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Other Senior care options in South Dakota:

Best Senior Communities in South Dakota

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 143 homes in South Dakota

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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Video Tour: Top-rated Senior Communities facilities in South Dakota.

Watch this Video to see South Dakota's Top-rated Senior Communities

Compare Senior Communities around South Dakota

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

Click column headers to sort
The Parkwood
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Sioux Falls
133
Facility 133
SD AVG 69
Rank #7 / 117
Yes
10
Facility 10
SD AVG 39
Rank #134 / 159
Studio / 1 Bed / 2 Bed
2
Facility 2
SD AVG 8
Rank #13 / 51
A-Nathan Kasselder
Edgewood Pierre
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Pierre
86
Facility 86
SD AVG 69
Rank #27 / 117
Yes
6
Facility 6
SD AVG 39
Rank #143 / 159
Studio / 1 Bed / 2 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
-Melissa Johnson
The Village at Skyline Pines Assisted Living & Memory Care
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Rapid City
116
Facility 116
SD AVG 69
Rank #9 / 117
No
32
Facility 32
SD AVG 39
Rank #90 / 159
1 Bed / 2 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
-Kelli Back
The Village of Harmony Hill
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Watertown (Sheridan Township)
104
Facility 104
SD AVG 69
Rank #19 / 117
Yes
0
Facility 0
SD AVG 39
Rank #149 / 159
Studio / 1 Bed / 2 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
-Krista Beauchamp
Avera Mother Joseph Manor Retirement Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Aberdeen
81
Facility 81
SD AVG 69
Rank #32 / 117
Yes
31
Facility 31
SD AVG 39
Rank #93 / 159
1 Bed / 2 Bed
29
Facility 29
SD AVG 8
Rank #5 / 51
-Paula Henrickson
Bethesda Towne Square
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Aberdeen (Melrose Addition)
52
Facility 52
SD AVG 69
Rank #65 / 117
Yes
21
Facility 21
SD AVG 39
Rank #111 / 159
Suite
1
Facility 1
SD AVG 8
Rank #14 / 51
-Scott Eisenbeisz
Arrowhead Lodge Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Rapid City
48
Facility 48
SD AVG 69
Rank #76 / 117
No
12
Facility 12
SD AVG 39
Rank #127 / 159
1 Bed / 2 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
-Sheila Gehring
Ponderosa Lodge Senior Living
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Sioux Falls
76
Facility 76
SD AVG 69
Rank #42 / 117
No
30
Facility 30
SD AVG 39
Rank #99 / 159
1 Bed / 2 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
-Martina Castle
Avera Maryhouse
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

Pierre
67
Facility 67
SD AVG 69
Rank #49 / 117
Yes
60
Facility 60
SD AVG 39
Rank #39 / 159
Private Rooms / Semi-Private Rooms
1
Facility 1
SD AVG 8
Rank #14 / 51
-Talli Raske
Edgewood Watertown
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Watertown
66
Facility 66
SD AVG 69
Rank #50 / 117
No
18
Facility 18
SD AVG 39
Rank #117 / 159
Private Rooms
1
Facility 1
SD AVG 8
Rank #14 / 51
-Jackie Clark
Edgewood Prairie Crossings Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Sioux Falls
68
Facility 68
SD AVG 69
Rank #45 / 117
No
31
Facility 31
SD AVG 39
Rank #93 / 159
Private / Semi-Private Rooms
1
Facility 1
SD AVG 8
Rank #14 / 51
-Carmen Dougherty
Good Samaritan Society – Echo Ridge
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Rapid City
34
Facility 34
SD AVG 69
Rank #108 / 117
No
11
Facility 11
SD AVG 39
Rank #131 / 159
Private Rooms
1
Facility 1
SD AVG 8
Rank #14 / 51
-Lindsey Hixson
Meadow Lake Assisted Living
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Watertown
16
Facility 16
SD AVG 69
Rank #115 / 117
No
0
Facility 0
SD AVG 39
Rank #149 / 159
1 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
-Chasity Chandler
Fountain Springs Healthcare Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Rapid City
10
Facility 10
SD AVG 69
Rank #116 / 117
No
16
Facility 16
SD AVG 39
Rank #120 / 159
Private Rooms / Semi-Private Rooms
1
Facility 1
SD AVG 8
Rank #14 / 51
-Kristine Harvey
Derian Place Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Aberdeen
28
Facility 28
SD AVG 69
Rank #113 / 117
No
65
Facility 65
SD AVG 39
Rank #25 / 159
Studio / 1 Bed / 2 Bed
1
Facility 1
SD AVG 8
Rank #14 / 51
-Tandy Mckiver
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Prairie Heights Healthcare

