Best Assisted Living in South Dakota

Overview of Palisade Healthcare Center

Palisade Healthcare Center provides comprehensive care in a peaceful setting, offering short-term rehabilitation and long-term care to help residents recover and regain their quality of life. The facility offers skilled nursing care, rehabilitation therapy, memory support, and respite stays. It is dedicated to providing high-quality, patient-centered care in a compassionate environment.

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.

Overview of The Wellshire Park Place

The Wellshire Park Place is a charming haven in South Dakota that caters to vibrant hearts in their golden years. This exceptional residence not only offers the utmost autonomy and security but also serves as a gateway to self-discovery and renewed passions. A registered dietitian ensures their nutritional needs are met, while meticulous medication management services guarantee peace of mind. Restorative therapy and wellness visits, overseen by our dedicated licensed nurse, restore vitality and well-being. Engaging programs and activities, ranging from invigorating fitness sessions to soul-stirring music and expressive art, foster self-expression and joy.
Comfort reigns supreme in this home, with individually controlled air conditioning ensuring an optimal climate for each resident. Their meticulous housekeeping services create a haven of serenity, allowing residents to focus on what truly matters. When it’s time to dine, residents savor nutritionally balanced meals, carefully tailored to accommodate their unique health requirements, while also tantalizing their taste buds. Their conference room sets the stage for intellectual exchange and meaningful connections, while the warm glow of fireplaces invites moments of tranquility and reflection. A grand piano beckons residents to unleash their musical talents, and the beautifully landscaped gardens offer a sanctuary of serenity. 

Set on the beautiful grounds of Aberdeen, SD, Derian Place Senior Living is a remarkable senior living community that offers assisted living and respite care. Residents live in comfortable and well-designed accommodations with a broad selection of floor plans to choose from, including a studio, one-bedroom, and two-bedroom floor plans. Acknowledging that individuals require different levels of care at varying stages of their lives, the community provides individualized and flexible care plans that change as residents’ needs change.

The community provides plenty of opportunities for socializing and companionship on a daily basis with their diverse calendar of activities. A licensed nurse is available 24/7 to provide supervision and immediately respond to residents’ needs. Encouraging lifelong learning, the community offers several signature monthly opportunities for it, including learning through guest speakers, fine arts programs, and educational series. The community works closely with their residents in understanding their goals and dreams and help them turn it into a reality.

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.

Overview of Good Samaritan Society Sioux Falls Village

Good Samaritan Society Sioux Falls Village is a nonprofit nursing home in Sioux Falls, South Dakota, offering assisted living, independent living, memory care, rehabilitation therapy, and long-term nursing support. With 177 licensed beds, this church-operated community is one of the largest senior care campuses in South Dakota and operates under the Good Samaritan Society’s faith-based nonprofit mission. Medicare, Medicaid, and private-pay are also accepted.

The community currently holds a 1-star overall CMS rating, with health inspection and quality measure scores falling below South Dakota averages. On the other hand, staffing levels compare more favorably and are among the community’s stronger operational areas. Nursing care per day is recorded at over four hours on average, placing the community above statewide benchmarks. Licensed practical nurse coverage and weekend nursing hours also exceed state averages, while registered nurse and nurse aide staffing remain modestly below benchmark levels.

Occupancy remains high at nearly 90%, reflecting stable demand and an established reputation within the region. Additionally, the resident population includes a mix of short-term rehabilitation patients, private-pay residents, and Medicaid-supported long-term care residents. Medicare residents typically stay for shorter rehabilitation-focused periods, while private-pay and Medicaid residents often remain for several months. The broad continuum of care available, ranging from independent living to memory care, allows residents to transition between care levels as needs evolve.

Good Samaritan Society Sioux Falls Village is ideal for older adults and families seeking a large nonprofit community with multiple living and care options, strong overall staffing investment, and the ability to support both short-term rehabilitation and long-term residential care under one roof.

Overview of Spearfish Canyon Healthcare

Spearfish Canyon Healthcare is a nursing home in Spearfish, South Dakota, providing skilled nursing, short-term rehabilitation, long-term care, and a range of specialized medical services. The 105-bed community is administered by Charlotte Pentheny. Both Medicare and Medicaid are accepted, broadening access for a range of financial situations.

