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Compare Senior Communities around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Click column headers to sort
| The Parkwood |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Sioux Falls | 133
Facility
133
SD AVG
69
Rank
#7 / 117 | Yes |
10
Facility
10
SD AVG
39
Rank
#134 / 159 | Studio / 1 Bed / 2 Bed | 2
Facility
2
SD AVG
8
Rank
#13 / 51 | A- | Nathan Kasselder |
| Edgewood Pierre |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Pierre | 86
Facility
86
SD AVG
69
Rank
#27 / 117 | Yes |
6
Facility
6
SD AVG
39
Rank
#143 / 159 | Studio / 1 Bed / 2 Bed | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | - | Melissa Johnson |
| The Village at Skyline Pines Assisted Living & Memory Care |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Rapid City | 116
Facility
116
SD AVG
69
Rank
#9 / 117 | No |
32
Facility
32
SD AVG
39
Rank
#90 / 159 | 1 Bed / 2 Bed | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | - | Kelli Back |
| The Village of Harmony Hill |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Watertown (Sheridan Township) | 104
Facility
104
SD AVG
69
Rank
#19 / 117 | Yes |
0
Facility
0
SD AVG
39
Rank
#149 / 159 | Studio / 1 Bed / 2 Bed | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | - | Krista Beauchamp |
| Avera Mother Joseph Manor Retirement Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Aberdeen | 81
Facility
81
SD AVG
69
Rank
#32 / 117 | Yes |
31
Facility
31
SD AVG
39
Rank
#93 / 159 | 1 Bed / 2 Bed | 29
Facility
29
SD AVG
8
Rank
#5 / 51 | - | Paula Henrickson |
| Bethesda Towne Square |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Aberdeen (Melrose Addition) | 52
Facility
52
SD AVG
69
Rank
#65 / 117 | Yes |
21
Facility
21
SD AVG
39
Rank
#111 / 159 | Suite | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | - | Scott Eisenbeisz |
| Arrowhead Lodge Senior Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Rapid City | 48
Facility
48
SD AVG
69
Rank
#76 / 117 | No |
12
Facility
12
SD AVG
39
Rank
#127 / 159 | 1 Bed / 2 Bed | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | - | Sheila Gehring |
| Ponderosa Lodge Senior Living |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Sioux Falls | 76
Facility
76
SD AVG
69
Rank
#42 / 117 | No |
30
Facility
30
SD AVG
39
Rank
#99 / 159 | 1 Bed / 2 Bed | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | - | Martina Castle |
| Avera Maryhouse |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. | Pierre | 67
Facility
67
SD AVG
69
Rank
#49 / 117 | Yes |
60
Facility
60
SD AVG
39
Rank
#39 / 159 | Private Rooms / Semi-Private Rooms | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | - | Talli Raske |
| Edgewood Watertown |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Watertown | 66
Facility
66
SD AVG
69
Rank
#50 / 117 | No |
18
Facility
18
SD AVG
39
Rank
#117 / 159 | Private Rooms | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | - | Jackie Clark |
| Edgewood Prairie Crossings Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Sioux Falls | 68
Facility
68
SD AVG
69
Rank
#45 / 117 | No |
31
Facility
31
SD AVG
39
Rank
#93 / 159 | Private / Semi-Private Rooms | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | - | Carmen Dougherty |
| Good Samaritan Society – Echo Ridge |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Rapid City | 34
Facility
34
SD AVG
69
Rank
#108 / 117 | No |
11
Facility
11
SD AVG
39
Rank
#131 / 159 | Private Rooms | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | - | Lindsey Hixson |
| Meadow Lake Assisted Living |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Watertown | 16
Facility
16
SD AVG
69
Rank
#115 / 117 | No |
0
Facility
0
SD AVG
39
Rank
#149 / 159 | 1 Bed | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | - | Chasity Chandler |
| Fountain Springs Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Rapid City | 10
Facility
10
SD AVG
69
Rank
#116 / 117 | No |
16
Facility
16
SD AVG
39
Rank
#120 / 159 | Private Rooms / Semi-Private Rooms | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | - | Kristine Harvey |
| Derian Place Senior Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Aberdeen | 28
Facility
28
SD AVG
69
Rank
#113 / 117 | No |
65
Facility
65
SD AVG
39
Rank
#25 / 159 | Studio / 1 Bed / 2 Bed | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | - | Tandy Mckiver |
Enjoy the best of your golden years at The Victorian Senior Living Home, a distinguished community in Rapid City, SD, offering independent living and assisted living. A compassionate and highly trained team provides exceptional care around the clock to meet residents’ unique needs. Housekeeping and laundry, alongside beautifully designed floor plans, are provided, ensuring residents’ comfort and convenience.
With a thoughtfully curated calendar of engaging activities and enriching programs, residents will not run out of things to do for leisure and wellness. Mealtimes promote social interactions and satisfy dietary needs with delicious and healthy dining options. Medication management and transportation services are also provided for residents’ peace of mind. The community is a great option for those seeking a place of retirement, especially with its vibrant and nurturing environment.
Relish a life filled with enriching experiences and a supportive environment. Nestled in Rapid City, South Dakota, Westhills Village Health Care Facility provides a range of options tailored to meet the needs of seniors such as independent senior living and retirement community to assisted living and health care services. This assisted living community has a vibrant and engaging atmosphere, ensuring residents feel right at home.
