Other senior care options in South Dakota:

Page 15 of Best Senior Communities in South Dakota

Why trust this guide? Our editorial team analyzed 143 senior communities communities in South Dakota using South Dakota Department of Health (DOH) data, inspection records, complaints, amenities, and facility-level details. How we rank senior communities in SD
Reviewed by
Last updated
Jul 2026
We analyzed
143 homes
Other senior care options in South Dakota:
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: 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

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
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Overview of Avantara Saint Cloud

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.

Contact Avantara Saint Cloud

Overview of Five Counties Nursing Home

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.

Contact Five Counties Nursing Home

Overview of Interim Healthcare of Sioux Falls

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.

Contact Interim Healthcare of Sioux Falls

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 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.