Other senior care options in South Dakota:

Best Assisted Living in South Dakota

Why trust this guide? Our editorial team analyzed 91 assisted living communities in South Dakota using South Dakota Department of Health (DOH) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in SD
Reviewed by
Last updated
Jun 2026
We analyzed
91 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: 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: 69The 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

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

Pine Hills Retirement Community
AL
IL
Hot Springs
78
Facility 78
SD AVG 69
Rank #38 / 117
No
0
Facility 0
SD AVG 39
Rank #149 / 159
-
1
Facility 1
SD AVG 8
Rank #14 / 51
Vickie Nekuda
Edgewood Pierre
AL
ADC
MC
Pierre
86
Facility 86
SD AVG 69
Rank #27 / 117
Yes
6
Facility 6
SD AVG 39
Rank #143 / 159
Studio / 1 Bed / 2 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
Melissa Johnson
The Village at Skyline Pines Assisted Living & Memory Care
AL
MC
Rapid City
116
Facility 116
SD AVG 69
Rank #9 / 117
No
32
Facility 32
SD AVG 39
Rank #90 / 159
1 Bed / 2 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
Kelli Back
The Village of Harmony Hill
AL
ADC
IL
MC
Watertown (Sheridan Township)
104
Facility 104
SD AVG 69
Rank #19 / 117
Yes
0
Facility 0
SD AVG 39
Rank #149 / 159
Studio / 1 Bed / 2 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
Krista Beauchamp
Avera Mother Joseph Manor Retirement Community
AL
HC
IL
NH
Aberdeen
81
Facility 81
SD AVG 69
Rank #32 / 117
Yes
31
Facility 31
SD AVG 39
Rank #93 / 159
1 Bed / 2 Bed
29
Facility 29
SD AVG 8
Rank #6 / 51
Paula Henrickson
Bethesda Towne Square
AL
HC
NC
NH
RC
Aberdeen (Melrose Addition)
52
Facility 52
SD AVG 69
Rank #65 / 117
Yes
21
Facility 21
SD AVG 39
Rank #111 / 159
Suite
1
Facility 1
SD AVG 8
Rank #14 / 51
Scott Eisenbeisz
Arrowhead Lodge Senior Living
AL
IL
RC
Rapid City
48
Facility 48
SD AVG 69
Rank #76 / 117
No
12
Facility 12
SD AVG 39
Rank #127 / 159
1 Bed / 2 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
Sheila Gehring
Ponderosa Lodge Senior Living
AL
IL
RC
Sioux Falls
76
Facility 76
SD AVG 69
Rank #42 / 117
No
30
Facility 30
SD AVG 39
Rank #99 / 159
1 Bed / 2 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
Martina Castle
Avera Maryhouse
AL
HC
NH
Pierre
67
Facility 67
SD AVG 69
Rank #49 / 117
Yes
60
Facility 60
SD AVG 39
Rank #39 / 159
Private Rooms / Semi-Private Rooms
1
Facility 1
SD AVG 8
Rank #14 / 51
Talli Raske
Edgewood Watertown
AL
IL
Watertown
66
Facility 66
SD AVG 69
Rank #50 / 117
No
18
Facility 18
SD AVG 39
Rank #117 / 159
Private Rooms
1
Facility 1
SD AVG 8
Rank #14 / 51
Jackie Clark
Edgewood Prairie Crossings Assisted Living
AL
Sioux Falls
68
Facility 68
SD AVG 69
Rank #45 / 117
No
31
Facility 31
SD AVG 39
Rank #93 / 159
Private / Semi-Private Rooms
1
Facility 1
SD AVG 8
Rank #14 / 51
Carmen Dougherty
Good Samaritan Society – Echo Ridge
AL
IL
Rapid City
34
Facility 34
SD AVG 69
Rank #108 / 117
No
11
Facility 11
SD AVG 39
Rank #131 / 159
Private Rooms
1
Facility 1
SD AVG 8
Rank #14 / 51
Lindsey Hixson
Meadow Lake Assisted Living
AL
IL
Watertown
16
Facility 16
SD AVG 69
Rank #115 / 117
No
0
Facility 0
SD AVG 39
Rank #149 / 159
1 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
Chasity Chandler
Fountain Springs Healthcare Center
AL
IL
NH
Rapid City
10
Facility 10
SD AVG 69
Rank #116 / 117
No
16
Facility 16
SD AVG 39
Rank #120 / 159
Private Rooms / Semi-Private Rooms
1
Facility 1
SD AVG 8
Rank #14 / 51
Kristine Harvey
Derian Place Senior Living
AL
RC
Aberdeen
28
Facility 28
SD AVG 69
Rank #113 / 117
No
65
Facility 65
SD AVG 39
Rank #25 / 159
Studio / 1 Bed / 2 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
Tandy Mckiver
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Overview of Meadow Lake Assisted Living

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.