With an unwavering dedication to surpassing the needs and expectations of retirees, Westhills Village offers a comprehensive care program. Westhills Village seamlessly combines comfort, care, and convenience, making it an ideal destination for senior residents seeking an independent lifestyle and those who require additional support.
Arrowhead Lodge is an independent living and assisted living home with respite care in Rapid City. They pride themselves on the services that are delivered with only the best in its class brought by their premier level of care entrusted to residents. The senior living home boasts its innovative and modern approach to senior care; they have ensured that they provide a spectrum of care as they understand the unique needs of each individual. Arrowhead Lodge’s management and staff are well-trained professionals that ensure that residents are being heard and provide a lifestyle that suits their needs.
Beautifully furnished common areas, walking paths, and outdoor patios are offered for seniors to have families come visit more often and have a place to socialize. Other services include meals, security, and affordable senior housing.
Nano Nagle Village, situated in Aberdeen, South Dakota, is an assisted living senior community conveniently located near various local amenities. Residents can easily access nearby churches, retail shopping centers, health care facilities, and more.
Dakota Plains Surgical Center is just 0.74 miles away from the community, providing convenient medical services. For residents’ convenience, there are also 11 drug stores within a one-mile radius of the facility. Additionally, residents have a choice of 19 churches within a four-mile radius, including the Church of God, Calvary Baptist Church, Church of God Family Worship, and Aberdeen Christian Fellowship.
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.
Edgewood in Sioux Falls Assisted Living is a home that offers a tranquil small-town community feel. Situated near downtown Sioux Falls and Falls Park, this remarkable community provides an abundance of amazing opportunities for residents to embrace. With on-site therapy services and a dedicated and caring staff, senior living at Edgewood is elevated to new heights of comfort and security, making it one of the premier assisted living facilities in the area. The home offers a range of options, including assisted living places and short-term stays.
A library, theater, beauty salon, and sunroom are among the many features that residents have. These spaces foster a sense of engagement, relaxation, and socialization. Culinary delights also await at Edgewood, with three delicious meals served daily at these assisted living facilities. Medication management and assistance are provided, ensuring that residents receive the care they need. Housekeeping and laundry services are taken care of, alleviating any concerns and allowing residents to focus on what truly matters. Scheduled transportation is available for those who require it, providing convenient access to various destinations from these assisted living places.
A trusted senior living community located in the serene South Louise Avenue, Sioux Falls, SD, Ponderosa Lodge Senior Living offers assisted living, independent living, and respite care. The community features cozy and welcoming residences in a wide selection of studio, one-bedroom, and two-bedroom floor plans for seniors to live in comfort and luxury. A kind and compassionate team strives to provide top-tier care and support for seniors to enjoy their golden years doing what they love.
Ponderosa Lodge Senior Living promotes a vibrant and inviting environment, ensuring seniors remain active and happy. With exciting activities and engaging programs, residents gain meaningful experiences and learn something new. Delight in well-balanced meals catering to dietary needs and tastes. Ponderosa Lodge Senior Living is a haven for seniors to live a worry-free retirement with its beautifully designed incredible amenities.
Avera Maryhouse Long Term Care, located in Pierre, SD, offers a comprehensive range of senior living options and care services. With 80 certified beds, Avera Maryhouse provides nursing homes, assisted living, memory care for Alzheimer’s and dementia, and independent living options. Residents benefit from on-site occupational, physical, and speech therapy services, ensuring personalized care and support tailored to individual needs.
Avera Maryhouse is dedicated to improving the quality of life for its inhabitants and places a high value on comprehensive care and a lively community setting. A library, visitor and resident parking, and a variety of activities like arts and crafts, wellness and health programs, and spiritual pursuits are just a few of the community’s many amenities. Situated in close proximity to healthcare services and local conveniences, Avera Maryhouse offers residents a comfortable and supportive living in a warm and friendly setting.
Edgewood Senior Living is the ideal place for residents to experience an active lifestyle where seniors can fulfill independence and support in Watertown. Specializing in independent living, assisted living, and memory care living, the continuing care community understands the importance of happiness and serenity, ensuring that every resident receives only the best care. Edgewood Watertown 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, and ADLs; specialized programs include LSVT Big and Loud, Parkinson’s Care Program, Parkinson’s Wellness Recovery, Rocky Steady Boxing, and the CaringEdge therapy program.
At Meadows on Sycamore, personalized and patient-centered care takes center stage in their 123-bed assisted living center. They understand that affordable assisted living should never compromise on quality, and they go above and beyond to provide exceptional care while keeping costs within reach. Located in the eastern part of Sioux Falls, this community offers a variety of floor plans and room layouts to suit your preferences and needs, ensuring that you find the perfect space to call your own.
The home understands the importance of affordable assisted living costs and ensures that residents can enjoy a comfortable and secure environment. Within its walls, you’ll discover a warm and inviting space, complete with game rooms and pet-friendly buildings, creating a true sense of home. Treat yourself to a visit to the on-site beauty and barber shops, or break a sweat with the well-maintained exercise equipment at your disposal. With the added convenience of laundry and housekeeping services, as well as comprehensive maintenance and nursing support, all your needs will be expertly taken care of.
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 7 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.
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