Page 2 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
Other senior care options in South Dakota:

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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. 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.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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.
Edgewood Brookings
SC
ADC
AL
MC
Brookings
50No 55 -30A+Shannon Loehr
Bethesda Home of Aberdeen
SC
AL
HC
NH
RC
SNF
Aberdeen (Melrose Addition)
86No 12 -1-Scott Eisenbeisz
Avantara Mountain View
SC
NH
SNF
Rapid City
95No 83 -1-Laura Karlson
Avantara Pierre
SC
HOS
MC
NH
SNF
Pierre
65No 63 -1-Chase Watson
Bethany Home Sioux Falls/Bethany Home-Brandon
SC
AL
IL
MC
NH
SNF
Sioux Falls
112No 65 -1-Amanda Peterson
Rolling Hills Healthcare
SC
HOS
NH
SNF
Belle Fourche
83No 8 -47A+Gerald Bosen
Avantara Redfield
SC
HOS
NH
SNF
Redfield
58No 34 -1A+Diane Forgey
Ponderosa Lodge Senior Living
SC
AL
IL
RC
Sioux Falls
76No 30 1 Bed / 2 Bed1-Martina Castle
Edgewood Prairie Crossings Assisted Living
SC
AL
Sioux Falls
68No 31 Private / Semi-Private Rooms1-Carmen Dougherty
Avantara Redfield
SC
HOS
NH
SNF
East Redfield
58No 58 -1-Diane Forgey
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Overview of Edgewood Brookings

Edgewood Brookings is an assisted living with memory care services in Watertown. The community understands the importance of happiness and serenity, ensuring that every resident can receive only the best care. Edgewood Brookings is the home where seniors thrive and get back on their feet quickly and independently.
Community features include essential services like transportation, housekeeping, interior and exterior maintenance, ADLs, and specialized memory programs. Amenities provided are dining areas, indoor common areas, a full-service salon, well-lit lounge areas, furnished apartments, and outdoor lounges.

Contact Edgewood Brookings

Overview of Bethesda Home of Aberdeen

Located in Aberdeen, South Dakota, Bethesda Home of Aberdeen is a skilled nursing home in Brown County. It is less than a mile from Avera St. Luke’s Hospital’s emergency room and about 2 miles from the city center. Scott Eisenbeisz owns the community and serves as CEO and Administrator. Alongside skilled nursing, it offers assisted living, home care, respite care, senior apartments, and adult day services. Families can use these options in the same community as care needs change.

The 86-bed home currently serves 82 residents. It runs close to full, with a 98% occupancy rate. Residents stay an average of about 153 days, reflecting both post-acute rehabilitation and longer-term nursing care. The community has been open for about 1 year.

Total nursing care averages 4 hours and 23 minutes per resident daily. Rehabilitation and physical rehabilitation services are also available to support residents recovering from surgery, illness, or a hospital stay. Families can choose from Medicare, Medicaid, and private pay to cover both short-term and long-term care.

State health inspections have often focused on documentation and care coordination practices. These include documenting respiratory care and hospice services together. Reviews have also covered food temperatures, food safety records, hand hygiene, and skin-assessment practices, which are recurring administrative and procedural themes rather than one major concern. Families touring the community may ask how staff manage these practices daily.

The surrounding area is car-dependent, with a Walk Score of 12 out of 100. Most errands and visits require driving rather than walking. However, the nearby hospital can benefit residents needing frequent medical follow-up or transfers.

Contact Bethesda Home of Aberdeen

Overview of Avantara Mountain View

Administered by Laura Karlson, Avantara Mountain View provides nursing home and skilled nursing care in Rapid City, SD. With 95 beds, the community provides continuous clinical support to meet residents’ needs.

Additionally, rehabilitation services include short-term rehabilitation and programs for postsurgical care, stroke and other neurological conditions, cardiac care, oncology recovery care, orthopedic rehabilitation, and pulmonary care.

Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care. Total nurse staffing is 3 hours and 32 minutes per resident per day, representing the daily nursing time allocated per resident.

Contact Avantara Mountain View

Overview of Avantara Pierre

Avantara Pierre is a 65 bed nursing home in Pierre, South Dakota, offering skilled nursing, hospice care, and memory care. Licensed nurses provide care on site around the clock, while hospice focuses on comfort and support at the end of life. Memory care is secured and supervised, which can suit someone living with dementia who may be at risk of wandering.

Total nurse staffing is 2 hours and 55 minutes per resident each day, representing the daily nursing time assigned to each resident. Rehabilitation includes short term rehab and programs for postsurgical recovery, stroke and other neurological conditions, cardiac care, oncology recovery, pulmonary care, and orthopedic rehabilitation. These services support residents recovering from surgery or managing specific medical and physical needs.

Medicare, Medicaid, and private pay are accepted. Medicare can cover short term skilled care after a hospital stay, while Medicaid may help when savings do not cover a long stay. Chase Watson serves as the administrator, and a Walk Score of 63 places the area in the somewhat walkable band, so some errands can be done on foot and a resident who no longer drives may be able to complete certain outings independently.

Contact Avantara Pierre

Overview of Bethany Home Sioux Falls/bethany Home-Brandon

Bethany Home Sioux Falls/bethany Home-Brandon offers nursing home and skilled nursing care, assisted living, independent living, and memory care in Sioux Falls, SD. Nursing home and skilled nursing care provide licensed nursing support around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication. Independent living provides private housing without daily care, and memory care provides a secured setting with supervision for someone at risk of wandering.

Because the community offers several care levels, it may be a good fit for a resident whose needs could grow over time and who may be able to remain in the same community as care needs change. The community has 112 beds, and total nurse staffing is 5h 36m per resident per day, representing the daily nursing time allocated to each resident. Amanda Peterson serves as the administrator.

The Independent Homes & Apartments program supports the independent living offering with housing for residents who do not need daily care. Rehabilitation services are available, giving residents access to therapy through the community. Medicare, Medicaid, and private pay are accepted as payment methods.

A Walk Score of 65 places the area in the somewhat walkable category, meaning some errands can be done on foot and a resident who no longer drives may still reach some nearby destinations independently.

Contact Bethany Home Sioux Falls/Bethany Home-Brandon

Rolling Hills Healthcare

2200 13Th Ave, Belle Fourche, SD 57717
Overview of Rolling Hills Healthcare

Situated in the gorgeous town of Belle Fourche, South Dakota, Rolling Hills Healthcare offers a wide range of care options for seniors, including long term & short term care and rehab therapies. Whether you need physical, occupational, or speech therapy, their dedicated team is there to help. Seniors can enjoy the peaceful surroundings and friendly atmosphere of the community, making it a great place to relax and focus on wellness.

Rolling Hills Healthcare goes above and beyond in providing high-quality care with a personal touch. They aim to make every resident feel respected and well-cared-for by offering tailored care plans. The community features a variety of programs and amenities, including advanced therapies, pain management, dental care, dialysis, hospice services, and more. With a focus on individual wellness and rehabilitation, Rolling Hills Healthcare ensures that each resident receives the best possible care in a supportive and compassionate environment.

Contact Rolling Hills Healthcare

Overview of Avantara Redfield

The average length of stay at Avantara Redfield is 229 days. That number separates this facility from a straightforward short-term rehab model and points to something closer to a mixed population: people working through post-acute recovery alongside others with longer-term care needs. The 58-bed nursing home sits on E 3rd St in Redfield, South Dakota, under the administration of Diane Forgey. It opened about a year ago and currently has 38 of its 58 beds filled.

