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Other Senior care options in South Dakota:

Best Assisted Living in South Dakota

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 143 homes in South Dakota

Sources: CMS Centers for Medicare and Medicaid Services, and South Dakota Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in South Dakota.

Watch this Video to see South Dakota's Top-rated Senior Communities

Compare Assisted Living around South Dakota

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

Click column headers to sort
Pine Hills Retirement Community
SC

Senior Communitie

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Hot Springs
78
Facility 78
SD AVG 61
Rank #38 / 117
No
0
Facility 0
SD AVG 40
Rank #148 / 158
-
1
Facility 1
SD AVG
Rank #14 / 51
-Vickie Nekuda
Dow Rummel Village
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Sioux Falls
79
Facility 79
SD AVG 61
Rank #36 / 117
No
54
Facility 54
SD AVG 40
Rank #52 / 158
-
-
Facility -
SD AVG
A+Christopher Hahn
Trail Ridge Senior Living Community
SC

Senior Communitie

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Sioux Falls (West Ralph Rogers Road)
72
Facility 72
SD AVG 61
Rank #43 / 117
No
17
Facility 17
SD AVG 40
Rank #118 / 158
-
31
Facility 31
SD AVG
Rank #3 / 51
A+Michelle Vernon
Edgewood Pierre
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Pierre
86
Facility 86
SD AVG 61
Rank #27 / 117
Yes
6
Facility 6
SD AVG 40
Rank #142 / 158
Studio / 1 Bed / 2 Bed
1
Facility 1
SD AVG
Rank #14 / 51
-Melissa Johnson
Countryside Living
SC

Senior Communitie

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Mitchell
50
Facility 50
SD AVG 61
Rank #69 / 117
No
36
Facility 36
SD AVG 40
Rank #83 / 158
-
28
Facility 28
SD AVG
Rank #8 / 51
-Kathy Zoss
The Inn on Westport
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Sioux Falls
140
Facility 140
SD AVG 61
Rank #6 / 117
No
63
Facility 63
SD AVG 40
Rank #34 / 158
-
30
Facility 30
SD AVG
Rank #4 / 51
A+Jill Dykstra
The Village at Skyline Pines Assisted Living & Memory Care
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Rapid City
116
Facility 116
SD AVG 61
Rank #9 / 117
No
32
Facility 32
SD AVG 40
Rank #90 / 158
1 Bed / 2 Bed
1
Facility 1
SD AVG
Rank #14 / 51
-Kelli Back
Avantara Lake Norden
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lake Norden (Park Street)
50
Facility 50
SD AVG 61
Rank #69 / 117
No
6
Facility 6
SD AVG 40
Rank #142 / 158
-
1
Facility 1
SD AVG
Rank #14 / 51
-Margaret Grimm
Touchmark at All Saints
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Sioux Falls (All Saints)
153
Facility 153
SD AVG 61
Rank #5 / 117
No
80
Facility 80
SD AVG 40
Rank #14 / 158
-
32
Facility 32
SD AVG
Rank #2 / 51
A+Amanda Snoozy
The Village of Harmony Hill
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Watertown (Sheridan Township)
104
Facility 104
SD AVG 61
Rank #19 / 117
Yes
0
Facility 0
SD AVG 40
Rank #148 / 158
Studio / 1 Bed / 2 Bed
1
Facility 1
SD AVG
Rank #14 / 51
-Krista Beauchamp
Avantara Norton
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Sioux Falls
110
Facility 110
SD AVG 61
Rank #12 / 117
No
61
Facility 61
SD AVG 40
Rank #37 / 158
-
1
Facility 1
SD AVG
Rank #14 / 51
-Ashley Nickel
Legends at Lake Lorraine
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Sioux Falls
185
Facility 185
SD AVG 61
Rank #2 / 117
No
43
Facility 43
SD AVG 40
Rank #70 / 158
-
1
Facility 1
SD AVG
Rank #14 / 51
-Kyrsten Fokken
StoneyBrook Suites Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Sioux Falls
54
Facility 54
SD AVG 61
Rank #65 / 117
No
47
Facility 47
SD AVG 40
Rank #64 / 158
-
1
Facility 1
SD AVG
Rank #14 / 51
-Jody Elton
Avera Mother Joseph Manor Retirement Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Aberdeen
81
Facility 81
SD AVG 61
Rank #32 / 117
Yes
31
Facility 31
SD AVG 40
Rank #93 / 158
1 Bed / 2 Bed
29
Facility 29
SD AVG
Rank #5 / 51
-Paula Henrickson
Bethesda Towne Square
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Aberdeen (Melrose Addition)
52
Facility 52
SD AVG 61
Rank #66 / 117
Yes
21
Facility 21
SD AVG 40
Rank #111 / 158
Suite
1
Facility 1
SD AVG
Rank #14 / 51
-Scott Eisenbeisz
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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.

Contact Palisade Healthcare Center

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 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. 

Contact The Wellshire Park Place

Overview of Derian Place Senior Living

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.

What does this home offer?

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Housing options icon

Housing Options: Studio / 1 Bed / 2 Bed

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
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Fitness and Recreation

Contact Derian Place Senior Living

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 Sioux Falls Village
Good Samaritan Society – Sioux Falls Village offers senior living services in a community that truly feels like home. It provides a full scope of senior living and care, including assisted living, independent living, rehabilitation therapy, and memory care. The facility is committed to delivering high-quality care and support tailored to individual needs.

Contact Good Samaritan Society Sioux Falls Village

Overview of Spearfish Canyon Healthcare
Spearfish Canyon Healthcare focuses on providing skilled nursing, short-term rehabilitation, and long-term care services in a compassionate environment. The facility emphasizes individual wellness and rehabilitation to ensure the best experience for residents. It offers a variety of personalized care services to meet healthcare needs.

Contact Spearfish Canyon Healthcare

Overview of Westhills Village Health Care Facility
Westhills Village offers choices for Independent Senior Living, Retirement Community, Assisted Living and Health Care Services in Rapid City, South Dakota. The facility provides a community of care and a continuing care program to meet the needs of its residents. It is recognized as one of the top retirement communities in South Dakota.

Contact Westhills Village Health Care Facility

Overview of Prairie Heights Healthcare
Prairie Heights Healthcare is a skilled nursing facility located in Aberdeen, South Dakota. It offers a range of services including rehabilitation therapy, long-term and short-term care, and individualized care plans. The facility is dedicated to providing compassionate care in a comfortable environment.

Contact Prairie Heights Healthcare

Overview of Arrowhead Lodge Senior Living
Arrowhead Lodge Senior Living is a premier senior living community in Rapid City, SD. It offers independent living, assisted living, and respite care services tailored to the unique needs of each resident. The community provides a range of activities and amenities to enhance the quality of life for its residents.

Contact Arrowhead Lodge Senior Living

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
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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 9 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.