Page 15 of Best Senior Communities in South Dakota

Why trust this guide? Our editorial team analyzed 151 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
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We analyzed These are the facilities in South Dakota our team has analyzed — not a count of every senior community provider in South Dakota.
151 homes
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Overview of Primrose Cottages – Aberdeen

Primrose Cottages – Aberdeen is an assisted living community on Meadowbrooke Court in Aberdeen, South Dakota, offering one-bedroom and two-bedroom apartments as well as townhome villas. These housing options give older adults flexibility in selecting a living arrangement that matches their preferences. The surrounding neighborhood has a walkability score of 7, so most errands and outings require transportation.

Residents are supported by 24-hour staffing with licensed nurses and certified nursing assistants, along with a rapid response call system and routine safety checks. Restaurant-style dining features chef-prepared meals and menu choices, while amenities include a wellness center, library, landscaped courtyards and patios, scheduled transportation, individual climate control, and telehealth services. Lawn care and snow removal are also included.

Signature programs and specialty services are designed to help residents maintain independence and support their overall quality of life.

Contact Primrose Cottages – Aberdeen

Overview of Dougherty Hospice House

Dougherty Hospice House, nestled in the heart of Sioux Falls, South Dakota, offers unwavering medical care round the clock, ensuring patients receive the attention they need. Beyond the clinical support, this haven exudes a warm, familial ambiance, providing patients and their families with a comforting environment akin to a home. The design is carefully crafted to promote well-being, with scenic views enhancing the overall experience.
This hospice house boasts not only a homelike atmosphere but also advanced technology tailored to provide utmost comfort for seriously ill patients. From sunlit porches to art-adorned dining areas, a cozy living room, serene meditation spaces, and well-stocked libraries, every corner is thoughtfully designed. Each suite is equipped with modern medical facilities, private bathrooms, and more, ensuring patients’ privacy and dignity. Moreover, they offer spiritual care and provide three distinct levels of hospice services: acute, respite, and residential. Dougherty Hospice House stands as a beacon of compassionate care, embracing patients with both advanced medical support and a nurturing, family-like ambiance.

Contact Dougherty Hospice House

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

Prosperous Home Health

5000 S Mac Arthur Ln, Sioux Falls, SD 57108
Overview of Prosperous Home Health

Prosperous Home Health delivers home care and skilled nursing services to older adults throughout Sioux Falls, South Dakota. Rather than residing in a community setting, clients receive assistance in their own homes, allowing them to maintain familiar surroundings while accessing both personal care and medical support. Services include non-medical caregiving, companionship, and skilled care provided by licensed nurses and certified nursing assistants.

The agency’s clinical programs address a wide range of health needs, including wound treatment, cancer care, stroke recovery support, hydration management, chronic condition monitoring, and IV therapy. Rehabilitation services are also available, providing additional support for individuals recovering from illness, injury, or ongoing medical challenges.

Contact Prosperous Home Health

AseraCare Hospice Care – Sioux Falls

Kirkwood Plaza, 6009 W 41St St Unit 4, Sioux Falls, SD 57106
Overview of AseraCare Hospice Care – Sioux Falls

AseraCare Hospice Care in Sioux Falls is dedicated to delivering top-notch hospice services, showcasing expertise in managing terminal illnesses. They excel in crafting personalized care plans, ensuring effective pain and symptom management. AseraCare’s compassionate hospice aides not only assist seniors but also support families emotionally and spiritually throughout their journey. Moreover, their commitment to providing exceptional care is evident, with hospice costs often covered by Medicare, Medicaid, and private insurances for eligible patients. Families can rely on AseraCare’s dependable services to help seniors celebrate a life well lived.

Contact AseraCare Hospice Care – Sioux Falls

Overview of Ava‘s House

Ava’s House is an inpatient multigenerational hospice facility on West 17th Street in Sioux Falls, South Dakota. Operated by Sanford Health, the 20-bed facility includes 16 adult rooms and 4 pediatric suites, making it one of only a few centers in the United States to provide specialized inpatient pediatric hospice care. The medical team offers 24-hour nursing supervision and complex pain management when a patient’s symptoms require care beyond what can be managed at home or in a standard long-term care setting.

The care model integrates physical comfort with emotional and spiritual support through music enrichment, aromatherapy, pet therapy, and bereavement counseling. Staff utilize pass-through supply cabinets to restock medical items without interrupting patients. For family convenience, the facility features a fully stocked guest kitchen with seating for up to ten people, a dedicated 24-hour patient room service menu, an indoor children’s playroom, a community room, and a wrap-around front porch with a bench swing. Every patient suite opens directly onto an outdoor patio space and includes a built-in sleeper sofa or Murphy bed so family members can stay overnight free of charge.