400 8Th Ave Nw, Aberdeen, SD 57401
Overview of Prairie Heights Healthcare

Prairie Heights Healthcare in Aberdeen, South Dakota, offers top-notch senior living with a focus on individual wellness and recovery. Seniors can enjoy a variety of personalized care services to make their stay as comfortable as possible. Whether it’s skilled nursing, long-term care, short-term stays, or physical therapy, there’s something for everyone to feel at ease and well-cared for in this vibrant community.

Dedicated to providing a nurturing environment where residents can thrive, Prairie Heights Healthcare in Aberdeen offers a range of amenities and programs, including physical, occupational, and speech therapies tailored to each individual. With both long and short-term care options, residents can find support, learn new strategies, and connect with others in similar situations. Prairie Heights Healthcare is dedicated to helping residents achieve their personal health goals and maintain their independence.

Contact Prairie Heights Healthcare

Dow Rummel Village

1321 W Dow Rummel St, Sioux Falls, SD 57104
Overview of Dow Rummel Village

Dow Rummel Village is an extraordinary nonprofit organization in Sioux Falls, South Dakota, dedicated to providing a premier life plan retirement community that encompasses assisted living levels of care. With a remarkable 60-year history of service, they offer a comprehensive range of services under one roof, including independent living, memory care, assisted living, skilled nursing, respite care, and more.
Residents in this assisted living home have the opportunity to choose different levels of care that best suit their needs. Whether they opt for independent living, where they can enjoy the freedom and autonomy of a vibrant community, or require the specialized support and assistance provided in memory care or assisted living, every aspect is thoughtfully tailored to enhance their well-being. Discover a variety of floor plans, including spacious studios, comfortable one-bedroom suites, and inviting two-bedroom options. From personal assistance with daily living to weekly housekeeping and convenient transportation services, residents can truly embrace a worry-free lifestyle.

Contact Dow Rummel Village

Overview of Pine Hills Retirement Community

Pine Hills Retirement Community is one of the most trusted senior living communities in South Dakota. Independent living and assisted living housing options are offered to seniors. Its staff has always aimed to provide a well-respected senior living community that provides exceptional service to seniors that may need financial assistance; its dedicated team of professionals accommodates independent living and assisted living. Pine Hills is an elegant community that ensures that residents of both living options are able to feel dignified by the inclusive and caring environment. 
They offer a range of services and amenities, including dining, scheduled activities, and medical activities. 

Contact Pine Hills Retirement Community

Overview of Trail Ridge Senior Living Community

Trail Ridge Senior Living Community is a vibrant community with an energetic atmosphere. The senior living community offers housing for independent living, assisted living, and memory care; they are a not-for-profit faith-based community. Trail Ridge understands that individuals are unique and have their own needs, which is why they provide innovative ways to attend to their residents as soon as possible. During their 27 years of service, they have gained the trust of many families in South Dakota. 
Their calendar-filled engaging social and educational activities maximize the community amenities that keep residents stimulated and an enhanced standard of living through their amenities such as the 24-hour emergency communication system, game room, and library available/

Contact Trail Ridge Senior Living Community

The Parkwood

7800 S Western Ave, Sioux Falls, SD 57108
Overview of The Parkwood

Nestled in a quiet yet convenient residential area in Sioux Falls, SD, The Parkword is an active senior living community that offers a vibrant and engaging independent living. The community features 133 apartments with 22 unique floor plans, furnished kitchens, balcony and high ceiling, offering a comfortable and elegant residence. With housekeeping, a variety of dining options, and all utilities included, residents are guaranteed to live an easy and worry-free life with more time in their hands to do the things they love.

At Parkwood, they strive to provide a service-rich environment that fosters strong community connections and maintenance-free living. Here, residents benefit from regular community social events and activities, scheduled transportation, and on-site amenities. Wellness and leisure is guaranteed with amenities like a fitness studio with treatment space, a full-service salon, library, indoor theater, club room, game room, guest suite, and outdoor courtyards with walking trails and dog parks. Here, residents are set to experience a vibrant community filled with meaningful connections and fun experiences.

