Page 6 of Best Assisted Living in South Dakota

Why trust this guide? Our editorial team analyzed 88 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.
88 homes
Other senior care options in South Dakota:

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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. 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.
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.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
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.
Victorian Assisted Living
AL
Rapid City
50
Facility 50
SD AVG 67
Rank #39 / 72
No
61
Facility 61
SD AVG 39
Rank #22 / 83
Studio / Suite-Angela Wiederich
The Village at Skyline Pines
AL
MC
Rapid City
116
Facility 116
SD AVG 67
Rank #7 / 72
No--
1
Facility 1
SD AVG 5
Rank #12 / 66
Kelli Back
LifeScape
AL
Sioux Falls
96
Facility 96
SD AVG 67
Rank #13 / 72
No
65
Facility 65
SD AVG 39
Rank #13 / 83
--Kimberly Marso
Parkside Retirement Community
AL
IL
RESC
Aberdeen (Melrose Addition)
55
Facility 55
SD AVG 67
Rank #36 / 72
No
38
Facility 38
SD AVG 39
Rank #39 / 83
1 Bed / 2 Bed-Scott Eisenbeisz
Dow Rummel Village
AL
HC
IL
MC
NH
SNF
Sioux Falls
79
Facility 79
SD AVG 67
Rank #19 / 72
No
54
Facility 54
SD AVG 39
Rank #27 / 83
--Christopher Hahn
Meadow Lake Assisted Living
AL
IL
Watertown
16
Facility 16
SD AVG 67
Rank #71 / 72
No-1 Bed
1
Facility 1
SD AVG 5
Rank #12 / 66
Chasity Chandler
Pine Hills Retirement Community
AL
IL
Hot Springs
78
Facility 78
SD AVG 67
Rank #21 / 72
No--
1
Facility 1
SD AVG 5
Rank #12 / 66
Vickie Nekuda
Mitchell Retirement dba Countryside Living
AL
IL
Wisconsin Mitchell
60
Facility 60
SD AVG 67
Rank #30 / 72
Yes
81
Facility 81
SD AVG 39
Rank #7 / 83
--Kathy Zoss
StoneyBrook Suites of Watertown
AL
Watertown
-No
34
Facility 34
SD AVG 39
Rank #43 / 83
Studio / 1 Bed / 2 Bed
26
Facility 26
SD AVG 5
Rank #8 / 66
-
The Courtyard Westhills Village
AL
HC
IL
NH
SNF
Rapid City
60
Facility 60
SD AVG 67
Rank #30 / 72
No--
1
Facility 1
SD AVG 5
Rank #12 / 66
Kelsey Bertsch

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other SD assisted living community we track that reports that metric, not just the 88 on this page. See how we rank facilities

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Victorian Assisted Living

1321 Columbus St, Rapid City, SD 57701
Overview of Victorian Assisted Living

Victorian Assisted Living provides assisted living in Rapid City, SD. Residents can receive help with daily tasks such as dressing, bathing, and medication while continuing to maintain an apartment. With 50 beds, the community is smaller, giving staff and residents more opportunity to know each other and making it a possible fit for someone who prefers a more intimate setting.

Housing includes studios and suites. A studio offers one private space, while a suite provides a different layout for a resident who wants that alternative. The area has a Walk Score of 61 out of 100 and is somewhat walkable, so a resident who no longer drives may be able to complete some errands on foot; Angela Wiederich serves as administrator.

Contact Victorian Assisted Living

Overview of The Village at Skyline Pines

With 116 beds, The Village at Skyline Pines provides assisted living and memory care in Rapid City, SD. The community provides specialized care for adults withemory-related conditions in a secure environment. Licensed nurses and CNAs, along with 24-hour staffing, are also available to ensure accessibility of care whenever needed.

An outdoor courtyard and walking paths give residents places to spend time outside, while transportation services support trips arranged through the community. Moreover, a hair salon, movie theater, library, reading area, and chapel are also available for grooming, entertainment, reading, and religious services on-site. Kelli Back serves as administrator.

Contact The Village at Skyline Pines

LifeScape

2501 W 26Th St, Sioux Falls, SD 57105
Overview of LifeScape

LifeScape provides assisted living in Sioux Falls, SD, for residents who need help with daily tasks such as dressing, bathing, and medication while keeping their own apartment. The community has 96 beds, and Kimberly Marso serves as administrator.

Rehabilitation services and a pool are available on site, so residents can receive therapy and use a recreational water amenity without leaving the community. LifeScape also provides transportation, is wheelchair accessible, and has a doctor on staff. A Walk Score of 65 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to complete certain errands independently. LifeScape may be a good fit for a resident who needs daily living assistance and may also use rehabilitation services, particularly when wheelchair accessibility or transportation is relevant.

