Other senior care options in South Dakota:

Page 9 of Best Assisted Living in South Dakota

Why trust this guide? Our editorial team analyzed 86 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
Reviewed by
Last updated
Jul 2026
We analyzed
86 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: 42/ 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

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 to lowest based on our ranking methodology.

Avera Maryhouse
AL
HOS
NH
Pierre
67
Facility 67
SD AVG 69
Rank #49 / 117
Yes
60
Facility 60
SD AVG 42
Rank #39 / 149
Private Rooms / Semi-Private Rooms
1
Facility 1
SD AVG 4
Rank #14 / 105
-Talli Raske
Touchmark at All Saints
AL
IL
MC
Sioux Falls (All Saints)
153
Facility 153
SD AVG 69
Rank #5 / 117
Yes
80
Facility 80
SD AVG 42
Rank #14 / 149
-
32
Facility 32
SD AVG 4
Rank #2 / 105
A+Amanda Snoozy
The Inn on Westport
AL
IL
MC
RC
Sioux Falls
140
Facility 140
SD AVG 69
Rank #6 / 117
No
63
Facility 63
SD AVG 42
Rank #34 / 149
-
30
Facility 30
SD AVG 4
Rank #4 / 105
A+Jill Dykstra
Bethesda Home of Aberdeen
AL
HC
NH
RC
SNF
Aberdeen (Aberdeen Township)
86
Facility 86
SD AVG 69
Rank #27 / 117
No
85
Facility 85
SD AVG 42
Rank #1 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Scott Eisenbeisz
Bethany Home Sioux Falls/Bethany Home-Brandon
AL
IL
MC
NH
SNF
Sioux Falls
112
Facility 112
SD AVG 69
Rank #11 / 117
No
65
Facility 65
SD AVG 42
Rank #25 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Amanda Peterson
Alcester Care and Rehab Center
AL
NH
SNF
Alcester (Alcester Township)
41
Facility 41
SD AVG 69
Rank #94 / 117
No
14
Facility 14
SD AVG 42
Rank #122 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Tiffany Miller
Oakview Terrace
AL
ADC
IL
MC
NH
Freeman
45
Facility 45
SD AVG 69
Rank #82 / 117
No
26
Facility 26
SD AVG 42
Rank #106 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Courtney Unruh
Menno-Olivet Care Center
AL
HOS
NH
RC
SNF
Menno
41
Facility 41
SD AVG 69
Rank #94 / 117
No
13
Facility 13
SD AVG 42
Rank #123 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Aisha Abbink
The Village at Skyline Pines Assisted Living & Memory Care
AL
MC
Rapid City
116
Facility 116
SD AVG 69
Rank #9 / 117
No
32
Facility 32
SD AVG 42
Rank #90 / 149
1 Bed / 2 Bed
1
Facility 1
SD AVG 4
Rank #14 / 105
-Kelli Back
Westhills Village
AL
HC
IL
NH
PC
SNF
Rapid City (Texas Street)
44
Facility 44
SD AVG 69
Rank #90 / 117
No
21
Facility 21
SD AVG 42
Rank #111 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Kelsey Bertsch
Legends at Lake Lorraine
AL
IL
MC
Sioux Falls
185
Facility 185
SD AVG 69
Rank #2 / 117
Yes
43
Facility 43
SD AVG 42
Rank #70 / 149
-
1
Facility 1
SD AVG 4
Rank #14 / 105
-Kyrsten Fokken
Good Samaritan Society – Sioux Falls Village
AL
IL
MC
NH
Sioux Falls (South Marion Road)
177
Facility 177
SD AVG 69
Rank #3 / 117
No
50
Facility 50
SD AVG 42
Rank #58 / 149
--A+Thomas Fraser
Edgewood Brookings
AL
ADC
MC
Brookings
50
Facility 50
SD AVG 69
Rank #68 / 117
No
55
Facility 55
SD AVG 42
Rank #48 / 149
-
30
Facility 30
SD AVG 4
Rank #4 / 105
A+Shannon Loehr
Ponderosa Lodge Senior Living
AL
IL
RC
Sioux Falls
76
Facility 76
SD AVG 69
Rank #42 / 117
No
30
Facility 30
SD AVG 42
Rank #99 / 149
1 Bed / 2 Bed
1
Facility 1
SD AVG 4
Rank #14 / 105
-Martina Castle
Edgewood Prairie Crossings Assisted Living
AL
Sioux Falls
68
Facility 68
SD AVG 69
Rank #45 / 117
No
31
Facility 31
SD AVG 42
Rank #93 / 149
Private / Semi-Private Rooms
1
Facility 1
SD AVG 4
Rank #14 / 105
-Carmen Dougherty
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Overview of Benet Place Senior Apartments

Overlooking the spectacular views of Watertown, SD, Benet Place Senior Apartments is a serene senior living community, offering a peaceful and nurturing environment for independent living. Here, residents are guaranteed a care-free, zero-maintenance living with lawn care, gardening, maintenance, and snow removal handled by the community’s attentive maintenance team. The community features 38 beautifully designed apartments that offer residents utmost comfort and a peaceful space for relaxation or inviting friends and family over.

The community also makes room for vibrant and engaging activities, including daily exercise classes, social activities, arts & crafts classes and more. Hearty meals and nourishing snacks are also offered to make sure residents are always full and happy. Convenient services, such as housekeeping, lawn care, and snow removal are also available to make residents’ living experience more comfortable and carefree.

Contact Benet Place Senior Apartments

Overview of Good Samaritan Society- Echo Ridge

Good Samaritan Society – Echo Ridge is a senior living community in Rapid City, South Dakota, offering assisted living, independent living, memory care, home care, and respite care. The 34-bed community is part of the Evangelical Lutheran Good Samaritan Society, one of the nation’s largest nonprofit care organizations for older adults. As a relatively new community in the Rapid City market, it features modern residential spaces and updated care programming designed for adults aged 55 and older.

