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Page 5 of Best Assisted Living in South Dakota

Why trust this guide? Our editorial team analyzed 90 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
Jul 2026
We analyzed
90 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
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

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

Overview of Good Samaritan Society – Prairie Creek

Good Samaritan Society – Prairie Creek is a trusted and compassionate home located in Sioux Falls, South Dakota. Here, seniors can truly embrace carefree living in their assisted living homes and memory care private homes. Central heating and air conditioning, as well as emergency response systems, provide residents of both the assisted living homes and memory care private homes with comfort and security. Transportation services are available to ensure easy access to appointments and outings. 
Amenities in this home are abundant, offering residents a diverse range of opportunities for engagement and enjoyment. The community features a chapel for spiritual enrichment, a salon for personal care, and a swimming pool for recreation. A library invites residents to indulge in reading and learning, while a wellness center and whirlpool offer opportunities for relaxation and rejuvenation. Walking trails beckon residents to explore the beautiful surroundings and maintain an active lifestyle.

Contact Good Samaritan Society – Prairie Creek

Overview of Legends at Lake Lorraine

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.

Contact Legends at Lake Lorraine

Overview of Meadow Lake Assisted Living

Offering both independent living and assisted living in Watertown, South Dakota, Meadow Lake Assisted Living is a small 16-bed senior living community. The single-story residence provides one-bedroom housing. It has been operating for about a year. Chasity Chandler serves as the community’s administrator.

Transportation services for residents include rides to and from medical appointments. Housekeeping and laundry support help with daily tasks, while fitness and recreation programs give residents ways to stay active. Care plans are shaped around each person’s needs, and help is available for daily living activities.

The community is in a car-dependent area of Watertown, so most errands and outings require a vehicle. For families comparing independent living and assisted living, Meadow Lake offers both care levels in one setting. Residents can easily adjust with support without moving to a different community.

Contact Meadow Lake Assisted Living

Overview of The Village of Harmony Hill

The Village of Harmony Hill offers independent living, assisted living, and memory care services that lead to a vibrant residential lifestyle focused on receiving world-class hospitality. The retirement home promotes a youthful and energetic atmosphere that promotes a lifestyle that strives for holistic wellness. At the senior living home, seniors can continue enjoying and fulfilling their interests and needs.

The Village aims to build a habit of working towards the wellness of its residents in a positive and friendly spirit. The upscale home’s accommodations offer opportunities and inspiration that promote a continuum of growth found in scenic outdoor spaces, an ecumenical chapel, and an exquisite dining area. These include weekly housekeeping and laundry, outings and activities, delicious and nutritious meals daily, and specialized programs performed by in-house caregivers.

Contact The Village of Harmony Hill

Overview of The Wellshire Huron

The Wellshire Huron invites seniors to discover an exceptional sanctuary in the heart of South Dakota, where the perfect balance between assisted and independent living is found. Embrace peace of mind with the dependable 24-hour emergency call system, ensuring that help is always readily available. The home also boasts individually controlled temperature settings, spacious closets, and convenient refrigerators, offering a haven of comfort.
Every dish is a testament to the culinary excellence that defines this exceptional community. Residents can also engage in captivating arts and crafts, embark on invigorating fitness adventures, or let the enchanting melodies of music resonate within them. Here, passions are nurtured, and new interests are embraced. Nature enthusiasts will find solace in the raised garden beds, providing an opportunity to cultivate and connect with the beauty of the outdoors. Off-site excursions also allow residents to explore and immerse themselves in the breathtaking surroundings, creating unforgettable memories.

Contact The Wellshire Huron

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 Benet Place Senior Apartments

Overlooking the spectacular views of Watertown, SD, Benet Place Senior Apartments is a serene senior living community, offering a peaceful and nurturing environment for independent living. Here, residents are guaranteed a care-free, zero-maintenance living with lawn care, gardening, maintenance, and snow removal handled by the community’s attentive maintenance team. The community features 38 beautifully designed apartments that offer residents utmost comfort and a peaceful space for relaxation or inviting friends and family over.

The community also makes room for vibrant and engaging activities, including daily exercise classes, social activities, arts & crafts classes and more. Hearty meals and nourishing snacks are also offered to make sure residents are always full and happy. Convenient services, such as housekeeping, lawn care, and snow removal are also available to make residents’ living experience more comfortable and carefree.

Contact Benet Place Senior Apartments

Overview of Good Samaritan Sioux Valley Community

Part of the Good Samaritan Society network, Good Samaritan Sioux Valley Community is a senior living community in Watertown, South Dakota, about a mile from the city center. The community offers both independent living and assisted living.

The single-story community features private rooms, giving residents their own living space while keeping everything conveniently on one level. Home-cooked meals, housekeeping, and maintenance-free living are all offered here. Residents can spend less time on household tasks and more time enjoying the community.

Residents gather in the community room, dining room, and chapel for social events, wellness programs, religious services, and fitness and recreation activities. There’s an emergency response system that provides an added level of safety, while transportation services make it easier to get to appointments and local errands without driving.

The neighborhood has a Walk Score of 65, so some nearby shops and services can be reached on foot while other destinations are easier to reach by car. This setting works well for residents who enjoy walking and for families looking for nearby places to visit.

Families interested in Good Samaritan Sioux Valley Community should ask directly about the level of personal and medical care available. Publicly available sources describe the community differently in this area.

Contact Good Samaritan Sioux Valley Community

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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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 90 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.