Page 13 of Best Senior Communities in South Dakota

Why trust this guide? Our editorial team analyzed 158 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
Reviewed by
Last updated
We analyzed These are the facilities in South Dakota our team has analyzed — not a count of every senior community provider in South Dakota.
158 homes
Other senior care options in South Dakota:
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 Senior Communities 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-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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative 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.
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.
Bethany Home Brandon
SC
AL
IL
MC
NH
SNF
Brandon
-No
66
Facility 66
SD AVG
Rank #13 / 73
-Deborah Herrboldt
Derian Lodge Senior Living
SC
IL
Aberdeen
-No 48 1 Bed/ 2 Bed / 3 Bed-
Edgewood Cedar View
SC
ADC
MC
Watertown
-No 34 Private Rooms-
Comfort Keepers Home Care – Sioux Falls
SC
HC
MC
RC
Sioux Falls
-No 73 --
Bicentennial Apartments
SC
IL
Aberdeen (Melrose Addition)
-No 31 Private Rooms-
Highmore Health
SC
MC
NH
PC
SNF
Se Highmore (Highmore Township)
39
Facility 39
SD AVG
Rank #61 / 70
No
29
Facility 29
SD AVG
Rank #49 / 73
-Kim Knox
SYNERGY HomeCare – Sioux Falls
SC
HC
MC
RC
Sioux Falls
-No 77 --
Peaceful Pines Senior Living Community
SC
ADC
AL
IL
MC
Rapid City
-Yes 21 Studio / 1 Bed / 2 Bed-
Primrose Retirement Communities
SC
AL
IL
MC
RC
Aberdeen
-Yes 51 Studio-
Good Samaritan Society Sioux Falls Center
SC
NH
SNF
Sioux Falls
-No
73
Facility 73
SD AVG
Rank #10 / 73
--

Rank badges are statewide: each community is ranked against every SD community we track that reports that metric, not just the 158 on this page. See how we rank facilities

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Overview of Bethany Home Brandon

Bethany Home Brandon provides skilled nursing, assisted living, independent living, and memory care in Brandon, SD. Skilled nursing provides licensed nursing care on site around the clock, while assisted living helps residents with daily tasks such as bathing, dressing, and medication. Independent living offers private living with community services and no daily care, and memory care provides a secured setting with supervision for someone at risk of wandering.

The range of care levels may suit a resident whose needs grow over time, since care can continue within the same community rather than requiring a move to a different provider. Rehabilitation services are also available for residents who need therapy as part of their care. Bethany Home Brandon opened in 2012 and is directed by Hunter Winkelpleck.

A heated pool with a hot tub and a fitness center give residents options for exercise and water-based recreation. Outdoor patios and an enclosed courtyard provide designated outdoor spaces, while a general store offers a convenient place for on-site purchases. Scheduled transportation is available for residents who need community-provided rides.

Bethany Home Brandon has a Walk Score of 66 out of 100, meaning the area is somewhat walkable and some errands can be done on foot. A resident who no longer drives may be able to reach some nearby errands independently, while other trips may require transportation.

Contact Bethany Home Brandon

Overview of Derian Lodge Senior Living

Derian Lodge Senior Living is an independent living community on 3rd Avenue Southeast in Aberdeen, South Dakota. It occupies a two story building about 1.3 miles from Aberdeen’s city center, which keeps residents close to the everyday services and civic life of town without sitting in the middle of it. Avera St. Luke’s Hospital is less than a mile away, a detail that matters to many families thinking about routine appointments and quicker access in an urgent situation.

Housing here comes in one, two, and three bedroom floor plans, which is a wider range than many independent living communities offer. That variety gives residents room to choose based on how much space they actually want, whether that means a compact apartment or enough room for visiting family and hobbies. Apartments include modern appliances, and the community keeps an open door policy for friends and family, so visitors are part of the normal rhythm of the week rather than an occasion.

