Best Assisted Living in South Dakota
Home to the iconic Mount Rushmore, South Dakota is known for its stunning natural beauty, vibrant culture, and rich history. The state also boasts a low cost of living, affordable housing, and good healthcare, as well as plenty of recreational opportunities and dining options. Assisted living communities also reside across the area, providing top-notch care and excellent amenities for retirees’ comfort. Retirees are also guaranteed the finest retirement experience, especially with the state’s retirement benefits, favorable taxes, and age-friendly services.
Where in South Dakota are you looking?
Tap a city below to explore the communities we have there.
Comparison Chart
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Hospice Care
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Nursing Homes 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Nursing Homes 24/7 care needed
Golden Ridge Senior Living
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.
Avantara Pierre
Avantara Huron is one of the premier communities with care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. Proudly being a community that provides an unparalleled level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Huron has the privilege of maximizing advanced medical services paired with essential amenities that lead to an enhanced caliber of life.
The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care.
StoneyBrook Suites of Watertown
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.
What does this home offer?
Room Sizes: 594 / 630 / 844 / 858 / 864 sq. ft
Housing Options: Studio / 1 Bed / 2 Bed
Type of Care Available
Avantara Clark City
Avantara Clark is one of the only exclusive communities with top-notch care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. Considered one of the premier rehabilitation centers in the city, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Clark has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life.
The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care.
AseraCare Hospice Care – Sioux Falls
AseraCare Hospice Care in Sioux Falls is dedicated to delivering top-notch hospice services, showcasing expertise in managing terminal illnesses. They excel in crafting personalized care plans, ensuring effective pain and symptom management. AseraCare’s compassionate hospice aides not only assist seniors but also support families emotionally and spiritually throughout their journey. Moreover, their commitment to providing exceptional care is evident, with hospice costs often covered by Medicare, Medicaid, and private insurances for eligible patients. Families can rely on AseraCare’s dependable services to help seniors celebrate a life well lived.
Fairmont Grand Manor
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.
What does this home offer?
Building Type: 2-story
Transportation Services
Fitness and Recreation
Type of Care Available
Regency Retirement Living
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.
What does this home offer?
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Single-story
Dining Services
Beauty Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
Type of Care Available
Avantara Redfield
Avantara Redfield boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. Considered as one of the most trusted nursing homes, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Redfield has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life.
The areas of excellence are found in the range of an array of specialized services such as; cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. The list of accommodations extends to the comprehensive care plan physical therapy equipment, a team of full-time therapists on-site, and a home assessment completed.
Avantara Watertown
Avantara Watertown is one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. As one of South Dakota’s most trusted rehabilitative homes, there is a merit of an incomparable level of care that provoke quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual; with that merit comes a two-time recognition as the ‘Best Nursing Homes – Long-Term Care’ by the U.S. News and World Report. Avantara Watertown has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life.
The areas of excellence are found in the range of an array of specialized services such as; cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. The list of accommodations extends to the comprehensive care plan physical therapy equipment, a team of full-time therapists on-site, and a home assessment completed.
Avantara Arrowhead
Avantara Arrowhead boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. The community boasts its merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Arrowhead has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life.
The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care.
Assisted Living Magazine Ranking Methodology
View Full Ranking MethodologyHow We Score & Rank Senior Living Communities
At Assisted Living Magazine, our rankings are designed to help families compare senior living communities with clarity and confidence.
Each community is evaluated and ranked based on reputation, transparency, digital trust, and on-site quality signals.
Below is the full explanation of every factor and the exact weight it contributes to the final score.
Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.
What We Prioritize Most
The largest portion of every community’s score comes from resident feedback and online reputation (40%), which reflects real experiences shared by families and caregivers.
An additional 45% of the score comes from a combination of transparency and operational quality signals, including:
- Photos, videos, and virtual tours (visual transparency)
- Website quality and digital trust indicators
- Occupancy levels and number of units (community scale & stability)
These factors help us evaluate how well a community presents itself and how consistently it meets resident needs.
Balancing Additional Factors
The final 15% of the score comes from supportive context data, including:
- Walkability and local accessibility
- Estimated property value
- Pricing information
These elements provide helpful context but carry less weight because our rankings prioritize real-world satisfaction and care consistency first.
The result is a fair, clear, and data-driven ranking system for families researching senior living options.
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We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.
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Frequently Asked Questions
Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:
- Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
- Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
- Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
- Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
- State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
- Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
- Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.
Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.
We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.
- Finding and ranking the best assisted living facilities
- Finding and ranking the best nursing homes
- Finding and ranking the best memory care facilities
- Our concierge service helps seniors move into the perfect home for them
- Helping seniors use medicare, medicaid, and other government programs to pay for their homes
- Helping seniors avoid senior homes that have bad service or fraud
- Helping seniors avoid senior homes that have bad service or fraud
- Autobiography & Family History Writing + Research
- Senior-focused concierge medicine
- Senior-focused nutritionist
- Senior-focused personal training
- Memory care specialists
- Custom wheelchairs at all price points.
- Custom hearing aids
- Cosmetic skincare + dermatology
- Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
- Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
Check out our resident interviews
Check out our cost guide.
Frequently Asked Questions
Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:
- Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
- Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
- Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
- Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
- State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
- Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
- Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.
Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.
Check out our cost guide.
We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.
- Finding and ranking the best assisted living facilities
- Finding and ranking the best nursing homes
- Finding and ranking the best memory care facilities
- Our concierge service helps seniors move into the perfect home for them
- Helping seniors use medicare, medicaid, and other government programs to pay for their homes
- Helping seniors avoid senior homes that have bad service or fraud
- Helping seniors avoid senior homes that have bad service or fraud
- Autobiography & Family History Writing + Research
- Senior-focused concierge medicine
- Senior-focused nutritionist
- Senior-focused personal training
- Memory care specialists
- Custom wheelchairs at all price points.
- Custom hearing aids
- Cosmetic skincare + dermatology
- Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
- Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
Check out our resident interviews