Contact Meadow Lake Assisted Living

Overview of Peaceful Pines Senior Living Community

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. 

Contact Peaceful Pines Senior Living Community

Vista Care

125 W Pleasant Dr #1, Pierre, SD 57501
Overview of Vista Care

Designed with an accessible layout, Vista Care is a single-story residential community that eliminates stairs and multiple levels. This can be especially valuable for residents with mobility considerations or those preferring a simpler floor plan to navigate. Such a design choice is practical for daily living and movement ease throughout the home.

The community is an average walkable neighborhood, grading 63 out of 100 on the Walk Score scale. This implies some everyday errands can be done on foot, with a mix of nearby amenities within a reasonable distance. Visiting family and residents will find certain shops and services walkable, while most destinations still need a quick drive. For those who enjoy some walkability but also value a quieter, more residential setting, this neighborhood balance can work well. There are enough walking distance zones to feel connected to the community, with no traffic from a heavily urban area.

The single-story setting mixed with moderate walkability builds an environment best for residents who seek accessibility and a neighborhood feel. For families considering Vista Care, visiting in person will paint the clearest picture of how its layout, neighborhood character, and everyday life align with your preferences in a senior living community.

Contact Vista Care

Overview of Fountain Springs Healthcare Center

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. 

Contact Fountain Springs Healthcare Center

Overview of Dakota Heritage House

Located on East Dakota Avenue, Dakota Heritage House is an assisted living community in Pierre, South Dakota, that provides assistance with activities of daily living. This community also features a single-story building.

With a Walk Score of 57, the community’s surrounding area is relatively walkable, with few errands available within walking distance. This also benefits visiting families, as they can easily access some services and destinations on foot.

For better information about Dakota Heritage House’s care levels, services, amenities, lifestyle programming, and payment options, families exploring care options are encouraged to contact the community directly or visit in-person.

Contact Dakota Heritage House

Overview of Good Samaritan Sioux Valley Community

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.

Contact Good Samaritan Sioux Valley Community

Overview of Davis Court

Located on 9th Avenue Northeast, Davis Court is an independent living community in Aberdeen, South Dakota. The community has private and semi-private rooms in a single-story setting. Transportation and maintenance services are also offered to help residents maintain their independence.

Recreational opportunities and wellness programs promote socialization and encourage residents to live actively. Spacious common areas are also available for residents’ leisure. Its surrounding area also earned a Walk Score of 41, allowing residents to access nearby services on foot. However, transportation is still required for most amenities. Davis Court is also located near Manor Park in Aberdeen, providing residents with options for leisure in the area.

Contact Davis Court

Overview of Washington Crossing

Washington Crossing is a remarkable senior living retirement community located in Sioux Falls, South Dakota. This community offers a collected and well-designed environment, providing a perfect setting for seniors to thrive. With top-notch assisted living facilities, Washington Crossing ensures comfort and convenience for residents. From state-of-the-art senior housing to a caring and dedicated staff, every aspect of Washington Crossing aims to enhance the senior living experience. 
From a library and fitness center to a postal center and convenience store, every convenience is within reach. A lounge area provides a space for relaxation and socialization. For those seeking solace and spiritual fulfillment, a chapel is also available. Additional features include a beauty salon and heated underground parking, adding convenience and luxury to daily life. With an on-call registered nurse available 24/7 and comprehensive medication management, residents receive the utmost care and attention.

Contact Washington Crossing

Overview of Angelhaus North

Angelhaus North is an assisted senior living facility nestled in the heart of Aberdeen, South Dakota. They offer a comprehensive range of care services, including assisted living homes, memory care units, and behavioral health, all authorized and certified by the department of health to provide the highest level of care.

At Angelhaus North, the focus is on going above and beyond for the residents. From scheduled transportation and housekeeping to life-enriching activities and medication management, every aspect of their daily lives is taken care of with the utmost attention and dedication. The facility’s commitment to compassionate care extends to specialized services like oxygen care and hospice care coordination, ensuring that residents receive the support they need during every stage of their journey.

Contact Angelhaus North

Overview of Countryside Hospice Support & Memory Center

Countryside Hospice Support and Memory Center is a resident-focused senior care in a home-like setting. The staff is committed to advocating for the health of its residents, ensuring that they receive the best care possible through family-like treatment. The nurturing approach ensures a blossoming trust and respect between caregiver and senior, ideal for those who seek comfort and flexibility in a nurturing environment.

Countryside Hospice Support empathizes and emphasizes the importance of genuine care and wellness; residents are encouraged to be engaged and enriched with recreational activities, socialization, wellness plans, ADLs, and stimulating memory care activities.

Contact Countryside Hospice Support & Memory Center

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 91 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.