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Page 8 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 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 Dolan Creek Senior Living

Dolan Creek Senior Living is an assisted living community in Sturgis, South Dakota, providing assistance with daily living activities. This 60-bed community is administered by Teresa Henderson, serving adults aged 55 and older. It is designed primarily for private-pay residents and focuses on creating a lifestyle-oriented environment, with restaurant-quality dining and social activities.

Three restaurant-style meals daily are provided, along with professional medication administration, housekeeping services, weekly laundry and linen service, and access to a full calendar of social and recreational activities. Accommodations include private and companion suites with individual climate controls, while common spaces are designed to encourage comfort and social interaction. A physician on staff and 24-hour nursing support also provide a stronger clinical presence than many assisted living communities of similar size. The community also maintains a 24-hour visiting policy, offering families unusually flexible access to loved ones.

Focusing on dining quality, active programming, and transparent communication, Dolan Creek Senior Living is particularly well-suited for private-pay older adults in Sturgis and throughout Meade County who value a hospitality-focused assisted living environment with extensive amenities, continuous clinical oversight, and flexible family visitation.

Contact Dolan Creek Senior Living

Overview of The Wellshire Huron

The Wellshire Huron is an assisted living community in Huron, South Dakota, offering personal care and rehabilitation services. The 35-bed community is administered by Laurie Solem, who also oversees the nearby skilled nursing community, Avantara Huron. Licensed by the South Dakota Department of Health since July 2025, the community combines assisted living with access to clinical oversight and rehabilitative support for older adults who require varying levels of daily assistance.

24-hour nursing coverage with licensed nurses and certified nursing assistants, housekeeping services, laundry areas on each floor, spacious resident closets, and individually controlled air conditioning are among the confirmed amenities. Rehabilitation services are also provided on-site, allowing residents to access therapy support without the inconvenience of traveling to outside providers.

The community’s location near the center of Huron carries a Walk Score of 68, making it one of the more walkable assisted living options in central South Dakota. Residents and visitors benefit from relatively convenient access to nearby services, shops, and daily necessities.

With a smaller 35-bed capacity, The Wellshire Huron is a great choice for older adults in Huron and throughout Beadle County seeking assisted living with integrated nursing oversight and rehabilitation access, particularly those who value a more personal residential atmosphere than many larger communities. Its shared leadership connection with Avantara Huron also provides continuity and coordination advantages for residents whose care needs change over time.

Contact The Wellshire Huron

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 Meadows on Sycamore

Meadows on Sycamore Inc. is an assisted living community in Sioux Falls, South Dakota, offering personal care services. Administered by Tracey Hughes, this 45-bed community accepts Medicaid, which is a meaningful access point for families navigating care costs.

Medicaid acceptance serves as a defining practical advantage, as it is less common in Sioux Falls, which makes this setting a genuinely accessible choice for families with limited financial resources. The combination of on-site nursing, medication management, laundry, and dietary support within an all-inclusive model also reduces out-of-pocket variability for residents and families budgeting for long-term care.

Confirmed amenities and services include nursing services with 24-hour staffing, medication administration, housekeeping, laundry services, included utilities, and dietary consultation. The dining program provides three homestyle meals and snacks daily, along with a diverse activities schedule. The community also operates as a smoke-free and pet-free environment.

Notably, transportation planning is important here, as most errands and services will require a vehicle or arranged rides, reflected by its car-dependent location on the eastern edge of Sioux Falls.

Meadows on Sycamore Inc. is a good option for older adults in Sioux Falls and Minnehaha County who need personal care and medication management and prefer an affordable, Medicaid-accepting assisted living environment with structured daily programming and spiritual life integration.

Contact Meadows on Sycamore Inc.

Overview of Countryside Living

Countryside Living is a senior living community in Mitchell, South Dakota, offering independent living, assisted living, and rehabilitation services. This 50-bed community has been in operation for 25 years in the Mitchell area, bringing an established track record and deep local roots compared to similar yet newer senior care providers.

Confirmed services include licensed nurses and CNAs on staff, 24-hour staffing, housekeeping, dining services, scheduled transportation, on-site security, and assistance with daily tasks. All utilities are also included. Both assisted living and independent living are offered, supporting flexibility for residents whose care needs evolve.

With a Walk Score of 81, the community holds one of the highest walkability ratings of any assisted living option in South Dakota, suggesting that most daily errands are available on foot from the North Wisconsin Street address near Mitchell’s city center. This is a meaningful quality-of-life advantage for residents who maintain their mobility, and a practical convenience for visiting family members.

Countryside Living is a great option for older adults in Mitchell and Davison County who value a long-established, community-rooted senior living option with strong walkability, flexible care levels, and comprehensive daily support services. With over 25 years of operating history in Mitchel, the community ensures stability and familiarity with the needs of the local older adult population.

Contact Countryside Living

Overview of Park Place Assisted Living

Park Place Assisted Living is a senior living community in Reno, Nevada, that offers assisted living and independent living. Licensed as a Residential Facility for Groups and in operation for nearly 30 years, this 60-bed community has studio accommodations on a single-story campus.

