Page 8 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. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. 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.
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.
Centerville Care and Rehab Center
AL
NH
SNF
Centerville
42
Facility 42
SD AVG
Rank #57 / 70
No
43
Facility 43
SD AVG
Rank #34 / 73
-
1
Facility 1
SD AVG
Rank #3 / 64
Raigan Schmidt
Oakview Terrace
AL
ADC
IL
MC
NH
Freeman
45
Facility 45
SD AVG
Rank #49 / 70
No
26
Facility 26
SD AVG
Rank #52 / 73
-
1
Facility 1
SD AVG
Rank #3 / 64
Courtney Unruh
Aurora Brule Nursing Home Inc.
AL
HOS
NH
RC
SNF
White Lake (White Lake Township)
50
Facility 50
SD AVG
Rank #45 / 70
No
17
Facility 17
SD AVG
Rank #60 / 73
-
1
Facility 1
SD AVG
Rank #3 / 64
Kathy Styles
Country View Assisted Living Center
AL
Florence
-No 9 -26-
Meadows on Sycamore Inc.
AL
MC
NH
Sioux Falls
45No 12 -1Tracey Hughes
Good Samaritan Sioux Valley Community
AL
Watertown
-No 65 Private Rooms--
Bethany Home Brandon
AL
IL
MC
NH
SNF
Brandon
-No
66
Facility 66
SD AVG
Rank #13 / 73
--Deborah Herrboldt
Peaceful Pines Senior Living Community
AL
ADC
IL
MC
Rapid City
-Yes 21 Studio / 1 Bed / 2 Bed--
Primrose Retirement Communities
AL
IL
MC
RC
Aberdeen
-Yes 51 Studio--
Vista Care
AL
ADC
HC
RESC
Pierre
-Yes 63 ---

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 Centerville Care and Rehab Center

Owned and operated by Caring Professionals Inc. , Centerville Care and Rehab Center is a skilled nursing and rehabilitation community in Centerville, South Dakota. The center is located on 500 Vermillion St. It provides a mix of short-term rehabilitative care and longer-term nursing services. Medicare, Medicaid, and private pay are accepted, which opens multiple coverage pathways for families navigating payment options.

The 42-bed center currently serves 18 residents, reflecting a moderate occupancy level. Residents stay an average of 229 days. The population is a mix of post-acute rehabilitation residents and those in longer-term care. With a Walk Score of 43, the location is somewhat walkable. Visiting family members and residents will need to drive for most errands and activities.

Staffing support is part of the daily routine. Nurse staffing averages 3 hours and 53 minutes per resident each day. Residents are supported by registered nurses, nurse aides, and licensed practical/vocational nurses working across the center. The level of hands-on nursing attention reflects the community’s focus on skilled care and rehabilitation services. Rehabilitation is a big component of the center’s offerings because it mainly serves residents recovering from surgery, illness, or injury.

Families considering Centerville Care and Rehab Center should reach out to discuss specific programs, amenities, and services to understand the full range of care available.

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

Located on Johnston Street in White Lake, South Dakota, Aurora Brule Nursing Home is a 50-bed skilled nursing facility. The home accepts Medicare, Medicaid, and private pay, giving families several ways to cover short-term rehabilitation and longer-term nursing care. The facility has an occupancy rate of 62%. Residents stay an average of 176 days, including those receiving post-acute rehabilitation and needing longer-term care.

Rehabilitation is a key part of the facility’s services. Inpatient and outpatient therapy are available. There’s also respite care for families needing temporary support. A doctor is on staff, and the home provides 24-hour nursing care.

Residents receive an average of 3 hours and 27 minutes of nursing care each day. Registered nurses provide 30 minutes of that daily care. This level of staffing supports residents recovering from surgery, illness, or a hospital stay and provides their ongoing medical needs.

White Lake is a rural community with a Walk Score of 17, so the area is car-dependent. Most errands and visits require transportation. Some families may appreciate the quieter small-town setting and slower pace of the area.

Families considering Aurora Brule Nursing Home should ask about rehabilitation services, daily care routines, and recent resident experiences to determine whether the facility’s services match a loved one’s care and recovery needs.

Contact Aurora Brule Nursing Home Inc.

Overview of Country View Assisted Living Center

Owned by Vicky Maag, Country View Assisted Living Center sits in Florence, South Dakota, just a few minutes from Watertown. The community offers both memory care and assisted living. Families can start with one level of support and stay if care needs change over time.

The home has been part of the Florence community for 26 years. The long reflect real staying power in a small town. It’s close to the center of Florence, about 0. Prairie Lakes Hospital is roughly 14 miles down the road if a resident ever needs hospital-level care.