Contact The Parkwood

Overview of Edgewood Pierre

Edgewood Pierre is the ideal place for residents to experience an active lifestyle where seniors can fulfill independence and support, regardless of their housing options. Specializing in assisted living and memory care support, the community understands the importance of happiness and serenity, ensuring that each resident can receive only the best care. Edgewood Pierre is the home where seniors thrive and get back on their feet quickly and independently.

Edgewood Pierre’s accommodations are focused on maintaining an active lifestyle and immersing in stimulating memory care activities in a home-like setting. Other amenities include a family-gathering room, multiple recreational rooms, a Chapel, a dining room, and a fitness center.

Contact Edgewood Pierre

Overview of The Village at Skyline Pines Assisted Living & Memory Care

The Village at Skyline Pines Assisted Living & Memory Care is situated above Mount Rushmore Road in the medical district of South Rapid City, South Dakota. This distinguished assisted living community prioritizes personalized care and independence for its residents. The compassionate staff, well-versed in assisted living, ensures exceptional service. Memory care specialists are also available to support those dealing with memory-related challenges.

The Village offers a welcoming environment with a solid clinical foundation, allowing residents to feel at home while receiving top-notch care. Perched on a secure hilltop, The Village at Skyline Pines provides city-view rooms for sunrise and city lights enthusiasts and western-view rooms with glimpses of wildlife amidst pine trees. Here, vibrant living awaits—join them to forge friendships and create cherished memories. 

Contact The Village at Skyline Pines Assisted Living & Memory Care

Overview of The Inn on Westport

The Inn on Westport is a distinguished senior living community managed by The Goodman Group, bringing 50 years of expertise in developing and managing exceptional healthcare and assisted senior living communities. They offer a comprehensive range of services, including assisted living, independent living, memory care, and respite care, ensuring that each resident’s unique needs are met with the utmost care and attention. As part of their commitment to holistic well-being, they even provide specialized programs, including a Parkinson’s program, to support residents with specific health needs.
Prepare to be captivated by the serene and beautifully landscaped indoor spaces, including a stunning three-story atrium that serves as the centerpiece of the community. From the cozy café to the tranquil chapel, every corner of The Inn on Westport is thoughtfully designed to create a welcoming and nurturing environment. On-site amenities such as a bank, beauty and barber salon, and more, add convenience and luxury to residents’ lives. Recognizing the sacrifices and contributions of veterans, the home also provides an exceptional environment for assisted living for veterans. Here, veterans can connect with fellow servicemen and women, share stories, and be honored for their dedication and commitment.

Contact The Inn on Westport

Overview of Countryside Living

Countryside Living is a retirement community that houses assisted living and independent living where its services and community features are designed with the thought of ensuring that residents maintain an active lifestyle with endless opportunities. The community’s goal is to ensure that their residents live every day as a way to live a purposeful living as individuals who are constantly growing and learning as they begin their new journey. Countryside Living is the ideal place for comfort, convenience, and choice– with the help of their professional care staff dedicated to attending to your needs.
The countryside lifestyle is inclusive of ADLs, scheduled activities, and medical supervision. 

Contact Countryside Living

Overview of Bethesda Home of Aberdeen

Bethesda Home of Aberdeen, located in Aberdeen, South Dakota, is a medium-sized skilled nursing care facility with a capacity of 86 beds. It has a short-term rehabilitation rating and a long-term care rating, both classified as Average. The facility is owned by a nonprofit organization with a church affiliation. Bethesda Home of Aberdeen features 86 private rooms, providing a home-like environment for residents.

With a focus on promoting independence of both body and spirit, Bethesda Home of Aberdeen offers a comprehensive range of nursing care services. Whether the stay is for facilitating recovery or providing around-the-clock long-term care, the facility ensures a warm and caring atmosphere. Residents can benefit from onsite chaplain services, which provide spiritual support. The dedicated and highly trained staff at Bethesda Home of Aberdeen goes beyond physical health care. They offer a variety of programs designed to encourage interaction, including dining, socialization, and exercise. These programs are delivered in comfortable surroundings, creating a holistic approach to resident well-being that goes beyond medical attention.  

Contact Bethesda Home of Aberdeen

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
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Frequently Asked Questions about Senior Communities in South Dakota

What is senior living?

Senior communities are residential settings designed for adults aged 55 or older, with options ranging from active independent living to assisted living and memory care.

How many senior communities are listed on this page?

This page features 7 senior communities in South Dakota. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right senior community 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 senior communities 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.