The community currently has 41 of 60 beds occupied, representing an occupancy rate of 68%, which is below the state of Nevada’s average of 81.5%. Notably, occupancy has fluctuated over the years, reaching as high as 80% capacity during periods in 2024. Assisted living and independent living are among the living options provided, along with transportation services, housekeeping, fitness and recreation programming, and a pet-friendly environment within a studio-based, single-story layout.

Nevada’s Department of Health and Human Services, Bureau of Health Care Quality and Compliance, has inspected the community through annual surveys and complaint investigations since at least 2012, leading to a total of 33 inspections. Over that tracked window, the community has averaged approximately 10.2 deficiencies per year, which is about 44% above the Nevada average of 7.1 per year. Recurring themes include medication management, such as administration errors, unsecured medications, and incomplete medication records, along with staff training compliance regarding caregiver training timelines, elder abuse prevention, infection control, and cultural competency, as well as health and sanitation issues in food safety and kitchen practices.

Moreover, the most recent annual survey, conducted July 16, 2025, cited 14 deficiencies across administrator oversight, caregiver qualifications, medication documentation, TB screening, infection control program review, and first-aid kit compliance. Two substantiated complaint investigations are also on record, including the April 2025 investigation, which confirmed that six employees were performing blood sugar testing and insulin injections without documented training, a finding that coincided with a resident being hospitalized for critically low blood sugar. Another complaint investigation in December 2024 substantiated that a resident went without a prescribed medication for 15 days, resulting in withdrawal symptoms and an emergency room visit, and that a resident’s shower was not wheelchair accessible. However, no fines or license suspensions were listed in the available reports.

The location is situated in a car-dependent part of Reno with a Walk Score of 6, making personal transportation or the community’s own transportation services a practical necessity for most residents.

With a 29-year operating history and smaller scale, Park Place Assisted Living appeals to families seeking a more intimate yet established senior living option. However, interested families are advised to carefully consider the pattern of regulatory findings in recent years, particularly around medication management and staff training, when making a placement decision.

Contact Park Place Assisted Living

Overview of Wellshire Park Place

Wellshire Park Place is an assisted living community in Milbank, South Dakota, offering personal care, 24-hour nursing, and on-campus rehabilitation services. With a 36-bed capacity, the community provides care to older adults in Grant County.

Confirmed amenities include 24-hour nursing care, housekeeping services, fitness programming, music, art, games, and group outings. For a 36-bed rural community, the offering of rehabilitation services on-site helps reduce the need for residents to travel to larger centers for therapy. Lifestyle programming also includes fitness, music, art, games, and organized outings, reflecting a community that invests in the social and recreational dimensions of daily life alongside clinical care.

Its location at the Milbank city center, with a Walk Score of 64, places it among the more walkable assisted living choices in northeastern South Dakota, with a range of daily services accessible on foot.

Wellshire Park Place is great for older adults in Milbank and the broader Grant County area who need daily personal care assistance and value access to on-campus rehabilitation services in a walkable, community-centered location.

Contact Wellshire Park Place

Overview of Pine Hills Retirement Community

Pine Hills Retirement Community is an assisted living community in Hot Springs, South Dakota, that provides personal care. Managed by Vickie Nekuda, this 78-bed community is the only assisted living provider featured in local Fall River County comparison data. It also serves as a vital resource for older adults throughout the Southern Black Hills region.

The dining experience here is distinctively elevated, with meals prepared by an on-site chef and supervised by a state-licensed nutritionist, making it stand out among others that use outsourced catering. This culinary approach also aligns with a comprehensive wellness philosophy that encompasses independent living, assisted living, medical services, rehabilitation services, tailored wellness programming for older adults, and a calendar of social events. Additionally, licensed nurses and CNAs provide around-the-clock staffing coverage.

With a Walk Score of 52, the location is in a moderately walkable neighborhood in Hot Springs, allowing residents to manage certain daily errands on foot while enjoying convenient access to the town center. Meanwhile, its placement within Fall River County also offers proximity to the Veterans Administration Black Hills Health Care System, appealing to veteran residents and families exploring VA Aid and Attendance benefits.

Pine Hills Retirement Community is a great option for older adults in Hot Springs and the surrounding Fall River County area looking for an independent or assisted living lifestyle centered on wellness, chef-driven dining, and professional clinical support in a premier senior living destination.

Contact Pine Hills Retirement Community

Overview of StoneyBrook Suites Assisted Living

StoneyBrook Suites Assisted Living is an assisted living community in Sioux Falls, South Dakota, offering personal care services for older adults. The 54-bed community is a recently remodeled residential setting near the eastern edge of the Sioux Falls metro area. As a community with approximately one year of licensed operation, it features updated surroundings and a contemporary approach to assisted living in South Dakota’s largest city.

The community has undergone significant remodeling, featuring amenities such as a state-of-the-art theater, an in-house coffee shop, and updated suites with studio, one-bedroom, and two-bedroom floor plan options. Meanwhile, the care model encompasses nursing and wellness services, restorative therapy, and dietary support, with personalized care plans tailored to individual needs.

Featuring updated, thoughtfully designed living spaces, StoneyBrook Suites Assisted Living is well-suited for older adults in the Sioux Falls area who value a modern approach to assisted living, particularly those who prefer a smaller community setting with individualized care attention. The restorative therapy also makes it a good option for older adults recovering from illness, but who do not require skilled nursing care yet.

Contact StoneyBrook Suites Assisted 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
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 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.