Best Senior Communities in South Dakota

Why trust this guide? Our editorial team analyzed 151 senior communities in SD using SD Dept. of Health (DOH) data, inspection records, complaints, amenities, and facility-level details. How we rank senior communities in SD
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We analyzed These are the facilities in South Dakota our team has analyzed — not a count of every senior community provider in South Dakota.
151 homes
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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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. SC (Senior Communities):
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.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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.
Avera Mother Joseph Manor Retirement Community
SC
AL
IL
NH
SNF
Aberdeen
81Yes 31 1 Bed / 2 Bed29-Paula Henrickson
The Parkwood
SC
IL
Sioux Falls
133Yes 10 Studio / 1 Bed / 2 Bed2A-Nathan Kasselder
The Inn on Westport
SC
AL
IL
MC
RC
Sioux Falls
140No 63 -30A+Jill Dykstra
Avantara North
SC
HOS
MC
NH
SNF
Rapid City
68No 39 -1-Celina Block
Avantara Norton
SC
HOS
NH
SNF
Sioux Falls
110No 61 -1-Ashley Nickel
Avera Maryhouse
SC
AL
HOS
NH
Pierre
67Yes 60 Private Rooms / Semi-Private Rooms1-Talli Raske
Spearfish Canyon Healthcare
SC
HOS
NH
SNF
Spearfish
105No 76 -1-Charlotte Pentheny
The Village at Skyline Pines Assisted Living & Memory Care
SC
AL
MC
Rapid City
116No 32 1 Bed / 2 Bed1-Kelli Back
Prairie Heights Healthcare
SC
HOS
NH
SNF
Nw Aberdeen
99No 85 -1-Darcy Albrecht
Good Samaritan Society Canton
SC
AL
HOS
NH
SNF
Canton
56No 64 -1-Scott Larson
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Overview of Avera Mother Joseph Manor Retirement Community

Located in a tranquil neighborhood adjacent to Manor Park in Aberdeen, South Dakota, Avera Mother Joseph Manor offers a comprehensive range of senior living lifestyle options, complemented by skilled nursing and rehabilitation services. Residents of this community can immerse themselves in the abundant local opportunities available in Aberdeen while receiving exceptional care and support.

Avera Mother Joseph Manor proudly upholds the Christian tradition of the Avera health care system, ensuring immediate access to premier health care services. With a deep commitment to respecting human dignity and valuing each individual, Avera Mother Joseph Manor operates as a division of Avera St. Luke’s Hospital, providing compassionate care to enhance the well-being of residents.

Contact Avera Mother Joseph Manor Retirement 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 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 Avantara North

Located in Rapid City, South Dakota, Avantara North is a 68-bed nursing home administered by Celina Block that offers memory care, rehabilitation, and skilled nursing. Rehabilitation services cover a wide range of needs, particularly those in need of recovery as part of their care plan. Furthermore, short-term rehabilitation can support a time-limited recovery, while respite care offers a short stay when the primary caregiver needs to travel or recover.

Medicare, Medicaid, and private pay are accepted, with Medicare covering eligible short-term skilled care after a hospital stay and Medicaid helping when savings may not cover a long stay. Meanwhile, private pay allows a family to pay directly. Total nurse staffing is 3 hours per resident per day, representing the daily nursing time provided for each resident.

The area has a Walk Score of 39 and is car-dependent, so most errands require a car or a ride. This indicates that a resident who no longer drives would need one for those trips. Avantara North may be a good fit for those living with dementia who need a secure, supervised setting, people recovering after surgery, stroke, or orthopedic treatment, or a family caregiver who needs temporary support.

Contact Avantara North

Avantara Norton

3600 South Norton Ave, Sioux Falls, SD 57105
Overview of Avantara Norton

At 92% occupancy less than a year after opening, Avantara Norton has moved quickly from new construction to near-full capacity. The 110-bed nursing home at 3600 South Norton Ave in Sioux Falls, South Dakota, is administered by Ashley Nickel and sits in a moderately walkable part of the city (Walk Score 61), where the nearest hospital is just over a mile away.

The average resident stay of 97 days tells you something useful about how this place functions. This is not a long-term residency setting for most people who come through. It is a structured recovery environment, built around a specific clinical menu: post-surgical care, orthopedic rehabilitation, cardiac care, pulmonary care, oncology recovery, and stroke and other neurological conditions. Respite care is also available for families who need a temporary placement.

