
Compare Senior Communities around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| Avera Maryhouse | SC AL HOS NH | Pierre | 67
Facility
67
SD AVG
69
Rank
#49 / 117 | Yes |
60
Facility
60
SD AVG
39
Rank
#38 / 158 | Private Rooms / Semi-Private Rooms | 1
Facility
1
SD AVG
4
Rank
#14 / 102 | - | Talli Raske |
| Touchmark at All Saints | SC AL IL MC | Sioux Falls (All Saints) | 153
Facility
153
SD AVG
69
Rank
#5 / 117 | Yes |
80
Facility
80
SD AVG
39
Rank
#14 / 158 | - | 32
Facility
32
SD AVG
4
Rank
#2 / 102 | A+ | Amanda Snoozy |
| The Inn on Westport | SC AL | Sioux Falls | 140
Facility
140
SD AVG
69
Rank
#6 / 117 | No |
63
Facility
63
SD AVG
39
Rank
#33 / 158 | - | 30
Facility
30
SD AVG
4
Rank
#4 / 102 | A+ | Jill Dykstra |
| Prairie Heights Healthcare | SC HOS NH SNF | Nw Aberdeen | 99
Facility
99
SD AVG
69
Rank
#21 / 117 | No |
85
Facility
85
SD AVG
39
Rank
#1 / 158 | - | 1
Facility
1
SD AVG
4
Rank
#14 / 102 | - | Darcy Albrecht |
| Bethesda Home of Aberdeen | SC AL HC NH RC SNF | Aberdeen (Aberdeen Township) | 86
Facility
86
SD AVG
69
Rank
#27 / 117 | No |
85
Facility
85
SD AVG
39
Rank
#1 / 158 | - | 1
Facility
1
SD AVG
4
Rank
#14 / 102 | - | Scott Eisenbeisz |
| Bethany Home Sioux Falls/Bethany Home-Brandon | SC AL IL MC NH SNF | Sioux Falls | 112
Facility
112
SD AVG
69
Rank
#11 / 117 | No |
65
Facility
65
SD AVG
39
Rank
#24 / 158 | - | 1
Facility
1
SD AVG
4
Rank
#14 / 102 | - | Amanda Peterson |
| Avantara Lake Norden | SC HOS MC NH SNF | Lake Norden | 50
Facility
50
SD AVG
69
Rank
#68 / 117 | No |
11
Facility
11
SD AVG
39
Rank
#130 / 158 | - | 1
Facility
1
SD AVG
4
Rank
#14 / 102 | - | Margaret Grimm |
| Alcester Care and Rehab Center | SC AL NH SNF | Alcester (Alcester Township) | 41
Facility
41
SD AVG
69
Rank
#94 / 117 | No |
14
Facility
14
SD AVG
39
Rank
#121 / 158 | - | 1
Facility
1
SD AVG
4
Rank
#14 / 102 | - | Tiffany Miller |
| Oakview Terrace | SC ADC AL IL MC NH | Freeman | 45
Facility
45
SD AVG
69
Rank
#82 / 117 | No |
26
Facility
26
SD AVG
39
Rank
#105 / 158 | - | 1
Facility
1
SD AVG
4
Rank
#14 / 102 | - | Courtney Unruh |
| Menno-Olivet Care Center | SC AL HOS NH RC SNF | Menno | 41
Facility
41
SD AVG
69
Rank
#94 / 117 | No |
13
Facility
13
SD AVG
39
Rank
#122 / 158 | - | 1
Facility
1
SD AVG
4
Rank
#14 / 102 | - | Aisha Abbink |
| Jenkin‘s Living Center | SC IL MC NH SNF | Watertown (South Maple) | 110
Facility
110
SD AVG
69
Rank
#12 / 117 | No |
85
Facility
85
SD AVG
39
Rank
#1 / 158 | Private Rooms | - | - | Kasey Klapprodt |
| The Parkwood | SC IL | Sioux Falls | 133
Facility
133
SD AVG
69
Rank
#7 / 117 | Yes |
10
Facility
10
SD AVG
39
Rank
#133 / 158 | Studio / 1 Bed / 2 Bed | 2
Facility
2
SD AVG
4
Rank
#13 / 102 | A- | Nathan Kasselder |
| The Village at Skyline Pines Assisted Living & Memory Care | SC AL MC | Rapid City | 116
Facility
116
SD AVG
69
Rank
#9 / 117 | No |
32
Facility
32
SD AVG
39
Rank
#89 / 158 | 1 Bed / 2 Bed | 1
Facility
1
SD AVG
4
Rank
#14 / 102 | - | Kelli Back |
| Westhills Village | SC AL HC IL NH PC SNF | Rapid City (Texas Street) | 44
Facility
44
SD AVG
69
Rank
#90 / 117 | No |
21
Facility
21
SD AVG
39
Rank
#110 / 158 | - | 1
Facility
1
SD AVG
4
Rank
#14 / 102 | - | Kelsey Bertsch |
| Legends at Lake Lorraine | SC AL IL MC | Sioux Falls | 185
Facility
185
SD AVG
69
Rank
#2 / 117 | Yes |
43
Facility
43
SD AVG
39
Rank
#69 / 158 | - | 1
Facility
1
SD AVG
4
Rank
#14 / 102 | - | Kyrsten Fokken |
