Other senior care options in South Dakota:

Page 6 of Best Assisted Living in South Dakota

Why trust this guide? Our editorial team analyzed 90 assisted living communities in South Dakota using South Dakota Department of Health (DOH) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in SD
Reviewed by
Last updated
Jul 2026
We analyzed
90 homes
Other senior care options in South Dakota:
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: 69The average licensed bed capacity across facilities in South Dakota. Individual facilities can vary widely from this average.
National Average: 90
Overview of Angelhaus North

Angelhaus North is an assisted senior living facility nestled in the heart of Aberdeen, South Dakota. They offer a comprehensive range of care services, including assisted living homes, memory care units, and behavioral health, all authorized and certified by the department of health to provide the highest level of care.

At Angelhaus North, the focus is on going above and beyond for the residents. From scheduled transportation and housekeeping to life-enriching activities and medication management, every aspect of their daily lives is taken care of with the utmost attention and dedication. The facility’s commitment to compassionate care extends to specialized services like oxygen care and hospice care coordination, ensuring that residents receive the support they need during every stage of their journey.

Contact Angelhaus North

Overview of Primrose Retirement Communities

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.

Contact Primrose Retirement Communities

Overview of Meadows on Sycamore

Sioux Falls’s Oak View neighborhood is home to Meadows on Sycamore, a 45-bed community that combines assisted living with memory care and nursing care under one address at 130 N Sycamore Ave. It’s only been open a year, which is worth knowing going in. Getting around without a car is only partly an option: the Walk Score sits at 47, “somewhat walkable,” so some errands work on foot while most still call for a drive.

Leadership is under Tracey Hughes; she runs the place as Administrator, and she’s not new to this work: over 22 years in health care overall, 18 of those specifically in long-term care. Medicaid is accepted, which matters for families weighing how to pay for a level of care that can shift over time.

Nursing services and 24-hour staffing back up the memory care and nursing care side of things, and specific programs cover health care services and therapeutic diets alongside a rotating activities schedule. There’s a library, exercise equipment, beauty and barber shops, resident game rooms, and free cable TV on the amenities side. Weekly bingo and off-campus outings round out the calendar, so residents aren’t only choosing between staying in their room or sitting in a common area.

Smoke-free buildings, no pets allowed, and three levels of care rolled into a single community: that’s a specific combination, one built less around lifestyle amenities and more around a resident’s care needs changing without requiring a move somewhere new.

Contact Meadows on Sycamore Inc.

Overview of Edgewood in Sioux Falls Assisted Living

Forty-eight beds, one year in operation, and a spot in the Oak View neighborhood of Sioux Falls at 3409 E 5th St: that’s Edgewood in Sioux Falls Assisted Living in its basic shape. A car is close to mandatory here; the Walk Score sits at 22 and that is solidly car-dependent, so residents’ visitors should plan on driving rather than walking to nearby services.

Forty-eight beds puts this in a middle-ground size category. Not so small that amenities feel thin, not so large that it loses a personal feel entirely.

What’s on offer leans toward flexibility rather than a single fixed care path. Respite care covers short-term needs when a family needs a temporary break or bridge. Licensed nurses and CNAs are on staff, which matters for anyone weighing how much clinical support is actually available day to day. Short-term stays and adult day services round things out, giving people options that don’t require committing to a full-time move right away.

No pets here; that’s worth knowing upfront if that’s part of the decision. Edgewood reads less like a single-purpose assisted living facility and more like a flexible entry point: respite, short stays, adult day support, and licensed nursing staff, all built for residents and families who need options rather than one fixed path forward.

Contact Edgewood in Sioux Falls Assisted Living

Overview of Good Samaritan Society-St Martin Village

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.

Contact Good Samaritan Society-St Martin Village

Overview of Edgewood Rapid City

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.

Contact Edgewood Rapid City

Overview of Morningstar Assisted Living of Rapid City

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.

Contact Morningstar Assisted Living of Rapid City

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

Regency Retirement Living

220 W Beebe Ave, Chamberlain, SD 57325
Overview of 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.

Contact Regency Retirement 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

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
Submit a correction
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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 90 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.