Contact LifeScape

Overview of Parkside Retirement Community

Parkside Retirement Community provides assisted living, independent living, and residential care in Aberdeen, SD. Independent living offers private living without daily care, while assisted living provides help with daily tasks such as dressing, bathing, and medication. Having all three care types in one community may suit a resident whose support needs change over time, since different care settings are available without leaving the community.

The community has 55 beds and offers one bedroom and two bedroom residences. A two bedroom layout may suit a couple moving together. Parkside Retirement Community is in the Melrose Addition neighborhood, and its Walk Score of 38 places it in a car dependent setting where most errands require a car or a ride, so a resident who no longer drives would generally need transportation for errands. Scott Eisenbeisz serves as the administrator.

Contact Parkside Retirement Community

Dow Rummel Village

1321 W Dow Rummel St, Sioux Falls, SD 57104
Overview of Dow Rummel Village

Dow Rummel Village is an extraordinary nonprofit organization in Sioux Falls, South Dakota, dedicated to providing a premier life plan retirement community that encompasses assisted living levels of care. With a remarkable 60-year history of service, they offer a comprehensive range of services under one roof, including independent living, memory care, assisted living, skilled nursing, respite care, and more.
Residents in this assisted living home have the opportunity to choose different levels of care that best suit their needs. Whether they opt for independent living, where they can enjoy the freedom and autonomy of a vibrant community, or require the specialized support and assistance provided in memory care or assisted living, every aspect is thoughtfully tailored to enhance their well-being. Discover a variety of floor plans, including spacious studios, comfortable one-bedroom suites, and inviting two-bedroom options. From personal assistance with daily living to weekly housekeeping and convenient transportation services, residents can truly embrace a worry-free lifestyle.

Contact Dow Rummel Village

Overview of Meadow Lake Assisted Living

Offering both independent living and assisted living in Watertown, South Dakota, Meadow Lake Assisted Living is a small 16-bed senior living community. The single-story residence provides one-bedroom housing. It has been operating for about a year. Chasity Chandler serves as the community’s administrator.

Transportation services for residents include rides to and from medical appointments. Housekeeping and laundry support help with daily tasks, while fitness and recreation programs give residents ways to stay active. Care plans are shaped around each person’s needs, and help is available for daily living activities.

The community is in a car-dependent area of Watertown, so most errands and outings require a vehicle. For families comparing independent living and assisted living, Meadow Lake offers both care levels in one setting. Residents can easily adjust with support without moving to a different community.

Contact Meadow Lake Assisted Living

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 Mitchell Retirement DBA Countryside Living

Administered by Kathy Zoss, Mitchell Retirement DBA Countryside Living offers assisted living and independent living in Mitchell, South Dakota. Along with assistance with daily tasks, the community also provides housekeeping, laundry, and linen services for residents’ convenience. Licensed nurses and CNAs, supported by 24-hour staffing, are also available to ensure residents have access to services whenever needed.

The community has 60 beds, and pets are allowed, so a resident can bring a pet when moving into the community. Residents can also use an on-site salon and barber, landscaped outdoor grounds, and rehabilitation services. Exercise classes led by certified physical therapists offer structured movement, while yoga and guided physical activities provide additional ways to stay active. Moreover, games, creative pursuits, social events, entertainment, and religious services create specific options for recreation and worship.

Meanwhile, a Walk Score of 81 places the area in the very walkable category. This suggests that most errands can be completed on foot, which may allow a resident who no longer drives to reach nearby shops or services independently. Transportation is also available for trips that are not made on foot.

Contact Mitchell Retirement dba Countryside Living

Overview of 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.

Contact StoneyBrook Suites of Watertown

Overview of The Courtyard Westhills Village

Situated in Rapid City, South Dakota, The Courtyard Westhills Village offers nursing home, assisted living, home care, independent living, and skilled nursing. The community can accommodate up to 60 residents and assist with daily tasks. 24-hour staffing is also available, ensuring residents can access care whenever needed.

Rehabilitation services provide recovery support to help improve residents’ ability to function, while temporary relief is available for families whose usual caregiver needs time away. Moreover, a wellness space and classes provide an area for wellness activities. The outdoor inner courtyard and southern-exposure sun deck also offer designated places to spend time outside.

Additionally, the Support Plus Program and in-home care are available as named programs. With Kelsey Bertsch serving as the administrator, the community accepts Medicare as a payment option.

Contact The Courtyard Westhills 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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Assisted Living in South Dakota at a glance

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: 39/ 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
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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 88 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.