Page 4 of Best Assisted Living in South Dakota

Why trust this guide? Our editorial team analyzed 92 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.
92 homes
Other senior care options in South Dakota:
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: 40/ 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

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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing.
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.
Alcester Care and Rehab Center
AL
NH
SNF
Alcester (Alcester Township)
41
Facility 41
SD AVG
Rank #59 / 70
No
14
Facility 14
SD AVG
Rank #63 / 73
1
Facility 1
SD AVG
Rank #3 / 64
Tiffany Miller
Park Place Assisted Living
AL
MC
Brookings
32Yes 82 1Liz Deberg
Wellshire Park Place
AL
Milbank
36No 64 1Keisha Dorscher
StoneyBrook Suites Assisted Living
AL
Sioux Falls
54No 47 1Jody Elton
The Wellshire Huron
AL
IL
Sw Huron
35No 68 1Laurie Solem
Edgewood Rapid City
AL
Rapid City
110No 6 1Jennifer Weyrich
Estelline Nursing and Care Center
AL
NH
E Estelline (Estelline Township)
60
Facility 60
SD AVG
Rank #35 / 70
No
22
Facility 22
SD AVG
Rank #54 / 73
1
Facility 1
SD AVG
Rank #3 / 64
Jason Hanssen
Good Samaritan Society – Echo Ridge
AL
IL
Rapid City
34No 11 1Lindsey Hixson
Trail Ridge Senior Living Community
AL
HC
IL
MC
SNF
Sioux Falls
72No 17 31Michelle Vernon
Countryside Living
AL
IL
Mitchell
50Yes 36 28Kathy Zoss

Rank badges are statewide: each community is ranked against every SD community we track that reports that metric, not just the 92 on this page. See how we rank facilities

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Overview of Alcester Care and Rehab Center

Owned by Stroschein Properties III LLC, Alcester Care and Rehab Center is a skilled nursing and rehabilitation facility in Alcester, South Dakota. The 41-bed home is located at 101 Church Street and serves residents who need ongoing nursing care and support during recovery after an illness or hospital stay. Medicare, Medicaid, and private pay are accepted, giving families several options for covering care costs.

The facility has an occupancy rate of 95%, where residents stay an average of about 523 days. The population is a mix of people receiving rehabilitation services and those needing longer-term nursing care.

Nurse staffing averages 3 hours and 43 minutes of nursing care each day. Registered nurses, nurse aides, and licensed practical or vocational nurses make up the care team. This level of support helps residents during recovery and assists those who need ongoing skilled nursing care and daily medical oversight.

The facility is located in a rural part of South Dakota. Alcester has a Walk Score of 14, making the area car-dependent. Most errands and visits require transportation. Families who prefer a smaller community setting may appreciate the town’s quieter environment.

Daily life is supported by practical amenities throughout the facility. Residents are served meals in a large dining room. Other features include a chapel, sun room, beauty shop, laundry services, and outdoor spaces such as a backyard area and gazebo, and residents and visitors can spend time together here.

Families looking for skilled nursing and rehabilitation care in a small-town setting should consider Alcester Care and Rehab Center for its nursing support, rehabilitation services, and on-site amenities that support short-term recovery and ongoing care needs.

Contact Alcester Care and Rehab Center

Overview of Park Place Assisted Living

Park Place Assisted Living is a senior living community in Reno, Nevada, that offers assisted living and independent living. Licensed as a Residential Facility for Groups and in operation for nearly 30 years, this 60-bed community has studio accommodations on a single-story campus.

The community currently has 41 of 60 beds occupied, representing an occupancy rate of 68%, which is below the state of Nevada’s average of 81.5%. Notably, occupancy has fluctuated over the years, reaching as high as 80% capacity during periods in 2024. Assisted living and independent living are among the living options provided, along with transportation services, housekeeping, fitness and recreation programming, and a pet-friendly environment within a studio-based, single-story layout.

Nevada’s Department of Health and Human Services, Bureau of Health Care Quality and Compliance, has inspected the community through annual surveys and complaint investigations since at least 2012, leading to a total of 33 inspections. Over that tracked window, the community has averaged approximately 10.2 deficiencies per year, which is about 44% above the Nevada average of 7.1 per year. Recurring themes include medication management, such as administration errors, unsecured medications, and incomplete medication records, along with staff training compliance regarding caregiver training timelines, elder abuse prevention, infection control, and cultural competency, as well as health and sanitation issues in food safety and kitchen practices.

Moreover, the most recent annual survey, conducted July 16, 2025, cited 14 deficiencies across administrator oversight, caregiver qualifications, medication documentation, TB screening, infection control program review, and first-aid kit compliance. Two substantiated complaint investigations are also on record, including the April 2025 investigation, which confirmed that six employees were performing blood sugar testing and insulin injections without documented training, a finding that coincided with a resident being hospitalized for critically low blood sugar. Another complaint investigation in December 2024 substantiated that a resident went without a prescribed medication for 15 days, resulting in withdrawal symptoms and an emergency room visit, and that a resident’s shower was not wheelchair accessible. However, no fines or license suspensions were listed in the available reports.

