Other senior care options in South Dakota:

Page 5 of Best Assisted Living in South Dakota

Why trust this guide? Our editorial team analyzed 86 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
Reviewed by
Last updated
Jul 2026
We analyzed
86 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: 42/ 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

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 to lowest based on our ranking methodology.

Avera Maryhouse
AL
HOS
NH
Pierre
67
Facility 67
SD AVG 69
Rank #49 / 117
Yes
60
Facility 60
SD AVG 42
Rank #39 / 149
Private Rooms / Semi-Private Rooms
1
Facility 1
SD AVG 4
Rank #14 / 105
-Talli Raske
Touchmark at All Saints
AL
IL
MC
Sioux Falls (All Saints)
153
Facility 153
SD AVG 69
Rank #5 / 117
Yes
80
Facility 80
SD AVG 42
Rank #14 / 149
-
32
Facility 32
SD AVG 4
Rank #2 / 105
A+Amanda Snoozy
The Inn on Westport
AL
IL
MC
RC
Sioux Falls
140
Facility 140
SD AVG 69
Rank #6 / 117
No
63
Facility 63
SD AVG 42
Rank #34 / 149
-
30
Facility 30
SD AVG 4
Rank #4 / 105
A+Jill Dykstra
Bethesda Home of Aberdeen
AL
HC
NH
RC
SNF
Aberdeen (Aberdeen Township)
86
Facility 86
SD AVG 69
Rank #27 / 117
No
85
Facility 85
SD AVG 42
Rank #1 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Scott Eisenbeisz
Bethany Home Sioux Falls/Bethany Home-Brandon
AL
IL
MC
NH
SNF
Sioux Falls
112
Facility 112
SD AVG 69
Rank #11 / 117
No
65
Facility 65
SD AVG 42
Rank #25 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Amanda Peterson
Alcester Care and Rehab Center
AL
NH
SNF
Alcester (Alcester Township)
41
Facility 41
SD AVG 69
Rank #94 / 117
No
14
Facility 14
SD AVG 42
Rank #122 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Tiffany Miller
Oakview Terrace
AL
ADC
IL
MC
NH
Freeman
45
Facility 45
SD AVG 69
Rank #82 / 117
No
26
Facility 26
SD AVG 42
Rank #106 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Courtney Unruh
Menno-Olivet Care Center
AL
HOS
NH
RC
SNF
Menno
41
Facility 41
SD AVG 69
Rank #94 / 117
No
13
Facility 13
SD AVG 42
Rank #123 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Aisha Abbink
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 42
Rank #90 / 149
1 Bed / 2 Bed
1
Facility 1
SD AVG 4
Rank #14 / 105
-Kelli Back
Westhills Village
AL
HC
IL
NH
PC
SNF
Rapid City (Texas Street)
44
Facility 44
SD AVG 69
Rank #90 / 117
No
21
Facility 21
SD AVG 42
Rank #111 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Kelsey Bertsch
Legends at Lake Lorraine
AL
IL
MC
Sioux Falls
185
Facility 185
SD AVG 69
Rank #2 / 117
Yes
43
Facility 43
SD AVG 42
Rank #70 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Kyrsten Fokken
Good Samaritan Society – Sioux Falls Village
AL
IL
MC
NH
Sioux Falls (South Marion Road)
177
Facility 177
SD AVG 69
Rank #3 / 117
No
50
Facility 50
SD AVG 42
Rank #58 / 149
--A+Thomas Fraser
Edgewood Brookings
AL
ADC
MC
Brookings
50
Facility 50
SD AVG 69
Rank #68 / 117
No
55
Facility 55
SD AVG 42
Rank #48 / 149
-
30
Facility 30
SD AVG 4
Rank #4 / 105
A+Shannon Loehr
Ponderosa Lodge Senior Living
AL
IL
RC
Sioux Falls
76
Facility 76
SD AVG 69
Rank #42 / 117
No
30
Facility 30
SD AVG 42
Rank #99 / 149
1 Bed / 2 Bed
1
Facility 1
SD AVG 4
Rank #14 / 105
-Martina Castle
Edgewood Prairie Crossings Assisted Living
AL
Sioux Falls
68
Facility 68
SD AVG 69
Rank #45 / 117
No
31
Facility 31
SD AVG 42
Rank #93 / 149
Private / Semi-Private Rooms
1
Facility 1
SD AVG 4
Rank #14 / 105
-Carmen Dougherty
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Overview of Pine Hills Retirement Community

