Best Senior Communities in South Dakota

Reviewed by Dr. Jordan Weiss
Updated Dec 2025
Over 10 homes analyzed

Sources: CMS Centers for Medicare and Medicaid Services, and South Dakota Department of Health, Office of Aging and Long Term Care.

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

Tucked away in the heart of the American Midwest, South Dakota is a thriving state known for its expansive prairies and home to two iconic historical monuments – Mt. Rushmore and Crazy Horse Memorial, a tribute to the storied Native American tribal leader. The city is a compelling option for those seeking affordability and a comfortable lifestyle with its relatively low cost of living and affordable housing. South Dakota’s stunning landscapes and tight-knit senior communities foster a relaxing environment for retirees, combined with its numerous recreational activities and accessible health care facilities that ensures all of its residents live comfortably and thrive.

Compare Senior Communities 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
-
Prairie Heights Healthcare
MC

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

SNF

Nursing Homes 24/7 care needed

Aberdeen
99
No
-
38
-
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
-
The Parkwood
IL

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

Sioux Falls
133
Yes
A-
10
Studio / 1 Bed / 2 Bed
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
-
Bethesda Home of Aberdeen
SNF

Nursing Homes 24/7 care needed

Aberdeen
86
No
-
12
-
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
-
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
-
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Avantara Clark is a rehabilitation facility located in Clark, South Dakota. It offers a range of healthcare services including short-term rehabilitation, orthopedic care, wound care, and oncology recovery care. The facility prides itself on providing quality medical care with a personal touch.
Overview of Avantara Clark City
Avantara Clark is a rehabilitation facility located in Clark, South Dakota. It offers a range of healthcare services including short-term rehabilitation, orthopedic care, wound care, and oncology recovery care. The facility prides itself on providing quality medical care with a personal touch.
Avantara North is a rehabilitation facility in Rapid City, South Dakota. It offers a range of healthcare services including memory care, post-surgical care, short-term rehabilitation, and specialized programs for various medical conditions. The facility prides itself on providing quality medical care with a personal touch.
Overview of Avantara North
Avantara North is a rehabilitation facility in Rapid City, South Dakota. It offers a range of healthcare services including memory care, post-surgical care, short-term rehabilitation, and specialized programs for various medical conditions. The facility prides itself on providing quality medical care with a personal touch.
Bethany Home Sioux Falls is a senior living community that offers a full continuum of care including assisted living, independent living, skilled nursing care, and rehabilitation therapy. It is designed to create a fulfilling lifestyle for seniors in a loving and Christian environment. The facility focuses on meeting the physical, social, and spiritual needs of its residents.
Overview of Bethany Home Sioux Falls/bethany Home-brandon
Bethany Home Sioux Falls is a senior living community that offers a full continuum of care including assisted living, independent living, skilled nursing care, and rehabilitation therapy. It is designed to create a fulfilling lifestyle for seniors in a loving and Christian environment. The facility focuses on meeting the physical, social, and spiritual needs of its residents.
Avantara Pierre provides top-tier medical care with a personal touch. The facility offers a range of healthcare services including memory care, short-term rehabilitation, and specialized programs for various medical conditions. Residents benefit from a friendly and supportive environment that promotes healing and recovery.
Overview of Avantara Pierre
Avantara Pierre provides top-tier medical care with a personal touch. The facility offers a range of healthcare services including memory care, short-term rehabilitation, and specialized programs for various medical conditions. Residents benefit from a friendly and supportive environment that promotes healing and recovery.
Rolling Hills Healthcare focuses on providing skilled nursing, short-term rehabilitation, and long-term care services in a compassionate environment. The facility emphasizes individual wellness and rehabilitation to ensure the best experience for residents. A dedicated team crafts tailored solutions for each individual to ensure they receive the best possible service.
Overview of Rolling Hills Healthcare
Rolling Hills Healthcare focuses on providing skilled nursing, short-term rehabilitation, and long-term care services in a compassionate environment. The facility emphasizes individual wellness and rehabilitation to ensure the best experience for residents. A dedicated team crafts tailored solutions for each individual to ensure they receive the best possible service.
