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Best Assisted Living in South Dakota

Reviewed by Dr. Jordan Weiss
Updated Feb 2026
Over 80 homes analyzed

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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Watch this Video to see South Dakota's Top-rated Senior Communities
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Home to the iconic Mount Rushmore, South Dakota is known for its stunning natural beauty, vibrant culture, and rich history. The state also boasts a low cost of living, affordable housing, and good healthcare, as well as plenty of recreational opportunities and dining options. Assisted living communities also reside across the area, providing top-notch care and excellent amenities for retirees’ comfort. Retirees are also guaranteed the finest retirement experience, especially with the state’s retirement benefits, favorable taxes, and age-friendly services.

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Compare Assisted Living around South Dakota

Pine Hills Retirement Community
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Hot Springs
78
No
-
0
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Dow Rummel Village
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Sioux Falls
50
No
A+
54
HAHN, CHRISTOPHER
-
$21,677,278.00
$11,329,272.00
52.3%
47.20
4/5
5.1971
4/5
4/5
4/5
1
7
3
+2%
+20%
+17%
93.7%
Trail Ridge Senior Living Community
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Sioux Falls
72
No
A+
17
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Edgewood Pierre
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Pierre
86
Yes
-
6
-
Studio / 1 Bed / 2 Bed
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Countryside Living
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Mitchell
50
No
-
36
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
The Inn on Westport
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Sioux Falls
140
No
A+
63
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
The Village at Skyline Pines Assisted Living & Memory Care
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Rapid City
116
No
-
32
-
1 Bed / 2 Bed
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Avantara Lake Norden
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

SD 57248
48
No
-
6
GRIMM, MARGARET
-
$7,058,696.00
$2,117,765.00
30%
46.50
5/5
3.3290
5/5
3/5
4/5
1
4
1
+8%
-23%
+15%
92.1%
Touchmark at All Saints
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Sioux Falls (All Saints)
153
No
A+
80
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
The Village of Harmony Hill
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Watertown
104
Yes
-
0
-
Studio / 1 Bed / 2 Bed
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Avantara Norton
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

SD 57105
100
No
-
61
KLINKHAMMER, JEREMY
-
$16,589,769.00
$3,749,956.00
22.6%
94.70
1/5
3.5336
1/5
2/5
2/5
7
75
18
+34%
-19%
+14%
91.5%
Legends at Lake Lorraine
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Sioux Falls
185
No
-
43
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
StoneyBrook Suites Assisted Living
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Sioux Falls
54
No
-
47
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Avera Mother Joseph Manor Retirement Community
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Hospice Care

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

SNF

Nursing Homes 24/7 care needed

Aberdeen
81
Yes
-
31
-
1 Bed / 2 Bed
-
-
-
76.50
4/5
4.6180
3/5
5/5
2/5
2
-
-
-
+6%
-
-
Bethesda Towne Square
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

SNF

Nursing Homes 24/7 care needed

Aberdeen
52
Yes
-
21
-
Suite
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
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Sioux Falls Primary Home Care Services provides compassionate assistance, certified to provide unparalleled home care services to both seniors and adults facing complex disabilities. With a profound dedication to their mission, this agency has been a pillar of support in the community since 2015. Their commitment shines through in the array of services they offer, including household cleaning, meal preparation, ambulation assistance, transportation services, and more, ensuring that individuals receive the care they truly deserve.

Their team boasts multilingual staff members proficient in Arabic, French, German, Russian, Spanish, and English, allowing them to cater to a wider range of patients. With their blend of expertise and compassion, Sioux Falls Primary Home Care Services exists as a testament to exceptional care, making them a trusted choice for individuals and families seeking reliable and culturally sensitive home care solutions.

Overview of Sioux Falls Primary Home Care Services

Sioux Falls Primary Home Care Services provides compassionate assistance, certified to provide unparalleled home care services to both seniors and adults facing complex disabilities. With a profound dedication to their mission, this agency has been a pillar of support in the community since 2015. Their commitment shines through in the array of services they offer, including household cleaning, meal preparation, ambulation assistance, transportation services, and more, ensuring that individuals receive the care they truly deserve.

Their team boasts multilingual staff members proficient in Arabic, French, German, Russian, Spanish, and English, allowing them to cater to a wider range of patients. With their blend of expertise and compassion, Sioux Falls Primary Home Care Services exists as a testament to exceptional care, making them a trusted choice for individuals and families seeking reliable and culturally sensitive home care solutions.

Contact Sioux Falls Primary Home Care Services

Prosperous Home Health is dedicated to preserving the essence of independent living for seniors in the Sioux Falls community. Their commitment lies in ensuring that seniors can relish a healthy and autonomous lifestyle within the familiar comforts of their homes while receiving the essential support they require. The range of services they offer, including non-medical caregiving, companionship, and skilled home health, reflects their comprehensive approach to senior care.