One- and two-bedroom floor plans are among the layouts available. Located near Monument Health Rapid City Hospital, the community has convenient access to medical services.

Amenities and services include a chapel, dining room, wellness center, guest accommodations, and shared community gathering spaces. A 24-hour emergency call system, an automatic fire sprinkler system, and smoke detection are also in place throughout the wheelchair-accessible building. Faith-based programming, volunteer opportunities, and religious services also reflect the mission and traditions of the Good Samaritan Society organization. Transportation services, fitness and recreational activities, caregiver support, and home-based services are also available through the broader affiliate network.

Dedicated to older adults age 55 and older in the Rapid City area, Good Samaritan Society – Echo Ridge is a strong option for those seeking a faith-centered community with multiple levels of care, modern amenities, transparent pricing, and access to a nationally recognized nonprofit support network.

Contact Good Samaritan Society- Echo Ridge

Overview of Good Samaritan Society-St Martin Village

Good Samaritan Society-St Martin Village is a skilled nursing home in Rapid City, South Dakota, part of the well-established Good Samaritan Society, a name many families across the region have come to know over the years. The community is housed in a three-story building on Good Shepherd Way, offering both one-bed and two-bed room options. For families weighing nursing care in the area, that connection to a long-standing faith-based organization is often part of the appeal.

Daily life here centers on comprehensive nursing care paired with an all-inclusive approach to services. Residents receive home-cooked meals, housekeeping, and maintenance-free living, so the practical burdens of running a household are handled for them. Social life is woven into the setting through gatherings in the community room, dining room, and chapel, alongside wellness programs and religious services. An emergency response system adds a layer of day-to-day reassurance for residents and their families.

On the clinical side, nurse aides provide close to two hours of hands-on support per resident each day, with registered nurse coverage adding roughly an hour and a half more. That level of direct staffing is a meaningful signal of how much bedside attention residents can expect. The location sits in a quieter, car-dependent part of Rapid City, so visiting family will generally plan to drive, which also tends to mean a calmer residential setting away from heavier traffic.

Contact Good Samaritan Society-St Martin Village

Overview of Primrose Cottages – Aberdeen

Primrose Cottages – Aberdeen is an assisted living community on Meadowbrooke Court in Aberdeen, South Dakota, offering one-bedroom and two-bedroom apartments as well as townhome villas. These housing options give older adults flexibility in selecting a living arrangement that matches their preferences. The surrounding neighborhood has a walkability score of 7, so most errands and outings require transportation.

Residents are supported by 24-hour staffing with licensed nurses and certified nursing assistants, along with a rapid response call system and routine safety checks. Restaurant-style dining features chef-prepared meals and menu choices, while amenities include a wellness center, library, landscaped courtyards and patios, scheduled transportation, individual climate control, and telehealth services. Lawn care and snow removal are also included.

Signature programs and specialty services are designed to help residents maintain independence and support their overall quality of life.

Contact Primrose Cottages – Aberdeen

Overview of Good Samaritan Society Sioux Falls Village

Good Samaritan Society Sioux Falls Village is a nonprofit nursing home in Sioux Falls, South Dakota, offering assisted living, independent living, memory care, rehabilitation therapy, and long-term nursing support. With 177 licensed beds, this church-operated community is one of the largest senior care campuses in South Dakota and operates under the Good Samaritan Society’s faith-based nonprofit mission. Medicare, Medicaid, and private-pay are also accepted.

The community currently holds a 1-star overall CMS rating, with health inspection and quality measure scores falling below South Dakota averages. On the other hand, staffing levels compare more favorably and are among the community’s stronger operational areas. Nursing care per day is recorded at over four hours on average, placing the community above statewide benchmarks. Licensed practical nurse coverage and weekend nursing hours also exceed state averages, while registered nurse and nurse aide staffing remain modestly below benchmark levels.

Occupancy remains high at nearly 90%, reflecting stable demand and an established reputation within the region. Additionally, the resident population includes a mix of short-term rehabilitation patients, private-pay residents, and Medicaid-supported long-term care residents. Medicare residents typically stay for shorter rehabilitation-focused periods, while private-pay and Medicaid residents often remain for several months. The broad continuum of care available, ranging from independent living to memory care, allows residents to transition between care levels as needs evolve.

Good Samaritan Society Sioux Falls Village is ideal for older adults and families seeking a large nonprofit community with multiple living and care options, strong overall staffing investment, and the ability to support both short-term rehabilitation and long-term residential care under one roof.

Contact Good Samaritan Society Sioux Falls Village

Overview of Five Counties Nursing Home

Located in Lemmon, South Dakota, Five Counties Nursing Home is a skilled nursing facility serving residents in Perkins County. Besides, it offers skilled nursing, short-term and long-term care, rehabilitation services, memory care, assisted living, and independent living. Residents can receive care here as their needs change. Jordan Fish serves as administrator.

The 37-bed community has an occupancy rate of about 80%. Residents stay an average of about 459 days, which points to more long-term nursing care than short rehabilitation stays.

Total nurse staffing averages 4 hours and 9 minutes per resident daily. Registered nurses provide roughly 51 minutes of that daily total. Residents receive hands-on aide support and clinical oversight throughout the day.

Medicare, Medicaid, and private pay are accepted, giving families several ways to cover short-term rehabilitation or ongoing nursing care. Lemmon is a small rural community, and Five Counties has a Walk Score of 42. A few nearby services are within walking distance, but most errands require driving. Families planning to stay longer-term should ask how staff support residents throughout extended care.

Contact Five Counties Nursing Home

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 86 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.