Daily life is supported by transportation services, along with fitness and recreation programming and organized shopping trips. Meals are served to residents, which takes the daily work of cooking off the table for anyone who would rather spend that time elsewhere. The walkability score of 48 out of 100 reflects a neighborhood where a few destinations are reachable on foot and most trips call for a car or the community’s transportation, which is part of why that transportation service is worth noting.

Contact Derian Lodge Senior Living

Overview of Edgewood Cedar View

Part of a larger senior living community, Edgewood Cedar View is a memory care community in Watertown, South Dakota. The community is on 14th Avenue Northeast. It’s about 8 miles from downtown Watertown and less than a mile from Prairie Lakes Hospital, giving residents and families convenient access to nearby medical care. Residents live in private rooms within a single-story building, a layout that can be easier for those living with memory loss to navigate. The community accepts residents beginning at age 55.

Residents receive help with transportation, housekeeping, interior and exterior maintenance, and activities of daily living. Memory care is supported through specialized programs. These are created for people living with dementia and other memory-related conditions. Fitness and recreation activities are also part of the daily schedule, so residents can stay active and engaged.

Indoor common areas, well-lit lounges, a full-service salon, furnished apartments, and outdoor lounge spaces provide comfortable places for residents and visiting family members. The neighborhood has a Walk Score of 34, making it somewhat walkable. A few nearby destinations can be reached on foot, but most errands and outings require driving.

Families exploring memory care at Edgewood Cedar View should ask how daily activities are planned around each resident’s cognitive needs because those routines are important in everyday life within a memory care community.

Contact Edgewood Cedar View

Overview of Comfort Keepers Home Care – Sioux Falls

Comfort Keepers Home Care – Sioux Falls runs a mobile elder care agency that sends help right to the doors of seniors throughout the Sioux Falls area. Instead of moving into an institution, clients get help with daily tasks in their own living rooms to keep their independence intact. The central office is based in a walkable part of town with a walk score of 73, but since the staff drives straight to private residences, you won’t need to visit the building to set up care.

The care plans cover everything from basic companionship and cooking to around-the-clock shift nursing. Certified aides and assistants handle physical needs like bathing, grooming, and tracking medications. The agency also runs specialized programs for military veterans and sets up short-term respite care so family members can take a necessary breather from caregiving duties.

State health officials check in on home care registries through random field audits to ensure staff training and client safety match local codes.

Families looking for local support can call the Sioux Falls office to see if their neighborhood is covered or to book a home visit. The intake staff can explain how to clear bills using private funds, veterans benefits, or long-term care insurance policies, and they can show you how they match individual caregivers with new clients.

Contact Comfort Keepers Home Care – Sioux Falls

Overview of Bicentennial Apartments

Bicentennial Apartments is an independent living community in the Melrose Addition neighborhood of Aberdeen, South Dakota. The community focuses on affordable senior housing, serving older adults in low income households who want to keep living on their own terms. Residents live in private rooms within a single story building, a layout that removes stairs from daily routines and tends to suit people who want their living space on one level.

Day to day life is supported rather than supervised here. Transportation services help residents get to appointments, errands, and social outings, and support with cooking and cleaning takes the heaviest chores off residents’ plates. Fitness and recreation offerings give residents ways to stay active and spend time with neighbors. Practical touches like elevators and on site mail delivery keep the building easy to move through.

Safety is built into the property, with fire alarms and smoke detectors throughout. The community is non smoking and maintains a no pet policy, which is worth knowing early for families weighing where a loved one will settle.

The location works well for families in and around Aberdeen. The community sits about two miles from the city center and roughly a mile from Avera St. Luke’s Hospital, which makes medical appointments and hospital visits a short trip. Its walk score of 31 out of 100 places it in a quieter residential pocket where a few errands are reachable on foot and most trips call for a ride, which is where the community transportation service earns its keep.