Oakview Terrace is an assisted living and memory care facility located in New Port Richey, Florida. It provides compassionate care in a serene environment, focusing on personalized support for residents. The facility offers a range of services including assisted living, memory care, and wellness programs.
Overview of Oakview Terrace
Oakview Terrace is an assisted living and memory care facility located in New Port Richey, Florida. It provides compassionate care in a serene environment, focusing on personalized support for residents. The facility offers a range of services including assisted living, memory care, and wellness programs.
Avantara Norton is a rehabilitation facility located in Sioux Falls, South Dakota. It offers a range of healthcare services including post-surgical care, short-term rehabilitation, cardiac care, and wound care. The facility is dedicated to providing quality, personalized medical care with a focus on enhancing mobility and independence for its guests.
Overview of Avantara Norton
Avantara Norton is a rehabilitation facility located in Sioux Falls, South Dakota. It offers a range of healthcare services including post-surgical care, short-term rehabilitation, cardiac care, and wound care. The facility is dedicated to providing quality, personalized medical care with a focus on enhancing mobility and independence for its guests.
Avantara Mountain View is a rehabilitation facility located in Rapid City, South Dakota. It offers a range of healthcare services including post-surgical care, short-term rehabilitation, and specialized programs for stroke and cardiac recovery. The facility is committed to providing personalized care in a supportive environment.
Overview of Avantara Mountain View
Avantara Mountain View is a rehabilitation facility located in Rapid City, South Dakota. It offers a range of healthcare services including post-surgical care, short-term rehabilitation, and specialized programs for stroke and cardiac recovery. The facility is committed to providing personalized care in a supportive environment.
The South Dakota Developmental Center (SDDC) provides comprehensive specialized services designed to enhance quality of life and community inclusion for people with Intellectual Disabilities and/or Developmental Disabilities.
Overview of South Dakota Developmental Center – Redfield
The South Dakota Developmental Center (SDDC) provides comprehensive specialized services designed to enhance quality of life and community inclusion for people with Intellectual Disabilities and/or Developmental Disabilities.
Lifescape is an independent, non-profit organization located in Sioux Falls, South Dakota. It provides a variety of services for children and adults with disabilities and medical rehabilitation needs. The organization aims to empower individuals to live their best life through comprehensive support and innovative solutions.
Overview of Lifescape
Lifescape is an independent, non-profit organization located in Sioux Falls, South Dakota. It provides a variety of services for children and adults with disabilities and medical rehabilitation needs. The organization aims to empower individuals to live their best life through comprehensive support and innovative solutions.

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How Assisted Living Magazine Evaluates & Scores Nursing Homes

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence.
Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

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

What We Prioritize Most

The largest share of every nursing home’s score — 45% of the total weighting — comes from clinical and regulatory indicators, including:

  • Overall, staffing, and inspection ratings
  • Long-stay and short-stay quality measures
  • Nurse-to-resident and staff-to-resident ratios
  • Health deficiencies and regulatory history
  • Accreditations and positive local news reporting

These factors directly reflect resident safety, care quality, and compliance.

Operational Stability & Resident Support

Another 35% of the score comes from operational and stability signals, such as:

  • Nurse hours per patient per day
  • Occupancy levels and cleanliness citations
  • Administrative stability and ownership quality
  • Readmission rates and registered-nurse turnover
Balancing Additional Factors

The remaining 20% of the score includes contextual elements such as:

  • Year built or renovated
  • Penalties, fines, and preventable readmissions
  • Revenue per bed
  • Administrator tenure

These factors help round out the overall picture but carry less weight because our methodology prioritizes clinical outcomes and regulatory consistency above all else.
The result is a clear, data-driven ranking system that elevates nursing homes delivering exceptional care and long-term resident safety.

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.