According to CMS data, the community holds an overall rating of 3 stars, placing it in the average tier compared to national baselines but above the local market average of 2.4 stars. The community also features an “Average” 3-star health inspection rating, with 8 citations recorded during its most recent standard health survey on August 28, 2025. This performance is slightly above the South Dakota statewide average of 6.9 citations but remains lower than the national average of 9.4.

A complaint survey was also completed in July 2025, which identified deficiencies related to care quality and accident prevention following an elopement incident. This finding was immediately addressed through corrective staff education. Its quality of care metrics are strong, particularly for long-stay residents, with significantly fewer hospitalizations and emergency department visits than state averages. However, its nursing staffing levels and turnover metrics currently hold a “Below Average” rating.

Confirmed services include rehabilitation services, long-term and short-term care, pain management, dental care, dialysis, podiatry, and licensed professional nursing staff on-site. The range of specialized services, particularly dialysis and dental care, is noteworthy for a community of this size and reflects a higher level of clinical capability than many similarly sized rural communities.

Spearfish Canyon Healthcare is ideal for older adults in the Spearfish area and broader Black Hills region seeking skilled nursing care, post-acute rehabilitation, or long-term residential support, particularly those with complex medical needs such as dialysis or chronic pain management.

Overview of Westhills Village Health Care Facility

Westhills Village Health Care Facility is a nursing home in Rapid City, South Dakota, that offers short-term rehabilitation, respite care, and supportive health care services. Administered by Kelsey Bertsch, this 44-bed community provides multiple levels of care that include rehabilitation therapies, structured recovery programs, and short-term stays designed for those recovering after hospitalization or medical treatment in Pennington County.

The community holds a 3-star rating for short-stay resident outcomes, supported by above-average discharge performance metrics. Nearly 70% of residents also achieve their expected self-care goals by discharge, outperforming the South Dakota average by a substantial margin. In addition, more than 60% of short-stay residents successfully transition back home or to a community-based setting following care. These outcomes reflect the community’s strong focus on post-acute rehabilitation and recovery-centered programming rather than long-term custodial support.

Staffing levels exceed many regional benchmarks, particularly in registered nursing and physical therapy coverage. RN support per day and physical therapy hours are both significantly higher than the statewide average. Weekend nursing coverage also remains above average, helping maintain continuity of care throughout the week. This stronger staffing profile, combined with enhanced therapy programming, reinforces the community’s emphasis on rehabilitation and recovery services.

Services include short-term rehabilitation, respite care, therapy programming, support services, and online wellness classes designed to encourage recovery and overall well-being. The community also operates from 7:30 A.M. to 7:30 P.M. on weekdays and from 8:30 A.M. to 5:30 P.M. on weekends.

Westhills Village Health Care Facility is best suited for those seeking short-term rehabilitative care after hospitalization, surgery, or illness, with services and staffing structured to support recovery goals and a timely return home or to a community-based living environment.

Overview of Prairie Heights Healthcare

Prairie Heights Healthcare is a skilled nursing community in Aberdeen, South Dakota, providing rehabilitation therapy, long-term residential care, short-term skilled nursing, and a range of specialized clinical services. Administered by Darcy Albrecht with a Medicare certification, this 99-bed community accepts both Medicaid and Medicare, helping broaden access for individuals with varying financial and healthcare coverage needs. Occupancy is below the state average, with a 63.2% occupancy rate, suggesting availability.

Confirmed care services include rehabilitation therapy, long-term and short-term nursing care, licensed nursing support, pain management, dental services, dialysis, and podiatry care. The availability of both dialysis and on-site dental services is particularly notable for a mid-sized skilled nursing community in the Aberdeen market, offering added convenience for residents managing multiple medical conditions or requiring ongoing specialized treatment. Positioned in one of the most walkable areas among South Dakota nursing communities, with a Walk Score of 85, the community provides convenient access to many nearby services and destinations on foot.

Prairie Heights Healthcare is well-suited for older adults in Aberdeen and throughout Brown County seeking skilled nursing support, post-acute rehabilitation, or long-term residential care, as it has a wide range of specialized services.

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.