular basis. Home care is also available as an additional service, useful for residents who need a bit more support without a full move to a higher level of care.

Pets aren’t part of the picture here, so anyone hoping to bring a dog or cat along will need to look elsewhere. What Washington Crossing amounts to, in the end, is a small, long-running community built around close relationships and a steady activity calendar, one where residents can expect to be known by name rather than lost in a crowd.

Contact Washington Crossing

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.

Contact Arrowhead Lodge Senior Living

Overview of Pine Hills Retirement Community

Pine Hills Retirement Community, a 78-bed community in Hot Springs, SD, runs independent living plus assisted living. Everyday tasks are what assisted living help covers. Independent living is meant for somebody who does not need daily care at all.

Having both together suits a person whose support needs might climb later. Vickie Nekuda administers the community, and 52 for a Walk Score means some errands can be handled on foot.

Rehabilitation Services are named among the services. Senior Living Wellness is a program with a name of its own for a resident who wants wellness programming as part of the week.

Contact Pine Hills Retirement Community

Overview of Alcester Care and Rehab Center

Skilled care is the name the center puts on its rehabilitation program. Alcester Care and Rehab Center stands in Alcester, South Dakota, with nursing home care, assisted living, and skilled nursing on one license. Forty-one beds puts it in the smaller end of the range, where the aide who helps someone one day is likely the same on the next, and the next week too.

Assisted living covers bathing, dressing, and medication for a person who does not need a nurse for those things. Skilled nursing covers the hours when someone does. Help with a shower in the afternoon and a licensed nurse at two in the morning are both something the building can handle.

Needs that change do not require a change of address to somewhere else.

Nursing time stands at 3 hours and 40 minutes for each resident daily. Therapy is part of the stay rather than an errand. A chapel, a sun room, and a salon are on the property, and there is also a gazebo and a backyard area outside. Tiffany Miller runs the center.

Three payment routes are open here: Medicare, Medicaid, and private pay.

Contact Alcester Care and Rehab Center

Overview of Five Counties Nursing Home

Five Counties Nursing Home offers nursing home and skilled nursing care, assisted living, and independent living in Lemmon, South Dakota. Nursing home and skilled nursing care include licensed nursing care on site around the clock, while assisted living helps with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment. Independent living provides private living with community services and no daily care.

Short term and long term care are available, covering temporary skilled stays as well as ongoing nursing care. Rehabilitation services support residents who need therapy as part of their care. The range of care levels may suit a resident whose needs grow over time, since moving to another level can happen without leaving the community or starting over socially.

Five Counties Nursing Home has 37 beds. Total nurse staffing is 3 hours and 51 minutes per resident each day, representing the daily nursing time assigned per resident. The community opened in 1951 and is administered by Jordan Fish.

Payment options include Medicare, Medicaid, and private pay. Medicare generally covers 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; private pay is also accepted. A Walk Score of 42 places the area in a car dependent setting, so most errands require a car or a ride, including routine outings for a resident who no longer drives.

Contact Five Counties Nursing Home

Overview of Wellshire Park Place

Wellshire Park Place provides assisted living in Milbank, South Dakota. Overseen by Keisha Dorscher, the community also features licensed nurses and CNAs on-site to provide continuous support for residents’ needs. Rehabilitation services also provide recovery support to help improve residents’ ability to function.

With 36 beds, it offers an environment where staff and residents can get to know each other. Moreover, fitness, music, art, games, and group outings offer ways to stay involved, and On Campus Rehabilitation provides rehabilitation services without requiring a trip elsewhere.

Meanwhile, a Walk Score of 64 means some errands are possible on foot, so a resident who no longer drives may be able to handle certain nearby tasks independently.

Contact Wellshire Park Place

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.