Staffing data reported to CMS shows total nursing time at 3 hours and 32 minutes per resident per day. Registered nurses account for 39 minutes of that figure; nurse aides account for 2 hours and 21 minutes. Avantara Norton accepts Medicare, Medicaid, and private pay, which means residents arriving on Medicare for short-term rehab and those transitioning to Medicaid for longer stays both have a coverage path here.

The facility opened recently, and we see a nursing home that filled fast and built its programming around complex post-acute cases rather than general long-term care. Avantara Norton is a reasonable fit for adults who need a defined, clinically supervised recovery period after a major medical event and plan to return home when that period ends.

Contact Avantara Norton

Overview of Avera Maryhouse

Situated in Pierre, SD, Avera Maryhouse is a nursing home, administered by Talli Raske, that offers assisted living and hospice care. The community provides continuous support with long-term services on-site. Those who require end-of-life care also have access to hospice services.

The community has 67 beds, with private and semi-private rooms, so people can choose to live alone or share. Total nurse staffing is 5 hours and 39 minutes per resident per day. Pets are allowed, so residents with animal companions can continue living with them at the community.

A Walk Score of 60 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives can still reach certain nearby needs independently.

Contact Avera Maryhouse

Overview of Spearfish Canyon Healthcare

Spearfish Canyon Healthcare is a nursing home in Spearfish, SD, providing hospice care and skilled nursing. Skilled nursing means licensed nurses are on site around the clock, while hospice supports residents receiving end-of-life care. Long-term care and short-term rehabilitation are both available, making the home a possible fit for someone recovering through rehabilitation or needing ongoing nursing support.

The community has 105 beds. Rehabilitation services, pain management, dental care, dialysis, and podiatry are available through the home, so residents can receive these services there instead of arranging each one independently. Social activities are also offered.

Medicaid, Medicare, and private pay are accepted, giving families these payment routes to consider for eligible services and care. Total nurse staffing is 3 hours and 34 minutes per resident per day, representing the combined daily nursing time allocated to each resident. Charlotte Pentheny serves as the administrator.

Contact Spearfish Canyon Healthcare

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 Prairie Heights Healthcare

Prairie Heights Healthcare provides nursing home, hospice care, and skilled nursing in Aberdeen, SD. Nursing home services include short-term and long-term care, while skilled nursing provides licensed nursing care on site around the clock. Hospice care is available for residents receiving hospice services, so Prairie Heights Healthcare can suit someone whose needs include skilled nursing, rehabilitation, or hospice support during a short- or long-term stay.

The home has 99 beds. Medicaid, Medicare, and private pay are accepted, giving families several stated ways to cover care. Darcy Albrecht serves as administrator.

Total nurse staffing is 3h 41m per resident/day, representing the recorded daily nursing time assigned to each resident. Rehabilitation therapy supports recovery needs, while dialysis, pain management, dental care, and podiatry services address specific clinical needs. Individualized care plans organize services around each resident’s documented needs.

Contact Prairie Heights Healthcare

Overview of Good Samaritan Society Canton

Good Samaritan Society Canton offers nursing home, assisted living, hospice care, and skilled nursing in Canton, SD. Nursing home and skilled nursing include licensed nursing care around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication. Hospice care centers on comfort and support for someone nearing the end of life, and having these care types together can suit a resident whose needs grow over time without requiring a move to another community.

The community has 56 beds, placing it in the smaller community range where staff and residents may get to know one another more closely. Total nurse staffing is 3 hours and 51 minutes per resident per day, which represents the nursing time allocated to each resident across a day. The starting price is $3,137 per month, giving families a baseline for monthly budgeting, with Medicaid, Medicare, and private pay accepted.

Respite care offers a short stay when a usual caregiver needs temporary relief, while short term rehabilitation and rehabilitation services support a temporary recovery period. A salon and spa provide grooming services, transportation gives residents access to travel support through the community, and a doctor is on staff; Scott Larson serves as the administrator. A Walk Score of 64 places the area in the somewhat walkable band, where some errands can be done on foot, so a resident who no longer drives may be able to complete some errands independently.

Starting Price $3,137/Month

Contact Good Samaritan Society Canton

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
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Senior Communities in South Dakota at a glance

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
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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 151 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.