Page 2 of Best Senior Communities in South Dakota

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.

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.

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.

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.

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.

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.

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.

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.

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Starting Price $3,575/Month Pricing updated on October 8th, 2026

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.

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.