Page 7 of Best Assisted Living in South Dakota

Why trust this guide? Our editorial team analyzed 92 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.
92 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: 40/ 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

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. 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. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
StoneyBrook Suites of Watertown
AL
Watertown
-No 34 Studio / 1 Bed / 2 Bed26-
Regency Retirement Living
AL
Chamberlain
-No 57 Studio / 1 Bed / 2 Bed25-
The Courtyard Westhills Village
AL
HC
IL
NH
SNF
Rapid City
60
Facility 60
SD AVG
Rank #35 / 70
No--
1
Facility 1
SD AVG
Rank #3 / 64
Kelsey Bertsch
Dow Rummel Village
AL
HC
IL
MC
NH
SNF
Sioux Falls
129
Facility 129
SD AVG
Rank #4 / 70
No
19
Facility 19
SD AVG
Rank #58 / 73
--Lisa Geis
Westhills Village Health Care Facility
AL
HC
IL
NH
SNF
Rapid City
44
Facility 44
SD AVG
Rank #55 / 70
No--
1
Facility 1
SD AVG
Rank #3 / 64
Kelsey Bertsch
Peaceful Pines Senior Living – Huron
AL
ADC
IL
MC
Nw Huron
46Yes 68 --Stephanie Metzger
Arrowhead Lodge Senior Living
AL
IL
Rapid City
48Yes--1Sheila Gehring
Dow Rummel Village
AL
HC
IL
MC
SNF
Sioux Falls
79No 19 --Christopher Hahn
Morningstar Assisted Living of Rapid City
AL
Rapid City
-No 10 -29-
Good Samaritan Society- Echo Ridge
AL
IL
Rapid City
34No--1Lindsey Hixson

Rank badges are statewide: each community is ranked against every SD community we track that reports that metric, not just the 92 on this page. See how we rank facilities

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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 The Courtyard Westhills Village

The Courtyard Westhills Village is an assisted living community in Rapid City, South Dakota, offering assisted living, rehabilitation services, and respite care. With a 60-bed capacity, this community accepts Medicare, which is uncommon among similar communities. It is also affiliated with the Clarkson Health Care network as well as a broader campus that features therapy services, a Support Plus Program, and in-home care.

Amenities include a wellness space with specialized classes, activity and group areas, a welcoming outdoor inner courtyard, and a sun deck with southern exposure. Furthermore, living spaces feature handicap-accessible bathrooms and showers, generous closet space, expanded cable service, and central heating and cooling throughout. Floor plans are available in one- and two-bedroom configurations, and the building is equipped with a full fire sprinkler system and smoke detectors. Volunteer programs, clinical services, and respite stays are provided through 24-hour nursing staffing.

A comprehensive continuum of services is also provided, including therapy and in-home care, offering a level of care coordination that standalone assisted living communities often cannot match, which appeals to families and older adults anticipating progressing needs. Operating hours are Monday through Friday from 7:30 AM to 7:30 PM, and Saturday through Sunday from 8:30 AM to 5:30 PM.

The Courtyard Westhills Village is a practical option for older adults in the greater Rapid City area seeking assisted living support within a structured, amenity-rich environment, particularly those looking for seamless access to on-site rehabilitation and respite care.

Contact The Courtyard Westhills Village

Dow Rummel Village

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

Dow Rummel Village is a nonprofit life plan retirement community in Sioux Falls, South Dakota, providing a full continuum of care that includes independent living, assisted living, memory care, skilled nursing, rehabilitation, and respite care services. Serving the region since 1958, the community is recognized as one of the more established senior living providers in South Dakota. Medicare, Medicaid, and private-pay are also accepted, offering flexibility for families with varying financial and healthcare needs.

With a 79-bed capacity, the community is currently operating at a 94% occupancy rate, which is higher than the state average. Additionally, most of the community’s admissions are Medicare-funded rehabilitation stays focused on recovery and therapy services, while longer-term residents remain for multiple years through different stages of care. Rehabilitation, memory care, and skilled nursing services are also provided, allowing residents to access additional support without relocating.

The community maintains strong performance metrics compared to statewide averages, with a 4-star overall rating from the Centers for Medicare & Medicaid Services (CMS). This reflects above-average scores in health inspections, staffing, and quality measures. Staffing levels are also a particular differentiator, with nursing care hours significantly exceeding South Dakota averages. Physical therapy staffing also exceeds state benchmarks, an important consideration for residents recovering from surgery, illness, or hospitalization.

The community also offers studio, one-bedroom, and two-bedroom floor plans. Services also include housekeeping, transportation, dining, wellness programming, and assistance with activities of daily living.

With a combination of rehabilitation resources, memory care services, skilled nursing support, and independent living options, Dow Rummel Village is well-suited for older adults and families seeking a financially stable nonprofit community with strong staffing levels, established clinical infrastructure, and the flexibility of multiple care levels within one campus.