Because the surrounding area is rural, getting around by foot is limited. Country View has a walk score of 9, meaning most errands and outings call for a car rather than a walk. Visiting families should plan, particularly if they will run other errands nearby.

Families considering Country View should call ahead for details on room types, daily activities, and dining. A phone conversation can fill in the specifics that aren’t listed here.

Contact Country View Assisted Living Center

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 Good Samaritan Sioux Valley Community

Part of the Good Samaritan Society network, Good Samaritan Sioux Valley Community is a senior living community in Watertown, South Dakota, about a mile from the city center. The community offers both independent living and assisted living.

The single-story community features private rooms, giving residents their own living space while keeping everything conveniently on one level. Home-cooked meals, housekeeping, and maintenance-free living are all offered here. Residents can spend less time on household tasks and more time enjoying the community.

Residents gather in the community room, dining room, and chapel for social events, wellness programs, religious services, and fitness and recreation activities. There’s an emergency response system that provides an added level of safety, while transportation services make it easier to get to appointments and local errands without driving.

The neighborhood has a Walk Score of 65, so some nearby shops and services can be reached on foot while other destinations are easier to reach by car. This setting works well for residents who enjoy walking and for families looking for nearby places to visit.

Families interested in Good Samaritan Sioux Valley Community should ask directly about the level of personal and medical care available. Publicly available sources describe the community differently in this area.

Contact Good Samaritan Sioux Valley Community

Overview of Bethany Home Brandon

Bethany Home Brandon provides skilled nursing, assisted living, independent living, and memory care in Brandon, SD. Skilled nursing provides licensed nursing care on site around the clock, while assisted living helps residents with daily tasks such as bathing, dressing, and medication. Independent living offers private living with community services and no daily care, and memory care provides a secured setting with supervision for someone at risk of wandering.

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 to a different provider. Rehabilitation services are also available for residents who need therapy as part of their care. Bethany Home Brandon opened in 2012 and is directed by Hunter Winkelpleck.

A heated pool with a hot tub and a fitness center give residents options for exercise and water-based recreation. Outdoor patios and an enclosed courtyard provide designated outdoor spaces, while a general store offers a convenient place for on-site purchases. Scheduled transportation is available for residents who need community-provided rides.

Bethany Home Brandon has a Walk Score of 66 out of 100, meaning the area is somewhat walkable and some errands can be done on foot. A resident who no longer drives may be able to reach some nearby errands independently, while other trips may require transportation.

Contact Bethany Home Brandon

Overview of Peaceful Pines Senior Living Community

Peaceful Pines Senior Living Community offers an exceptional level of service for  independent living, assisted living, and memory care in Rapids, South Dakota. They boast a nurturing and stimulating atmosphere that contributes to the respected experience discovered; they proudly excel with their approach in having a seamless transition for every resident as they are a community that understands how unique their seniors are and may need specific care for every individual. Holland Village ensures that every senior residing in their community loves the place they live.

Peaceful Pines offers comprehensive services and amenities that include home-cooked meals, maintenance-free living, and housekeeping; social activities include gatherings at the movie theater, bistro cafe, courtyards, and billiards. 

Contact Peaceful Pines Senior Living Community

Overview of Primrose Retirement Communities

Primrose Retirement Communities, situated in Aberdeen, South Dakota, offer a range of living options, including luxurious Townhome villas, spacious Independent Living apartments, and comfortable Assisted Living apartments. The exceptional care and compassion demonstrated by dedicated employees are a testament to the quality of the assisted living community. 

Primrose Retirement Communities is dedicated to assisting residents in achieving their personal goals and regaining optimal well-being.

Contact Primrose Retirement Communities

Vista Care

125 W Pleasant Dr #1, Pierre, SD 57501
Overview of Vista Care

Vista Care provides assisted living, adult day care, home care, and residential care services in Pierre, South Dakota. By offering multiple levels of support in one location, the community allows older adults to receive care that can adapt as their needs change over time.

The single-story layout is designed to promote accessibility and ease of movement throughout the residence. Without stairs or multiple floors to navigate, residents can move more comfortably between living spaces and common areas.

Transportation services, fitness opportunities, and recreational activities help support an active lifestyle and encourage engagement. The community is also pet-friendly, allowing older adults to remain with their animal companions while receiving care and support.

Located near Avera St. Mary’s Hospital, the community offers convenient access to healthcare services and medical appointments. The surrounding neighborhood provides moderate walkability, with some nearby destinations accessible on foot, while other errands may require transportation.

Contact Vista Care

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.