The clinical program list is broad for a facility this size. Residents recovering from cardiac events, orthopedic procedures, pulmonary conditions, oncology treatment, surgery, and stroke or other neurological conditions each have a dedicated recovery track. Full-time therapists are on-site, and a home assessment is completed before discharge. Total nursing coverage is 2 hours and 54 minutes per resident per day; registered nurses account for 38 minutes of that.

Medicare, Medicaid, and private pay are all accepted, which matters given that stay length: a resident arriving on Medicare short-term benefits may eventually transition to Medicaid, and the facility’s payment structure accommodates that arc. The neighborhood requires a car for most errands (Walk Score 34).

Avantara Redfield serves people who need structured, supervised recovery after a hospital discharge, and its longer-than-average stay data suggests it also holds residents whose care needs extend well past the typical rehab window.

Contact Avantara Redfield

Overview of Ponderosa Lodge Senior Living

Ponderosa Lodge Senior Living is a newly established community in Sioux Falls, South Dakota, serving older adults seeking independent or assisted living arrangements. Located at 7400 S Louise Ave, the community provides both independent living options for active seniors who want a supportive residential setting and assisted living services for those who need help with daily activities like bathing, dressing, and medication management. The home also offers respite care, making it an option for short-term stays.

The community is modest in size at 76 beds and features one and two-bedroom housing options, allowing residents to choose a living space that suits their preferences and needs. Ponderosa Lodge opened recently—within the last year—so the setting is new. Martina Castle serves as administrator. At just over $4,000 per month for starting rates, the community is positioned competitively for the market.

The location scores a 30 on the Walk Score, which means some errands and services are accessible on foot, though most outings will require transportation. The surrounding neighborhood is typical of suburban Sioux Falls—quiet and residential, with relatively easy access to the highway. Families should be aware that the community maintains a no-pet policy, so residents’ pets will need alternative arrangements.

For a newly opened home, an in-person tour is especially worthwhile to see how the community is being developed and to get a sense of the daily operations and the team leading the facility.

Contact Ponderosa Lodge Senior Living

Overview of Edgewood Prairie Crossings Assisted Living

Located at 1810 South Dorothy Avenue in Sioux Falls, South Dakota, Edgewood Prairie Crossings Assisted Living is a 68-bed assisted living community. The single-story residence offers both private and semi-private rooms and has served residents for 1 year. The community is led by administrator Carmen Dougherty.

In addition to assisted living, the community provides short-term stays. It partners with outside medical providers to give residents additional clinical support. Transportation services, fitness programs, and recreational activities are available. Residents can conveniently access nearby medical clinics, shopping, and other destinations throughout Sioux Falls.

Residents enjoy organized social events that encourage them to connect with neighbors and stay involved in activities that match their interests. Three meals and snacks are prepared and served daily. Emergency pendant systems are also available, so residents can quickly call for assistance whenever needed.

The neighborhood has a Walk Score of 31, so a few nearby places can be reached on foot. However, most errands and outings require a car. Families interested in learning more about the community’s programs, apartment layouts, and daily routines should schedule a tour and see the community in person.

Contact Edgewood Prairie Crossings Assisted Living

Overview of Avantara Redfield

Avantara Redfield is a 58 bed nursing home in Redfield, South Dakota, offering hospice care and skilled nursing. Skilled nursing provides licensed nursing care on site around the clock, while hospice supports residents receiving end of life care. The combination suits someone whose needs include ongoing clinical support or hospice services.

The smaller setting may allow staff and residents to get to know one another. Rehabilitation includes short term rehabilitation, giving a resident a time limited stay focused on recovery, as well as post surgical care and orthopedic rehabilitation. Programs for stroke and other neurological conditions, cardiac care, oncology recovery care, and pulmonary care address specific recovery needs.

Medicare, Medicaid, and private pay are accepted, giving families several ways to cover eligible care or pay directly. Total nurse staffing is 3 hours and 20 minutes per resident per day, representing the daily nursing time allocated to each resident. Diane Forgey serves as administrator.

Contact Avantara Redfield

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.