Best Assisted Living in South Dakota

Overview of Avantara Pierre

Avantara Pierre, located at 950 East Park Street in Pierre, is a 65-bed nursing home in Hughes County that opened in 2025 under the administration of Chase Watson. Operating primarily as a short-term rehabilitation facility, it admits residents across a Medicare-majority population (53 percent), supplemented by private-pay and Medicaid placements, with a typical stay of 212 days. The facility lies close to Avera St. Mary’s Hospital, 0.13 miles away, providing ready access to acute care. It accepts Medicare, Medicaid, and private pay.

Staffing presents a significant challenge. The facility delivers 2 hours 36 minutes of total nursing care per resident daily, which is well below South Dakota’s 3-hour-46-minute benchmark and among the lowest in the state (ranked 56th of 57 facilities). Weekend coverage narrows further to 2 hours 27 minutes per day. This staffing constraint aligns with broader performance gaps: health inspection ratings run 21.6 percent below state norms, and overall CMS ratings trail benchmarks by 20.3 percent.

One bright spot: quality measures like hospital readmissions, falls, mobility gains outperform state averages by 9.9 percent, suggesting clinical management compensates despite lean staffing. No federal penalties or payment denials have been issued over the past three years.

The facility’s clinical footprint spans seven specialized programs: post-surgical and short-term rehabilitation, stroke and neurological recovery, cardiac care, oncology support, pulmonary services, and orthopedic rehabilitation, alongside a memory care unit.

Room options include private and semi-private suites; community spaces, high-speed Wi-Fi, and on-site salon services support daily living.

Avantara Pierre orients toward post-acute rehabilitation in a newer operational environment where short-stay clinical recovery is prioritized and specialized programming is available.

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.

Overview of 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. 

Overview of 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, 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.

Overview of 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.

Overview of 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. 

Overview of 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. 

Overview of Avantara Milbank

Avantara Milbank 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. As one of South Dakota’s 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 Milbank 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.