The local neighborhood carries a walkability score of 55 out of 100, making the area moderately walkable for visitors. Out front, the building features secure entryways and an open parking lot for guests. Families are welcome to stop by the facility to tour the physical spaces, see the room setups firsthand, or speak directly with the coordinators about the intake process.

Contact Ava‘s House

Overview of St. Croix Hospice

St. Croix Hospice is a trusted presence in Sioux Falls, South Dakota, dedicated to enhancing the quality of life for both families and seniors during the challenging end-of-life journey. Their services extend to private residences, nursing homes, and assisted living facilities, ensuring comprehensive care tailored to individual needs. With a team of expert clinicians, they deliver clinical care while offering essential emotional and spiritual support to both patients and families.
Their certified staff excels in handling memory care patients, ensuring they receive the attention and understanding they deserve. Moreover, St. Croix Hospice utilizes cutting-edge tools and technology to provide exceptional care. Beyond medical support, they offer educational resources, empowering families with the knowledge they need during this challenging time. Families can trust in St. Croix Hospice to provide compassionate, comprehensive, and personalized end-of-life care.

Contact St. Croix Hospice

Home Instead – Sioux Falls

5421 West 41St St Suite 208, Sioux Falls, SD 57106
Overview of Home Instead – Sioux Falls

Home Instead – Sioux Falls provides personalized, non-medical in-home care for older adults throughout Minnehaha and Lincoln counties. Their services range from basic companionship and help with household chores to around-the-clock personal assistance and respite care for family caregivers. The agency creates customized care plans that adapt to changing daily needs, including specialized support frameworks for seniors living with Alzheimer’s or other forms of dementia.

Their Care Professionals are fully vetted employees who receive targeted training to help clients safely age in place. The office coordinates care schedules that span from brief check-in visits to continuous, 24-hour overnight monitoring. Financially, the agency works with several payment paths, accepting private pay, long-term care insurance, Veterans Administration (VA) benefits, and specific Medicaid waivers.

The main administrative office on West 41st Street is located in an area with a walkability score of 56 out of 100, indicating a moderately walkable neighborhood with standard commercial services nearby. While the physical office is easily accessible, caregivers travel directly to clients’ houses to deliver support, meaning families do not need to commute to the office for daily care.

Prospective residents who want to discuss specific caregiver matching protocols, look over hourly rates, or arrange a free in-home safety assessment can stop by the Sioux Falls office to speak with the client care team in person.

Contact Home Instead – Sioux Falls

Overview of Avera Medical Group Palliative Medicine

When it comes to specialized care, Avera Medical Group Palliative Medicine caters to individuals facing challenges like cancer, kidney failure, liver failure, Alzheimer’s, and more. With a team well-versed in the intricacies of serious illnesses, including nurses, social workers, chaplains, and pharmacists, they provide top-tier care, focusing on improving various symptoms such as trouble breathing, numbness, sleep issues, constipation, and more.
Beyond medical treatments, Avera Medical Group Palliative Medicine goes the extra mile by assisting patients with advance care planning. This involves understanding a patient’s living will or medical power of attorney paperwork, ensuring clarity and alignment of intentions among all parties involved. Additionally, they excel in handling family conversations with sensitivity and adeptly managing necessary documents and agreements. In these challenging times, they extend a helping hand, guiding individuals and their families towards a path of understanding and support.

Contact Avera Medical Group Palliative Medicine

Overview of Sunset Manor Avera

Sunset Manor Avera operates a skilled nursing and physical rehabilitation community on East Clay Street in Irene, South Dakota. The property manages the Sunrise Villa Rehabilitative Program, providing medical recovery care for seniors transitioning out of hospital stays after severe strokes, major surgeries, or acute illnesses. Carrying a neighborhood walk score of 11, the rural facility grounds are entirely car-dependent, meaning local relatives and out-of-town visitors will need a vehicle to travel to the campus or handle retail errands.

The therapy department organizes care targets based on individual recovery trajectories and long-term medical needs. The clinical floor provides combined daily support averaging 35 minutes of direct attention from registered nurses, 52 minutes from licensed practical nurses, and three hours and 30 minutes from certified nurse aides per resident. This continuous staffing mix forms the baseline for the facility’s daily medication administration, wound care, and personal hygiene assistance.

Prospective families can call the administrative office to verify open bed numbers or to discuss the clinical admission criteria. The front desk team can explain how their billing system integrates different public or private payment pathways and help you set up an appointment to see the rehabilitation gym and resident spaces.

Contact Sunset Manor Avera

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.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Senior Communities in South Dakota at a glance

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: 67The average licensed bed capacity across facilities in South Dakota. Individual facilities can vary widely from this average.
National Average: 90
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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 151 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.