
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Where in South Dakota are you looking?
Tap a city below to explore the communities we have there.
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 |
Avantara Mountainview 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. One of the most trusted nursing homes in South Dakota, 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 Mountainview 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 community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care.
Settled in the serene area of Watertown, SD, Meadow Lake Assisted Living is an encouraging senior living community, offering excellent assisted living services. The community provides each resident with a supportive and caring environment with access to various services, including assistance with daily living activities and other supportive services they may need. Dedicated to ensuring residents are comfortable and provided with the care they need, the community carefully curates personalized care plans for each resident based on their specific needs and preferences.
With a focus on promoting independence and well-being, the community also offers plenty of opportunities for life enrichment through its wide array of stimulating and engaging activities, combined with various amenities. A range of conveniences, such as transportation to and from doctor’s appointments, housekeeping, and laundry services are offered for residents’ enjoyment. Here, residents are provided with all the tools and resources they need to thrive and maintain their independence.
What does this home offer?
Housing Options: 1 Bed
Building Type: Single-story
Transportation Services
Fitness and Recreation
Peaceful Pines Senior Living Community offers an exceptional level of service for independent living, assisted living, and memory care in Rapids, South Dakota. They boast a nurturing and stimulating atmosphere that contributes to the respected experience discovered; they proudly excel with their approach in having a seamless transition for every resident as they are a community that understands how unique their seniors are and may need specific care for every individual. Holland Village ensures that every senior residing in their community loves the place they live.
Peaceful Pines offers comprehensive services and amenities that include home-cooked meals, maintenance-free living, and housekeeping; social activities include gatherings at the movie theater, bistro cafe, courtyards, and billiards.
What does this home offer?
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: 3-story
Transportation Services
Fitness and Recreation
Considerably one of the most affordable residential communities in Pierre, South Dakota, Vista Care provides a variety of services including home care, assisted apartment programs, residential services, and more. Vista Care is dedicated to providing creative solutions and compassionate assistance to create a loving atmosphere that enables people to live meaningful and successful lives.
With a focus on individuals with disabilities, Vista Care builds communities where individuals can live fulfilling lives with dignity and purpose. In addition to day programs, supported employment, supportive home care, and behavioral health services, Vista Care provides a comprehensive range of facilities and services, including 24/7 support, personalized intake assessment & support plan, and a team of caregivers and industry experts focused upon delivering exceptional care.
What does this home offer?
Pets Allowed
Building Type: Single-story
Transportation Services
Fitness and Recreation
In Rapid City, South Dakota, Fountain Springs Healthcare Center is a haven for healing and compassionate care. Whether residents require transitional care following hospitalization or seek long-term support due to safety concerns at home, Fountain Springs offers a serene refuge. The center has garnered acclaim for its successful patient transitions back home or to a lower level of care, earning the prestigious 2018 Pinnacle Customer Experience Award for its exceptional senior healthcare services.
At Fountain Springs, individuals receive personalized care through an interdisciplinary approach to skilled nursing. The recreation department fosters a sense of community and home by organizing various activities and outings. Whether it’s assisted living, skilled nursing, memory support, or respite stays, Fountain Springs Healthcare Center remains steadfast in delivering 5-star quality care to its residents.
What does this home offer?
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Discover Dakota Heritage House, an assisted living facility situated in the serene surroundings of Pierre, South Dakota. Offering a haven of comfort and compassion, Dakota Heritage House is dedicated to providing unparalleled care and support to our cherished residents. With a commitment to personalized service and attention to detail, our experienced team strives to create a nurturing environment where every individual feels valued and empowered to live life to the fullest.
Nestled at 520 E Dakota Ave, Dakota Heritage House welcomes residents into a warm and inviting community enriched with an array of amenities. From tailored care plans to engaging social activities, our residents enjoy a fulfilling lifestyle designed to enhance their well-being and foster a sense of belonging. With scenic outdoor spaces, gourmet dining options, and round-the-clock security, Dakota Heritage House ensures peace of mind for residents and their families, allowing them to embrace each day with joy and confidence.
What does this home offer?
Pets Allowed
Building Type: Single-story
Transportation Services
Fitness and Recreation
Edgewood Cedar View is the memory care unit of the senior living home in Watertown. With an emphasis on memory care services, the community understands the importance of happiness and serenity, ensuring that every resident can receive only the best care. Edgewood Cedar View 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.
What does this home offer?
Minimum Age: 55 Years Old
Housing Options: Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Good Samaritan Sioux Valley Community near Watertown is a luxury senior living community. They provide comprehensive care focusing on assisted living levels of care with independent living and memory care. Many families have trusted the quality service the community has continuously provided for many seniors over the years. As a Good Samaritan Society, seniors can expect a worry-free lifestyle during their stay.
The Good Samaritan’s all-inclusive services and amenities include home-cooked meals, maintenance-free living, and housekeeping; social activities include gatherings at the community room, dining room, or chapel; wellness programs, religious services, an emergency response system, and housekeeping services are also offered.
What does this home offer?
Housing Options: Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Situated in the heart of Rapid City, South Dakota, Black Hills Care and Rehabilitation Center stands as a distinguished assisted living community. This reputable establishment proudly holds Medicare and Medicaid certification, ensuring high-quality care and comprehensive services for its residents.
At Black Hills Care and Rehabilitation Center, residents are embraced with compassion and personalized attention. With a dedicated team of professionals, the community strives to create a nurturing and comfortable environment where individuals can thrive.
Davis Court is an independent living community in Aberdeen, SD, that features thoughtfully furnished accommodations for older adults. The community’s warm and inviting environment ensures older adults’ comfort and safety. Maintenance services, housekeeping, and recreational opportunities help residents maintain their independence with ease. With its thoughtfully curated amenities, the community ensures residents can create meaningful moments in retirement.
Social gatherings and activities led by residents ensure they can live actively and make new friends. Spacious living areas and lively gathering spaces are also available, so residents can rest comfortably. Set in the quiet residential area of Aberdeen, near Manor Park, the community guarantees a stress-free retirement. This independent living community is committed to helping older adults thrive in retirement, making it one of the finest options for senior living in South Dakota.
What does this home offer?
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
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
Nearby Cities
Who we are
Your Senior Care Partner, Every Step of the Way
We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.
Contact us Today
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.
Feedback




