Contact Bicentennial Apartments

Overview of Highmore Health

Serving Hyde County for more than 50 years, Highmore Health is a nursing home in Highmore, South Dakota. Caring Professionals owns and operates the community, while Kim Knox serves as administrator. Families can choose from Medicare, Medicaid, and private pay to cover short-term rehabilitation and longer-term stays.

The 39-bed home usually runs close to full, with occupancy around 89%. Residents stay an average of about 440 days, which is a mix of residents recovering after hospital stays and those receiving ongoing care. Memory care, palliative care, and long-term care are offered, so residents can often remain in the same community as their care needs change.

Total nursing care averages 3 hours and 35 minutes per resident daily, and this hands-on support is a central part of daily life. On-site rehabilitation services are also available, so residents can continue recovering without leaving the community for appointments. The home has experienced staff and a family feel, which may matter when families choose care for a loved one.

Inspection reviews have often focused on resident rights, infection control, and general quality of life and care standards. Families touring the home may ask how staff address these areas each day.

Highmore Health is in a rural area with a Walk Score of 29 out of 100, so most errands and outings require driving rather than walking. The home has a long-standing presence in Hyde County and the surrounding area. It combines short-term rehabilitation with longer-term and specialised care options under one roof.

Contact Highmore Health

Overview of Synergy HomeCare – Sioux Falls

SYNERGY HomeCare stands out for its tailor-made approach in crafting personalized home care plans tailored to diverse situations and conditions. Their expertise lies in providing life-affirming non-medical in-home care, offering comfort and assurance to individuals dealing with disabilities, illnesses, and the challenges of aging. Their comprehensive range of services includes companionship, homemaker duties, and personal care, ensuring that every aspect of their clients’ well-being is addressed.

Since 2009, they have been dedicated to serving the Sioux Falls area, building a stellar reputation in senior care. Aside from their competitive and highly trained team, they also exhibit unwavering dedication to responsiveness and dependability. Families can trust in SYNERGY HomeCare’s compassionate and knowledgeable staff, who go above and beyond to ensure the well-being of their patients.

Contact SYNERGY HomeCare – Sioux Falls

Overview of Peaceful Pines Senior Living Community

Peaceful Pines Senior Living Community offers an exceptional level of service for  independent living, assisted living, and memory care in Rapids, South Dakota. They boast a nurturing and stimulating atmosphere that contributes to the respected experience discovered; they proudly excel with their approach in having a seamless transition for every resident as they are a community that understands how unique their seniors are and may need specific care for every individual. Holland Village ensures that every senior residing in their community loves the place they live.

Peaceful Pines offers comprehensive services and amenities that include home-cooked meals, maintenance-free living, and housekeeping; social activities include gatherings at the movie theater, bistro cafe, courtyards, and billiards. 

Contact Peaceful Pines Senior Living Community

Overview of Primrose Retirement Communities

Primrose Retirement Communities, situated in Aberdeen, South Dakota, offer a range of living options, including luxurious Townhome villas, spacious Independent Living apartments, and comfortable Assisted Living apartments. The exceptional care and compassion demonstrated by dedicated employees are a testament to the quality of the assisted living community. 

Primrose Retirement Communities is dedicated to assisting residents in achieving their personal goals and regaining optimal well-being.

Contact Primrose Retirement Communities

Overview of Good Samaritan Society Sioux Falls Center

Good Samaritan Society Sioux Falls Center is a nursing home and skilled nursing community in Sioux Falls, SD. Skilled nursing provides licensed nursing care around the clock, while respite care offers a short stay that may suit a family caregiver who needs time to travel or recover.

Medicare, Medicaid, and private pay are accepted, giving families options for covering short-term skilled care, eligible Medicaid services, or direct payment. Occupational therapy and speech and language therapy support rehabilitation needs, and caregiver support addresses the needs of family caregivers.

Residents have access to a salon, chapel, and religious services for personal grooming and worship at the community. The dining room provides a place to sit for a meal or coffee with friends, while home-based services extend beyond the facility setting.

Contact Good Samaritan Society Sioux Falls Center

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 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 158 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.