Page 9 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
Reviewed by
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:
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 Dakota Heritage House

Located on East Dakota Avenue, Dakota Heritage House is an assisted living community in Pierre, South Dakota, that provides assistance with activities of daily living. This community also features a single-story building.

With a Walk Score of 57, the community’s surrounding area is relatively walkable, with few errands available within walking distance. This also benefits visiting families, as they can easily access some services and destinations on foot.

For better information about Dakota Heritage House’s care levels, services, amenities, lifestyle programming, and payment options, families exploring care options are encouraged to contact the community directly or visit in-person.

Contact Dakota Heritage House

Overview of Moments Hospice of South Dakota

Bereavement and grief counseling are named programs at Moments Hospice of South Dakota, and that tells you the organization’s work does not stop when a patient dies. Families are part of who gets served. Palliative care is a named program too, aimed at comfort during serious illness.

Assisted living in Sioux Falls covers help with bathing, dressing, and medication. Licensed nurses and CNAs staff the operation, with coverage running 24 hours.

Respite care is available for short stays, which suits a family whose usual caregiver needs time to travel or recover. The area rates as somewhat walkable at 42 out of 100, so most trips still require a vehicle.

Contact Moments Hospice of South Dakota

Overview of Fairmont Grand Manor

Fairmont Grand Manor offers assisted living, memory care, and respite care in Rapid City, SD. Assisted living includes help with daily tasks, while memory care provides a secured setting and supervision for someone at risk of wandering. Respite care gives a resident a short stay when their usual caregiver needs to travel or recover.

Having several care levels may suit someone whose needs grow over time or a family seeking short term support. A Walk Score of 36 places the home in a car dependent setting, so most errands require a car or a ride. A resident who no longer drives would need transportation or assistance for routine errands.

Contact Fairmont Grand Manor

Overview of Avera Prince of Peace Retirement Community

Avera Prince of Peace Retirement Community offers assisted living in Sioux Falls, SD. Assisted living provides help with daily tasks such as dressing, bathing and medication while allowing a resident to maintain a private living space. The community may be a good fit for someone who needs this day-to-day support and for a family seeking access to additional health-related services.

Respite care is available for short stays, which can suit a family caregiver who needs time to travel, recover or handle another responsibility. Rehabilitation services give residents access to therapy through the community, while a doctor on staff provides physician care on site.

A pool offers an on-site place for residents to swim, and the spa provides access to personal-care services within the community. Transportation services can help residents reach destinations without arranging their own transportation. Religious services are also available for residents who wish to attend them on site.

Avera Health owns the community.

Contact Avera Prince of Peace Retirement Community

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 Avera Medical Group Palliative Medicine

When it comes to specialized care, Avera Medical Group Palliative Medicine caters to individuals facing challenges like cancer, kidney failure, liver failure, Alzheimer’s, and more. With a team well-versed in the intricacies of serious illnesses, including nurses, social workers, chaplains, and pharmacists, they provide top-tier care, focusing on improving various symptoms such as trouble breathing, numbness, sleep issues, constipation, and more.
Beyond medical treatments, Avera Medical Group Palliative Medicine goes the extra mile by assisting patients with advance care planning. This involves understanding a patient’s living will or medical power of attorney paperwork, ensuring clarity and alignment of intentions among all parties involved. Additionally, they excel in handling family conversations with sensitivity and adeptly managing necessary documents and agreements. In these challenging times, they extend a helping hand, guiding individuals and their families towards a path of understanding and support.

Contact Avera Medical Group Palliative Medicine

Overview of Sunset Manor Avera

Sunset Manor Avera operates a skilled nursing and physical rehabilitation community on East Clay Street in Irene, South Dakota. The property manages the Sunrise Villa Rehabilitative Program, providing medical recovery care for seniors transitioning out of hospital stays after severe strokes, major surgeries, or acute illnesses. Carrying a neighborhood walk score of 11, the rural facility grounds are entirely car-dependent, meaning local relatives and out-of-town visitors will need a vehicle to travel to the campus or handle retail errands.

The therapy department organizes care targets based on individual recovery trajectories and long-term medical needs. The clinical floor provides combined daily support averaging 35 minutes of direct attention from registered nurses, 52 minutes from licensed practical nurses, and three hours and 30 minutes from certified nurse aides per resident. This continuous staffing mix forms the baseline for the facility’s daily medication administration, wound care, and personal hygiene assistance.

Prospective families can call the administrative office to verify open bed numbers or to discuss the clinical admission criteria. The front desk team can explain how their billing system integrates different public or private payment pathways and help you set up an appointment to see the rehabilitation gym and resident spaces.

Contact Sunset Manor Avera

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
Submit a correction

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
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 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.