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.
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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 |
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.
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.
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.
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.
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.
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.
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.
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.
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.
How we rank these assisted living communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
Weighting overview
- 35%Resident Experience
- 25%Regulatory
- 15%Visual Media
- 10%Website
- 10%Stability
- 5%Environment
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
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
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
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
Community Stability 10%
Operational signals indicating whether a community is well-run and meeting demand.
- Includes
- Occupancy Rate
- Bed Options
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 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.




















