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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 |
Just a few minutes from Watertown, Country View in Florence is a memory care living community that hints at a refreshing experience through its activities that make some residents feel young and secure in a home-like setting.
The staff ensures a comfortable environment designed for its residents’ convenience at the senior living home.
The Good Samaritan Society in St. Martin Village is one of the trusted senior living communities in Rapid City. They provide a range of comprehensive care that focuses on assisted living places and various assisted living levels of care which includes independent living. 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, o r chapel; wellness programs, religious services, an emergency response system, and housekeeping services are also offered.
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.
Golden Ridge Senior Living is an independent living and assisted living community in Lead, South Dakota. They pride themselves on the services that are delivered with only the best in its class brought by their premier level of care entrusted to residents. The memory care community boasts its innovative and modern approach to senior care; they have ensured that they provide a spectrum of care as they understand the unique needs of each individual. Golden Ridge Senior Living’’s management and staff are well-trained professionals that ensure that residents are being heard and provide a lifestyle that suits their needs.
Beautifully furnished common areas, walking paths, and outdoor patios are offered for seniors to have families come visit more often and have a place to socialize. Other services include meals, security, and affordable senior housing.
A proud member of the StoneyBrook Suites, the Watertown community heeds luxury assisted living for seniors in a nurturing environment. Residents can expect elegance and high-end surroundings at the cozy senior living home. The spirited retirement community provides exceptional service through its professional and compassionate staff. StoneyBrook Suites Suits is a community that proudly raises senior members to thrive in the community.
The lifestyle offers essential amenities and services available to residents, such as housekeeping and transportation services, dining areas and lounge areas, and a courtyard– to name a few of what they offer.
Fairmont Grand Manor, located in Rapid City, South Dakota, is a community that adheres to the highest assisted living guidelines. As one of the premier assisted living homes in the area, Fairmont Grand offers a remarkable living experience that exceeds expectations. From engaging social activities to delicious dining options and a range of supportive services, Fairmont Grand is dedicated to enhancing the lives of its residents.
Every aspect of the community, from the carefully designed living spaces to the range of amenities and services, reflects their dedication to creating a nurturing and fulfilling environment. As one explores the welcoming halls of Fairmont Grand, it becomes evident that this is more than just a place to reside—it is a true home. From the comfortable and well-appointed living spaces to the inviting common areas where friendships are formed, every detail is thoughtfully considered to create an atmosphere of warmth and community.
Make every moment count at Regency Retirement Living, an idyllic retreat in Chamberlain, SD, offering assisted living. Alongside cozy one-bedroom and purposely built two-bedroom floor plans, housekeeping, linens, and laundry services are also provided, ensuring residents feel at ease during their stay. Residents can also keep their peace of mind with a kind and well-trained team helping with their daily living activities.
A variety of engaging activities and exciting events are also provided, encouraging residents to live actively and maintain social connections. Three delicious and well-balanced meals are also served according to residents’ tastes and nutritional needs. With scheduled transportation, residents have convenient access to their needs. The community is ideal for those seeking comfort in their golden years, especially with its top-notch services and beautifully maintained amenities.
Edgewood Rapid City is the ideal place for residents to experience an active lifestyle where seniors can fulfill independence and support, regardless of their housing options. Specializing in independent living, assisted living, memory care, skilled nursing, and rehabilitation. The continuing care community understands the importance of happiness and serenity, ensuring that each and every resident is able to receive only the best care. Edgewood Rapid City is the home where seniors thrive and get back on their feet quickly and independently.
Edgewood Summit’s nursing home care is multidisciplinary for both skilled nursing and rehabilitation services– focusing on post-surgical care, on-site therapy (physical, occupational, speech), strength conditioning, and mobility improvement. There’s a massive value found in independent living, assisted living, memory care, and nursing home cost; they offer two basic costs, a refundable resident deposit, and a monthly service package.
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.
Set on the beautiful grounds of Aberdeen, SD, Derian Place Senior Living is a remarkable senior living community that offers assisted living and respite care. Residents live in comfortable and well-designed accommodations with a broad selection of floor plans to choose from, including a studio, one-bedroom, and two-bedroom floor plans. Acknowledging that individuals require different levels of care at varying stages of their lives, the community provides individualized and flexible care plans that change as residents’ needs change.
The community provides plenty of opportunities for socializing and companionship on a daily basis with their diverse calendar of activities. A licensed nurse is available 24/7 to provide supervision and immediately respond to residents’ needs. Encouraging lifelong learning, the community offers several signature monthly opportunities for it, including learning through guest speakers, fine arts programs, and educational series. The community works closely with their residents in understanding their goals and dreams and help them turn it into a reality.
Ranking Methodology
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
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.



