The location is situated in a car-dependent part of Reno with a Walk Score of 6, making personal transportation or the community’s own transportation services a practical necessity for most residents.

With a 29-year operating history and smaller scale, Park Place Assisted Living appeals to families seeking a more intimate yet established senior living option. However, interested families are advised to carefully consider the pattern of regulatory findings in recent years, particularly around medication management and staff training, when making a placement decision.

Contact Park Place Assisted Living

Overview of Wellshire Park Place

Wellshire Park Place is an assisted living community in Milbank, South Dakota, offering personal care, 24-hour nursing, and on-campus rehabilitation services. With a 36-bed capacity, the community provides care to older adults in Grant County.

Confirmed amenities include 24-hour nursing care, housekeeping services, fitness programming, music, art, games, and group outings. For a 36-bed rural community, the offering of rehabilitation services on-site helps reduce the need for residents to travel to larger centers for therapy. Lifestyle programming also includes fitness, music, art, games, and organized outings, reflecting a community that invests in the social and recreational dimensions of daily life alongside clinical care.

Its location at the Milbank city center, with a Walk Score of 64, places it among the more walkable assisted living choices in northeastern South Dakota, with a range of daily services accessible on foot.

Wellshire Park Place is great for older adults in Milbank and the broader Grant County area who need daily personal care assistance and value access to on-campus rehabilitation services in a walkable, community-centered location.

Contact Wellshire Park Place

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 The Wellshire Huron

The Wellshire Huron offers assisted living and independent living in Huron, South Dakota. Assisted living includes help with daily tasks such as dressing, bathing, and medication while a resident keeps a private living space. Independent living provides private living with community services and no daily care, so the two care levels may suit someone whose needs could grow over time without requiring a move to another community.

With 35 beds, the community has a smaller setting where staff and residents can get to know each other. On Campus Rehabilitation provides rehabilitation services within the community, allowing a resident to receive those services without arranging transportation elsewhere.

A Walk Score of 68 means the area is somewhat walkable, with some errands possible on foot. A resident who no longer drives may be able to handle certain outings independently. Laurie Solem serves as the administrator.

Contact The Wellshire Huron

Overview of Edgewood Rapid City

Edgewood Rapid City is an assisted living community in Rapid City, South Dakota. Assisted living provides help with daily tasks such as dressing, bathing, and medication while residents keep their own living space. For someone who needs that support, Edgewood Rapid City may be a good fit. The community has 110 beds, and Jennifer Weyrich serves as its administrator.

Respite care and Short-Term Stays provide temporary care arrangements for a family caregiver who needs time to travel or recover. Adult Day Services offer care during the daytime, while rehabilitation services can support a resident working to regain or maintain function. Dining includes homemade meals based on individual likes, along with healthy options approved by a dietitian, so meals can reflect both personal preferences and dietary guidance.

Contact Edgewood Rapid City

Overview of Estelline Nursing and Care Center

Estelline Nursing and Care Center is a nursing home and assisted living community in Estelline, South Dakota. Nursing home care provides ongoing nursing support, while assisted living helps with daily tasks such as bathing, dressing, and medication management. Having both care types may make the community a good fit for a resident whose needs could grow over time, since care can continue within the same community.

The center has 60 beds, with 94% currently occupied, so most beds are in use. Total nurse staffing is 2 hours and 35 minutes per resident per day, representing the daily nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted. Jason Hanssen serves as administrator.

Contact Estelline Nursing and Care Center

Overview of Good Samaritan Society – Echo Ridge

The Good Samaritan Society in Echo Ridge is one of the trusted senior living communities in Rapid City. They provide a range of comprehensive care that focuses on assisted living places and various assisted living levels of care which includes independent living. 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, o r chapel; wellness programs, religious services, an emergency response system, and housekeeping services are also offered.

Contact Good Samaritan Society – Echo Ridge

Overview of Trail Ridge Senior Living Community

Trail Ridge Senior Living Community is a vibrant community with an energetic atmosphere. The senior living community offers housing for independent living, assisted living, and memory care; they are a not-for-profit faith-based community. Trail Ridge understands that individuals are unique and have their own needs, which is why they provide innovative ways to attend to their residents as soon as possible. During their 27 years of service, they have gained the trust of many families in South Dakota. 
Their calendar-filled engaging social and educational activities maximize the community amenities that keep residents stimulated and an enhanced standard of living through their amenities such as the 24-hour emergency communication system, game room, and library available/

Contact Trail Ridge Senior Living Community

Overview of Countryside Living

Countryside Living is a retirement community that houses assisted living and independent living where its services and community features are designed with the thought of ensuring that residents maintain an active lifestyle with endless opportunities. The community’s goal is to ensure that their residents live every day as a way to live a purposeful living as individuals who are constantly growing and learning as they begin their new journey. Countryside Living is the ideal place for comfort, convenience, and choice– with the help of their professional care staff dedicated to attending to your needs.
The countryside lifestyle is inclusive of ADLs, scheduled activities, and medical supervision. 

Contact Countryside Living

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.
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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 92 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.