Page 5 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. RC (Respite Care): Short-term temporary care that gives family caregivers a break. 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
Strand-Kjorsvig Community Rest Home
AL
HOS
NH
RC
SNF
Roslyn (Raritan Township)
33
Facility 33
SD AVG
Rank #68 / 70
No
22
Facility 22
SD AVG
Rank #54 / 73
1
Facility 1
SD AVG
Rank #3 / 64
Samuel Van Voorst
Trail Ridge Retirement Community
AL
HC
IL
MC
SNF
Sioux Falls
72No 13 1Michelle Vernon
Good Samaritan Society – Sioux Falls Village
AL
IL
MC
NH
Sioux Falls
177
Facility 177
SD AVG
Rank #2 / 70
No
50
Facility 50
SD AVG
Rank #29 / 73
-Thomas Fraser
The Village of Harmony Hill
AL
ADC
IL
MC
Watertown (Sheridan Township)
104Yes-1Krista Beauchamp
Bethany Home Sioux Falls
AL
IL
MC
NH
SNF
Sioux Falls
28
Facility 28
SD AVG
Rank #69 / 70
No
41
Facility 41
SD AVG
Rank #36 / 73
1
Facility 1
SD AVG
Rank #3 / 64
Amanda Peterson
Edgewood in Sioux Falls Assisted Living
AL
Sioux Falls (Oak View)
48No 22 1Susan Huver
Good Samaritan Society – Prairie Creek
AL
ADC
HC
HOS
IL
MC
RC
Sioux Falls
32No 38 1Kelsey Nicola
The Wellshire Park Place
AL
Milbank
36No 27 1Keisha Dorscher
Meadows on Sycamore Inc.
AL
MC
NH
Sioux Falls (Oak View)
45No 47 1Tracey Hughes
Sun Dial Manor
AL
NH
SNF
Bristol
37
Facility 37
SD AVG
Rank #63 / 70
No
16
Facility 16
SD AVG
Rank #61 / 73
1
Facility 1
SD AVG
Rank #3 / 64
Joy Voss

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 Strand-Kjorsvig Community Rest Home

Strand-Kjorsvig Community Rest Home offers nursing home and skilled nursing care, assisted living, hospice care, and respite care in Roslyn, SD. Assisted living includes help with bathing, dressing, and medication management, while nursing and skilled nursing provide licensed nursing support. Hospice care is available for residents needing end of life care, and respite care offers a short stay when a usual caregiver needs time away or recovery.

The home has served the community since 1957 and has 33 beds. Its smaller size may suit someone who prefers a setting where staff and residents can get to know each other. Families can also consider ongoing and short term support within one community.

Private rooms and couples’ suites give one resident a private room or allow two people to move in together. Rehabilitation and short term rehabilitation are available for residents needing therapy during a recovery focused stay, and transportation is provided for medical appointments. Medicaid, Medicare, and private pay are accepted: Medicaid may help when savings will not cover a long stay, while Medicare generally applies to short term skilled care after a hospital stay rather than long term residence. Total nurse staffing is 4 hours 13 minutes per resident per day, representing the daily nurse time allocated to each resident, and Samuel Van Voorst serves as administrator.

Contact Strand-Kjorsvig Community Rest Home

Overview of Trail Ridge Retirement Community

Trail Ridge Retirement Community is a senior living community in Sioux Falls, South Dakota, offering independent living, assisted living, and memory care. This 72-bed community is licensed in Lincoln County in 2025, making it one of the newer senior care providers in the area.

Rehabilitation services, licensed nurses, and CNAs on staff, home care services, and wellness programs are provided, along with various living options, including independent living, assisted living, and memory care, under one roof. Additionally, Home care services extend the community’s reach beyond the building itself, offering flexibility for older adults who may not yet be ready for full residential placement.

Its location on Ralph Rogers Road, in southwest Sioux Falls, carries a Walk Score of 13, reflecting a car-dependent neighborhood where most errands and services will require transportation. Families visiting from the Sioux Falls metro area or surrounding Lincoln County neighborhoods are encouraged to plan travel accordingly.

Trail Ridge Retirement Community is ideal for older adults seeking a mid-sized community that spans independent living through memory care in the Sioux Falls and Lincoln County area, particularly those who value licensed clinical staff on-site and home care services as a transitional option.

Contact Trail Ridge Retirement Community

Overview of Good Samaritan Society – Sioux Falls Village

Good Samaritan Society in Sioux Falls Village is an incredible senior living community that offers a comprehensive range of care services, including assisted living places and various assisted living levels of care. From affordable housing and independent living to rehabilitation and memory care, they cater to the diverse needs of seniors at every stage of life.
This exceptional home ensures that residents have access to the support they require, whether it’s in the form of personalized assistance with daily activities or specialized memory care for those facing cognitive challenges. Residents can enjoy the freedom and flexibility to personalize their living spaces within the assisted living places, adding their own cherished furnishings and personal touches. In addition to the comfortable and inviting accommodations, the community offers a wealth of amenities, including a well-stocked library, a serene chapel, and a refreshing indoor pool. For those seeking to prioritize their well-being, a state-of-the-art wellness center provides opportunities for fitness and personal growth.

