Page 7 of Best Assisted Living in South Dakota

Why trust this guide? Our editorial team analyzed 88 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.
88 homes
Other senior care options in South Dakota:

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. RC (Respite Care): Short-term temporary care that gives family caregivers a break. 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. 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.
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.
Regency Retirement Living
AL
Chamberlain
-No
57
Facility 57
SD AVG 39
Rank #24 / 83
25
Facility 25
SD AVG 5
Rank #10 / 66
-
Peaceful Pines Senior Living – Huron
AL
ADC
IL
MC
Nw Huron
46
Facility 46
SD AVG 67
Rank #48 / 72
Yes
68
Facility 68
SD AVG 39
Rank #10 / 83
-Stephanie Metzger
Westhills Village Health Care Facility
AL
HC
IL
NH
SNF
Rapid City
44
Facility 44
SD AVG 67
Rank #52 / 72
No-
1
Facility 1
SD AVG 5
Rank #12 / 66
Kelsey Bertsch
Dow Rummel Village
AL
HC
IL
MC
SNF
Sioux Falls
79
Facility 79
SD AVG 67
Rank #19 / 72
No
19
Facility 19
SD AVG 39
Rank #60 / 83
-Christopher Hahn
Arrowhead Lodge Senior Living
AL
IL
Rapid City
48
Facility 48
SD AVG 67
Rank #45 / 72
Yes-
1
Facility 1
SD AVG 5
Rank #12 / 66
Sheila Gehring
Morningstar Assisted Living of Rapid City
AL
Rapid City
-No
10
Facility 10
SD AVG 39
Rank #75 / 83
29
Facility 29
SD AVG 5
Rank #5 / 66
-
Good Samaritan Society- Echo Ridge
AL
IL
Rapid City
34
Facility 34
SD AVG 67
Rank #64 / 72
No-
1
Facility 1
SD AVG 5
Rank #12 / 66
Lindsey Hixson
Centerville Care and Rehab Center
AL
NH
SNF
Centerville
42
Facility 42
SD AVG 67
Rank #54 / 72
No
43
Facility 43
SD AVG 39
Rank #34 / 83
1
Facility 1
SD AVG 5
Rank #12 / 66
Raigan Schmidt
Oakview Terrace
AL
ADC
IL
MC
NH
Freeman
45
Facility 45
SD AVG 67
Rank #49 / 72
No
26
Facility 26
SD AVG 39
Rank #52 / 83
1
Facility 1
SD AVG 5
Rank #12 / 66
Courtney Unruh
Aurora Brule Nursing Home Inc.
AL
HOS
NH
RC
SNF
White Lake (White Lake Township)
50
Facility 50
SD AVG 67
Rank #39 / 72
No
17
Facility 17
SD AVG 39
Rank #63 / 83
1
Facility 1
SD AVG 5
Rank #12 / 66
Kathy Styles

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other SD assisted living community we track that reports that metric, not just the 88 on this page. See how we rank facilities

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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 Peaceful Pines Senior Living – Huron

Peaceful Pines Senior Living in Huron, SD, offers five care types. They are memory care, adult day care, respite care, independent living, and assisted living. Memory care houses a resident who is liable to wander in a secured setting with staff to watch. Assisted living provides help with dressing, bathing, medication, and other daily tasks, and the apartment remains the resident’s.

Independent living supplies the services without the daily care behind them. The daytime option covers somebody who does not live here. Respite is for short stays booked while a family caregiver travels or mends.

Forty-six beds keeps this place small enough for staff and residents to learn each other, and a resident whose needs climb finds the next level already on the license. Stephanie Metzger holds the administrator’s post.

An On-Site Salon handles grooming, while a Movie Theater, a Pub with Billiards, Walking Paths, Shuffle Boars, and Community Gardens fill out the recreation. Pets are allowed here as well. Sixty-eight is the Walk Score here, so it’s somewhat walkable, and a few errands can be done on foot.

Contact Peaceful Pines Senior Living – Huron

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

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 Arrowhead Lodge Senior Living

With 48 beds, Arrowhead Lodge Senior Living provides assisted living, independent living, and respite care in Rapid City, SD. Residents receive assistance with daily tasks while maintaining their independence. Licensed nurses and CNAs, along with 24-hour staffing, also ensure residents have access to care whenever needed.