With a focus on delivering top-tier services, their team goes above and beyond. They provide specialized care such as wound care, cancer care, stroke management, hydration management, chronic diagnosis care, and IV therapy, ensuring that every aspect of a senior’s health and well-being is meticulously looked after. Seniors and their families can trust in Prosperous Home Health’s dedication to enhancing the quality of life for those they serve, ensuring a nurturing and supportive environment for every individual in their care.

Overview of Prosperous Home Health

Prosperous Home Health is dedicated to preserving the essence of independent living for seniors in the Sioux Falls community. Their commitment lies in ensuring that seniors can relish a healthy and autonomous lifestyle within the familiar comforts of their homes while receiving the essential support they require. The range of services they offer, including non-medical caregiving, companionship, and skilled home health, reflects their comprehensive approach to senior care.

With a focus on delivering top-tier services, their team goes above and beyond. They provide specialized care such as wound care, cancer care, stroke management, hydration management, chronic diagnosis care, and IV therapy, ensuring that every aspect of a senior’s health and well-being is meticulously looked after. Seniors and their families can trust in Prosperous Home Health’s dedication to enhancing the quality of life for those they serve, ensuring a nurturing and supportive environment for every individual in their care.

Contact Prosperous Home Health

Interim Healthcare of Sioux Falls goes above and beyond in delivering a diverse range of care services right in the comfort of one’s own home. Whether it’s personal care, companionship, or specialized therapy and nursing services, their locally owned and operated team ensures a responsive and compassionate approach to every family they assist. They prioritize holistic well-being, addressing not just physical health, but also the mind, body, spirit, and family dynamics.

With a keen focus on personalized care coordination, hospice, and specialized care, Interim Healthcare of Sioux Falls stands out for its dedication to the complete well-being of their clients. Their services extend beyond traditional caregiving; they provide bereavement and grief support, specialized Alzheimer’s care, and even hospice pet therapy. Their team, comprising highly competitive nurses and other expert staff members, is committed to providing exceptional and tailored care, making sure families feel supported and valued every step of the way.

Overview of Interim Healthcare of Sioux Falls

Interim Healthcare of Sioux Falls goes above and beyond in delivering a diverse range of care services right in the comfort of one’s own home. Whether it’s personal care, companionship, or specialized therapy and nursing services, their locally owned and operated team ensures a responsive and compassionate approach to every family they assist. They prioritize holistic well-being, addressing not just physical health, but also the mind, body, spirit, and family dynamics.

With a keen focus on personalized care coordination, hospice, and specialized care, Interim Healthcare of Sioux Falls stands out for its dedication to the complete well-being of their clients. Their services extend beyond traditional caregiving; they provide bereavement and grief support, specialized Alzheimer’s care, and even hospice pet therapy. Their team, comprising highly competitive nurses and other expert staff members, is committed to providing exceptional and tailored care, making sure families feel supported and valued every step of the way.

Contact Interim Healthcare of Sioux Falls

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How We Score & Rank Senior Living Communities

At Assisted Living Magazine, our rankings are designed to help families compare senior living communities with clarity and confidence.
Each community is evaluated and ranked based on reputation, transparency, digital trust, and on-site quality signals.
Below is the full explanation of every factor and the exact weight it contributes to the final score.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest portion of every community’s score comes from resident feedback and online reputation (40%), which reflects real experiences shared by families and caregivers.
An additional 45% of the score comes from a combination of transparency and operational quality signals, including:

  • Photos, videos, and virtual tours (visual transparency)
  • Website quality and digital trust indicators
  • Occupancy levels and number of units (community scale & stability)

These factors help us evaluate how well a community presents itself and how consistently it meets resident needs.

Balancing Additional Factors

The final 15% of the score comes from supportive context data, including:

  • Walkability and local accessibility
  • Estimated property value
  • Pricing information

These elements provide helpful context but carry less weight because our rankings prioritize real-world satisfaction and care consistency first.
The result is a fair, clear, and data-driven ranking system for families researching senior living options.

Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
Virtual Tours & Videos

Check out our photo album

Check out our virtual tours

Check out our home videos

Resident interviews at our senior living facilities

Check out our resident interviews

Cost guide to senior living, assisted living, nursing homes, and more.

Check out our cost guide.

Frequently Asked Questions

Answers to the most common questions from families.
What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

Cost guide to senior living, assisted living, nursing homes, and more.

Check out our cost guide.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
Virtual Tours & Videos

Check out our photo album

Check out our virtual tours

Check out our home videos

Resident interviews at our senior living facilities

Check out our resident interviews