Contact Good Samaritan Society – Sioux Falls Village

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 Bethany Home Sioux Falls

Bethany Home Sioux Falls stands out as a beacon of exceptional care, firmly rooted in Christian values and boundless love. With a rich heritage of providing outstanding services, this home offers an array of amenities that elevate the senior living experience. Here, residents savor the delights of chef-prepared meals, tantalizing their taste buds and nourishing their bodies. The carefully curated social and recreational programs provide ample opportunities for residents to engage in meaningful interactions, fostering a vibrant community spirit. Safety is paramount, as evidenced by the round-the-clock emergency response system and meticulous medication administration, giving residents and their families peace of mind.

The home proudly extends its heartfelt commitment to serving seniors through their exceptional assisted living services. They diligently uphold all nursing home rules and regulations. They adhere to the highest standards of care and operate with strict compliance to ensure the safety, well-being, and comfort of every resident. By following these comprehensive guidelines, they create an environment where residents can thrive, families can trust, and quality of care remains paramount. Bethany Home Sioux Falls stands as a shining example of a compassionate and well-regulated senior living community. With also a focus on assisted living for veterans and an unwavering commitment to upholding nursing home standards, they ensure that residents receive the utmost care and support they deserve.

Contact Bethany Home Sioux Falls

Overview of Edgewood in Sioux Falls Assisted Living

Forty-eight beds, one year in operation, and a spot in the Oak View neighborhood of Sioux Falls at 3409 E 5th St: that’s Edgewood in Sioux Falls Assisted Living in its basic shape. A car is close to mandatory here; the Walk Score sits at 22 and that is solidly car-dependent, so residents’ visitors should plan on driving rather than walking to nearby services.

Forty-eight beds puts this in a middle-ground size category. Not so small that amenities feel thin, not so large that it loses a personal feel entirely.

What’s on offer leans toward flexibility rather than a single fixed care path. Respite care covers short-term needs when a family needs a temporary break or bridge. Licensed nurses and CNAs are on staff, which matters for anyone weighing how much clinical support is actually available day to day. Short-term stays and adult day services round things out, giving people options that don’t require committing to a full-time move right away.

No pets here; that’s worth knowing upfront if that’s part of the decision. Edgewood reads less like a single-purpose assisted living facility and more like a flexible entry point: respite, short stays, adult day support, and licensed nursing staff, all built for residents and families who need options rather than one fixed path forward.

Contact Edgewood in Sioux Falls Assisted 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 The Wellshire Park Place

The Wellshire Park Place is a charming haven in South Dakota that caters to vibrant hearts in their golden years. This exceptional residence not only offers the utmost autonomy and security but also serves as a gateway to self-discovery and renewed passions. A registered dietitian ensures their nutritional needs are met, while meticulous medication management services guarantee peace of mind. Restorative therapy and wellness visits, overseen by our dedicated licensed nurse, restore vitality and well-being. Engaging programs and activities, ranging from invigorating fitness sessions to soul-stirring music and expressive art, foster self-expression and joy.
Comfort reigns supreme in this home, with individually controlled air conditioning ensuring an optimal climate for each resident. Their meticulous housekeeping services create a haven of serenity, allowing residents to focus on what truly matters. When it’s time to dine, residents savor nutritionally balanced meals, carefully tailored to accommodate their unique health requirements, while also tantalizing their taste buds. Their conference room sets the stage for intellectual exchange and meaningful connections, while the warm glow of fireplaces invites moments of tranquility and reflection. A grand piano beckons residents to unleash their musical talents, and the beautifully landscaped gardens offer a sanctuary of serenity. 

Contact The Wellshire Park Place

Overview of Meadows on Sycamore

Sioux Falls’s Oak View neighborhood is home to Meadows on Sycamore, a 45-bed community that combines assisted living with memory care and nursing care under one address at 130 N Sycamore Ave. It’s only been open a year, which is worth knowing going in. Getting around without a car is only partly an option: the Walk Score sits at 47, “somewhat walkable,” so some errands work on foot while most still call for a drive.

Leadership is under Tracey Hughes; she runs the place as Administrator, and she’s not new to this work: over 22 years in health care overall, 18 of those specifically in long-term care. Medicaid is accepted, which matters for families weighing how to pay for a level of care that can shift over time.

Nursing services and 24-hour staffing back up the memory care and nursing care side of things, and specific programs cover health care services and therapeutic diets alongside a rotating activities schedule. There’s a library, exercise equipment, beauty and barber shops, resident game rooms, and free cable TV on the amenities side. Weekly bingo and off-campus outings round out the calendar, so residents aren’t only choosing between staying in their room or sitting in a common area.

Smoke-free buildings, no pets allowed, and three levels of care rolled into a single community: that’s a specific combination, one built less around lifestyle amenities and more around a resident’s care needs changing without requiring a move somewhere new.

Contact Meadows on Sycamore Inc.

Overview of Sun Dial Manor

Sun Dial Manor is a nursing home in Bristol, SD, offering skilled nursing and assisted living care. Skilled nursing provides nursing care on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication management.

With 37 beds, Sun Dial Manor may be a good fit for someone who prefers a smaller community where staff and residents can get to know each other. Assisted living rooms are private or shared, so a resident can choose a room for one person or living space with a companion.

Physical, occupational, and speech therapy are available. These services support movement, daily activities, and communication needs, while transportation to medical appointments helps residents attend necessary visits.

Weekly religious services provide spiritual support and an opportunity to participate in religious activities at the community. Sun Dial Manor accepts Medicare, Medicaid, and private pay.

Total nurse staffing is 5 hours and 32 minutes per resident per day, representing the amount of nursing staff time assigned to each resident across a day. Joy Voss serves as administrator.

Contact Sun Dial Manor

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.