Operated under owner Laura Henney, Avantara Saint Cloud is a nursing home in Rapid City, South Dakota. The facility is located at 302 St Cloud Street. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover care costs. The 78-bed home has a current occupancy rate of 96%. Residents stay an average of 333 days, including people receiving short-term rehabilitation and those needing longer-term care.
The community provides 24-hour staffing. Nurse staffing averages 2 hours and 57 minutes of nursing care each day. Registered nurses, licensed practical nurses, and nurse aides are part of the care team. Rehabilitation services are available, and the home also offers respite care for families needing temporary placement for a loved one.
State inspections have reviewed areas such as staffing records, infection control, and care practices. These are important parts of daily operations in a nursing home. Families considering the facility should ask how regulatory engagement is overseen and how these areas are managed daily.
Meals are prepared with fresh ingredients to meet residents’ nutritional needs. Amenities on-site include salon services, high-speed Wi-Fi, and community spaces where residents and families can spend time together. The surrounding area has a Walk Score of 0, so it’s car-dependent. Most visits and errands require transportation.
Five Counties Nursing Home is a 37-bed skilled nursing facility in Lemmon, South Dakota, operated as a voluntary nonprofit. The facility offers short- and long-term care, rehabilitation services, memory care, and assisted living and independent living options for residents in Perkins County.
Five Counties holds a 1-star CMS overall rating, driven primarily by its Health Inspection record, which ranks the facility 53rd out of 59 South Dakota skilled nursing facilities and is 60.8% below the state average. It has accumulated $32,000 in federal fines, which is 20% below the South Dakota average among facilities that received penalties.
Staffing is the clear counterweight: total nurse staffing averages 4 hours and 9 minutes per resident per day, 4.5% above the state average, placing the facility 19th in South Dakota on that measure.
The facility accepts Medicare, Medicaid, and private pay. Occupancy rate is 87%, above the state average of 79.9%, reflecting sustained local demand in a rural market with limited alternatives.
Five Counties serves long-term and post-acute residents in the Lemmon area who require accessible skilled nursing care and accept a smaller, rural facility with a nonprofit governance model.
Interim Healthcare of Sioux Falls goes above and beyond in delivering a diverse range of care services right in the comfort of one’s own home. Whether it’s personal care, companionship, or specialized therapy and nursing services, their locally owned and operated team ensures a responsive and compassionate approach to every family they assist. They prioritize holistic well-being, addressing not just physical health, but also the mind, body, spirit, and family dynamics.
With a keen focus on personalized care coordination, hospice, and specialized care, Interim Healthcare of Sioux Falls stands out for its dedication to the complete well-being of their clients. Their services extend beyond traditional caregiving; they provide bereavement and grief support, specialized Alzheimer’s care, and even hospice pet therapy. Their team, comprising highly competitive nurses and other expert staff members, is committed to providing exceptional and tailored care, making sure families feel supported and valued every step of the way.
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 143 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.












