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Compare Senior Communities around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
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| 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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Five Counties Nursing Home is a skilled nursing facility located in Lemmon, South Dakota. It offers both short- and long-term care, as well as assisted living and independent living services. The facility is dedicated to providing personalized medical care and rehabilitation services in a nurturing environment.
Estelline Nursing and Care Center is located in Estelline, South Dakota. It provides various medical services and care options for residents. The center is committed to enhancing the quality of life for its residents.
Bethesda of Beresford is a senior living community in Beresford, SD. It offers nursing services, therapy services, and independent living options. The facility has a long history of caring for its residents since its founding in 1914.
Bethesda Home of Aberdeen offers care for children and the elderly. They provide daycare, nursing home, assisted living, in-home care, and senior living. The facility is committed to quality and personal care for all ages.
Avantara Saint Cloud offers a range of services to support residents living with dementia and Alzheimer’s disease. The facility provides specialized secured memory care and cutting-edge robotics to enhance the quality of life for residents. It is dedicated to fostering a serene environment with extensive amenities for comfort and support.
Dells Nursing and Rehab Center Inc. specializes in quality long-term care in a family-focused environment. The facility is committed to providing a secure and comfortable lifestyle for its residents. Family involvement and community integration are encouraged.
Centerville Care and Rehab Center strives to create a loving home and provide healing and compassion for all who are placed in their care. They offer Assisted Living and Skilled Care in a fully modernized facility, along with a full slate of inpatient and outpatient rehabilitation services. The center hosts events such as a Fall Festival to engage the community.
Alcester Care and Rehab Center offers long term care for individuals who can no longer live independently. Services include skilled nursing, rehabilitation, meals, and medical services, with a focus on compassionate care. The facility provides a homey atmosphere and ongoing staff training to ensure quality care.
Aurora-Brule Care & Rehab is located in White Lake, SD. It offers long-term skilled care, assisted living, inpatient therapy, and outpatient therapy. The facility is committed to providing quality care in a family-like atmosphere.
Sioux Falls Primary Home Care Services provides compassionate assistance, certified to provide unparalleled home care services to both seniors and adults facing complex disabilities. With a profound dedication to their mission, this agency has been a pillar of support in the community since 2015. Their commitment shines through in the array of services they offer, including household cleaning, meal preparation, ambulation assistance, transportation services, and more, ensuring that individuals receive the care they truly deserve.
Their team boasts multilingual staff members proficient in Arabic, French, German, Russian, Spanish, and English, allowing them to cater to a wider range of patients. With their blend of expertise and compassion, Sioux Falls Primary Home Care Services exists as a testament to exceptional care, making them a trusted choice for individuals and families seeking reliable and culturally sensitive home care solutions.
Ranking Methodology
How we rank these communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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.
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