Pine Hills Retirement Community is one of the most trusted senior living communities in South Dakota. Independent living and assisted living housing options are offered to seniors. Its staff has always aimed to provide a well-respected senior living community that provides exceptional service to seniors that may need financial assistance; its dedicated team of professionals accommodates independent living and assisted living. Pine Hills is an elegant community that ensures that residents of both living options are able to feel dignified by the inclusive and caring environment. 
They offer a range of services and amenities, including dining, scheduled activities, and medical activities. 

Contact Pine Hills Retirement Community

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

StoneyBrook Suites Assisted Living is an assisted living community in Sioux Falls, South Dakota, offering personal care services for older adults. The 54-bed community is a recently remodeled residential setting near the eastern edge of the Sioux Falls metro area. As a community with approximately one year of licensed operation, it features updated surroundings and a contemporary approach to assisted living in South Dakota’s largest city.

The community has undergone significant remodeling, featuring amenities such as a state-of-the-art theater, an in-house coffee shop, and updated suites with studio, one-bedroom, and two-bedroom floor plan options. Meanwhile, the care model encompasses nursing and wellness services, restorative therapy, and dietary support, with personalized care plans tailored to individual needs.

Featuring updated, thoughtfully designed living spaces, StoneyBrook Suites Assisted Living is well-suited for older adults in the Sioux Falls area who value a modern approach to assisted living, particularly those who prefer a smaller community setting with individualized care attention. The restorative therapy also makes it a good option for older adults recovering from illness, but who do not require skilled nursing care yet.

Contact StoneyBrook Suites Assisted Living

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 Primrose Retirement Communities

Primrose Retirement Communities, situated in Aberdeen, South Dakota, offer a range of living options, including luxurious Townhome villas, spacious Independent Living apartments, and comfortable Assisted Living apartments. The exceptional care and compassion demonstrated by dedicated employees are a testament to the quality of the assisted living community. 

Primrose Retirement Communities is dedicated to assisting residents in achieving their personal goals and regaining optimal well-being.

Contact Primrose Retirement Communities

Overview of Morningstar Assisted Living of Rapid City

Morningstar Assisted Living Community, situated in the heart of Rapid City, South Dakota, offers a welcoming and supportive environment for seniors requiring assistance with daily living tasks. Rather than a clinical facility, it provides a sense of home. The dedicated staff ensures personalized care while residents enjoy delicious meals.

Engaging activities foster a sense of family and belonging, making Morningstar Assisted Living a place where seniors thrive and find comfort in their golden years.

Contact Morningstar Assisted Living of Rapid City

Overview of Dolan Creek Senior Living

Dolan Creek Senior Living is an assisted living community in Sturgis, South Dakota, providing assistance with daily living activities. This 60-bed community is administered by Teresa Henderson, serving adults aged 55 and older. It is designed primarily for private-pay residents and focuses on creating a lifestyle-oriented environment, with restaurant-quality dining and social activities.

Three restaurant-style meals daily are provided, along with professional medication administration, housekeeping services, weekly laundry and linen service, and access to a full calendar of social and recreational activities. Accommodations include private and companion suites with individual climate controls, while common spaces are designed to encourage comfort and social interaction. A physician on staff and 24-hour nursing support also provide a stronger clinical presence than many assisted living communities of similar size. The community also maintains a 24-hour visiting policy, offering families unusually flexible access to loved ones.

Focusing on dining quality, active programming, and transparent communication, Dolan Creek Senior Living is particularly well-suited for private-pay older adults in Sturgis and throughout Meade County who value a hospitality-focused assisted living environment with extensive amenities, continuous clinical oversight, and flexible family visitation.