Contact Dow Rummel Village

Overview of Westhills Village Health Care Facility

Westhills Village Health Care Facility provides independent living, assisted living, home care, and skilled nursing in Rapid City, SD. Independent living offers private living with community services and no daily care, while assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident keeps their own living space. Home care supports a resident in their own home, and skilled nursing provides licensed nursing care on site around the clock. The range of care may suit someone whose needs change over time because the facility offers both daily living support and skilled nursing.

With 44 beds, Westhills Village Health Care Facility is a smaller community where staff and residents get to know each other. Medicare can help cover short-term skilled care after a hospital stay, while private pay means the resident or family funds care directly. Kelsey Bertsch serves as the administrator.

Rehabilitation services and short-term rehab give residents access to therapy during a time-limited recovery stay. Respite care provides a short stay for someone whose usual caregiver needs to travel or recover.

Contact Westhills Village Health Care Facility

Overview of Peaceful Pines Senior Living – Huron

Peaceful Pines Senior Living – Huron is an assisted living community in Huron, South Dakota, offering independent living, assisted living, memory care, adult day services, and respite care. As a recently licensed provider, this 46-bed community brings freshly updated, contemporary amenities to the local market for older adults.

The amenity list is among the most extensive for an assisted living community of this size in South Dakota. Confirmed features include daily planned activities, community gardens, walking paths, housekeeping and laundry services, and local off-site transportation, along with emergency systems. Respite stays and adult day services are also available, making this a flexible option for both full residential placement and shorter-term care needs. With a continuum of care spanning independent living through memory care, residents can age in place without the need to relocate.

With a wide range of programming and care levels, Peaceful Pines Senior Living – Huron is a practical option for older adults in Huron and Beadle County seeking a lifestyle-rich, full-continuum senior living community with memory care and flexible care options, including adult day services and respite stays.

Contact Peaceful Pines Senior Living – Huron

Overview of Arrowhead Lodge Senior Living

Arrowhead Lodge Senior Living is an assisted living and independent living community in Rapid City, South Dakota, that offers personal care, independent residential living, and respite care. Licensed in January 2025, this 48-bed community is a relatively new community that features updated accommodations and a modern approach to residential care and lifestyle services for older adults in western South Dakota.

24-hour supervision and respite services are provided along with on-site nursing support, medication assistance, and meal services that accommodate special dietary needs. Utilities are included, but telephone service is excluded, and residents can access a coffee and snack station throughout the day. Daily leisure and recreational programming is also offered seven days a week, as well as a full-service beauty salon, transportation services, and fitness and recreation opportunities.

For older adults in Rapid City seeking a lifestyle-focused residential community with access to licensed care services, Arrowhead Lodge Senior Living offers a balanced combination of independence, support, and amenities. Although the surrounding area is considered car-dependent with a Walk Score of 12, the availability of scheduled transportation helps residents maintain mobility and access to local services and appointments.

Contact Arrowhead Lodge Senior Living

Dow Rummel Village

1321 W. Dow Rummel St, Sioux Falls, SD 57104
Overview of Dow Rummel Village
Dow Rummel Village is a retirement community in Sioux Falls, South Dakota. It offers all levels of care under one roof, including Independent Living, Assisted Living, Memory Care, and Skilled Nursing. The community has been serving the area for more than 60 years.

Contact Dow Rummel Village

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 Good Samaritan Society- Echo Ridge

Good Samaritan Society – Echo Ridge is a senior living community in Rapid City, South Dakota, offering assisted living, independent living, memory care, home care, and respite care. The 34-bed community is part of the Evangelical Lutheran Good Samaritan Society, one of the nation’s largest nonprofit care organizations for older adults. As a relatively new community in the Rapid City market, it features modern residential spaces and updated care programming designed for adults aged 55 and older.

One- and two-bedroom floor plans are among the layouts available. Located near Monument Health Rapid City Hospital, the community has convenient access to medical services.

Amenities and services include a chapel, dining room, wellness center, guest accommodations, and shared community gathering spaces. A 24-hour emergency call system, an automatic fire sprinkler system, and smoke detection are also in place throughout the wheelchair-accessible building. Faith-based programming, volunteer opportunities, and religious services also reflect the mission and traditions of the Good Samaritan Society organization. Transportation services, fitness and recreational activities, caregiver support, and home-based services are also available through the broader affiliate network.

Dedicated to older adults age 55 and older in the Rapid City area, Good Samaritan Society – Echo Ridge is a strong option for those seeking a faith-centered community with multiple levels of care, modern amenities, transparent pricing, and access to a nationally recognized nonprofit support network.

Contact Good Samaritan Society- Echo Ridge

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.
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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 92 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.