Respite care provides a short-term stay when a usual caregiver needs time to travel, recover, or manage other responsibilities. Moreover, residents can use the salon and receive balanced meals or special diets with consultation from a registered dietitian, supporting individualized dietary planning. Pets are allowed, so a resident may continue living with a pet. Sheila Gehring serves as the administrator.

Contact Arrowhead Lodge 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- Echo Ridge

Good Samaritan Society – Echo Ridge operates as a dual-option senior living community with 34-beds in Rapid City, South Dakota, catering to both independent living and assisted living residents. Private apartments serve self-sufficient seniors, whereas assisted living programs step in with hands-on assistance for daily needs like dressing, bathing, and managing medications. Operating both levels of support in a single location allows residents to adjust their level of care seamlessly as health needs change over time.

Campus amenities include a fitness room, a dedicated wellness center, an indoor salon, and a chapel for spiritual gatherings. Residents also have access to outdoor walking paths, a shared garden, home-based care options, and on-site rehabilitation therapy. Lindsey Hixson manages the property as administrator.

Prospective families can contact Good Samaritan Society – Echo Ridge to learn more about current apartment openings or to book an in-person tour.

Contact Good Samaritan Society- Echo Ridge

Overview of Centerville Care and Rehab Center

Assisted living, skilled nursing, and nursing home care are the three names attached to Centerville Care and Rehab Center in Centerville, SD. Assisted living handles the daily tasks and stops short of nursing oversight. Skilled nursing brings licensed care indoors at any hour, so the two levels differ in how much help arrives, not in whether it is there. Nursing home care is for a resident needing that oversight and daily support together.

Rehabilitation services put therapy in the same building. Forty-two beds keep the community small, and staff and residents may come to know one another. One resident’s day here uses 3 hours and 40 minutes of nursing.

The area scores 43 for walking, which is car-dependent, so an errand is a trip somebody has to plan rather than a walk somebody takes. Medicare, Medicaid, and private pay all work here, and the choice is between coverage somebody grants and payment a family makes. Raigan Schmidt is named administrator.

Contact Centerville Care and Rehab Center

Overview of Oakview Terrace

Oakview Terrace provides nursing home care, adult day care, assisted living, independent living, and memory care in Freeman, SD. Assisted living supports daily tasks such as dressing, bathing, and medication management while a resident maintains a private living space; memory care provides a secured, supervised setting for someone at risk of wandering. Nursing home care provides residential nursing support, independent living offers private living with community services and no daily care, and adult day care provides care during the day.

The range of care levels may suit a resident whose needs grow over time, since care can continue within the same community rather than requiring a move elsewhere. With 45 beds, Oakview Terrace is a smaller community where staff and residents can get to know each other. Total nurse staffing is 5 hours 38 minutes per resident each day, representing the daily nursing time allocated per resident.

Landscaped gardens provide outdoor space for relaxation and reflection. Chef-prepared meals include options for different dietary needs and preferences. Courtney Unruh serves as the administrator.

Contact Oakview Terrace

Overview of Aurora Brule Nursing Home

Aurora Brule Nursing Home in White Lake, South Dakota, offers a combination of skilled nursing, nursing home care, assisted living, hospice services, and respite stays. Assisted living helps with routine daily tasks like bathing, dressing, and managing medication. Outpatient and inpatient rehabilitation programs provide physical and occupational therapy options, while short-term respite care offers temporary relief for primary family caregivers.

Operating with 50 beds, the community functions under the leadership of administrator Kathy Styles. Registered and licensed staff deliver an average of four hours of daily nursing care per resident, and an attending doctor is on staff. Payment methods include Medicare for qualified short-term care, Medicaid for long-term residential assistance, and private funds.

Prospective representatives considering local senior care options can contact Aurora Brule Nursing Home to discuss available beds, plan a campus visit, or learn more about admissions.

Contact Aurora Brule Nursing Home Inc.

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
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Assisted Living in South Dakota at a glance

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: 67The average licensed bed capacity across facilities in South Dakota. Individual facilities can vary widely from this average.
National Average: 90
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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 88 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.