Contact Dolan Creek Senior Living

Overview of Countryside Living

Countryside Living is a senior living community in Mitchell, South Dakota, offering independent living, assisted living, and rehabilitation services. This 50-bed community has been in operation for 25 years in the Mitchell area, bringing an established track record and deep local roots compared to similar yet newer senior care providers.

Confirmed services include licensed nurses and CNAs on staff, 24-hour staffing, housekeeping, dining services, scheduled transportation, on-site security, and assistance with daily tasks. All utilities are also included. Both assisted living and independent living are offered, supporting flexibility for residents whose care needs evolve.

With a Walk Score of 81, the community holds one of the highest walkability ratings of any assisted living option in South Dakota, suggesting that most daily errands are available on foot from the North Wisconsin Street address near Mitchell’s city center. This is a meaningful quality-of-life advantage for residents who maintain their mobility, and a practical convenience for visiting family members.

Countryside Living is a great option for older adults in Mitchell and Davison County who value a long-established, community-rooted senior living option with strong walkability, flexible care levels, and comprehensive daily support services. With over 25 years of operating history in Mitchel, the community ensures stability and familiarity with the needs of the local older adult population.

Contact Countryside Living

Overview of Pine Hills Retirement Community

Pine Hills Retirement Community is an assisted living community in Hot Springs, South Dakota, that provides personal care. Managed by Vickie Nekuda, this 78-bed community is the only assisted living provider featured in local Fall River County comparison data. It also serves as a vital resource for older adults throughout the Southern Black Hills region.

The dining experience here is distinctively elevated, with meals prepared by an on-site chef and supervised by a state-licensed nutritionist, making it stand out among others that use outsourced catering. This culinary approach also aligns with a comprehensive wellness philosophy that encompasses independent living, assisted living, medical services, rehabilitation services, tailored wellness programming for older adults, and a calendar of social events. Additionally, licensed nurses and CNAs provide around-the-clock staffing coverage.

With a Walk Score of 52, the location is in a moderately walkable neighborhood in Hot Springs, allowing residents to manage certain daily errands on foot while enjoying convenient access to the town center. Meanwhile, its placement within Fall River County also offers proximity to the Veterans Administration Black Hills Health Care System, appealing to veteran residents and families exploring VA Aid and Attendance benefits.

Pine Hills Retirement Community is a great option for older adults in Hot Springs and the surrounding Fall River County area looking for an independent or assisted living lifestyle centered on wellness, chef-driven dining, and professional clinical support in a premier senior living destination.

Contact Pine Hills Retirement Community

Overview of Good Samaritan Society – St Martin Village

Good Samaritan Society – St. Martin Village is a nursing home in Rapid City, South Dakota, offering independent living, assisted living, long-term care, rehabilitation, and respite care. This 60-bed community is operating as part of the Evangelical Lutheran Good Samaritan Society, one of the nation’s largest nonprofit senior care organizations. This reflects a mission-centered approach focused on compassionate care and supportive living.

The community received the Bronze National Quality Award from the American Health Care Association in both 2023 and 2024, recognizing ongoing efforts toward performance improvement and quality care standards. On the other hand, registered nurse staffing significantly exceeds South Dakota averages, with both weekday and weekend RN coverage standing well above statewide benchmarks. Physical therapy staffing is also notably strong, offering therapy hours substantially higher than average and supporting residents recovering from illness, surgery, or hospitalization. Nursing and nurse aide overall hours also remain below state averages.

For a community of its size, the community’s amenities are notably extensive, which include walking trails, a wellness center, guest housing, and private dining spaces. Three daily meals are included, while volunteer opportunities and religious services are aligned with its faith-based mission. Studio, one-bedroom, and two-bedroom options are available, with monthly pricing varying based on apartment style and level of care. Rehabilitation therapy and respite care are also offered.

Located in a highly walkable area of Rapid City with a Walk Score of 83, the community has convenient access to nearby services, amenities, and neighborhood destinations, making it one of the more accessible senior living campuses in western South Dakota.

Good Samaritan Society – St. Martin Village is well-suited for older adults seeking a faith-oriented community that combines multiple levels of care, strong RN oversight, rehabilitation support, and a broad range of lifestyle amenities under one roof.

Contact Good Samaritan Society – St Martin Village

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 86 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.