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Other Senior care options in South Dakota:

Best Senior Communities in South Dakota

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 143 homes in South Dakota

Sources: CMS Centers for Medicare and Medicaid Services, and South Dakota Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Senior Communities facilities in South Dakota.

Watch this Video to see South Dakota's Top-rated Senior Communities

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
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Victorian Assisted Living

1321 Columbus St, Rapid City, SD 57701
Overview of Victorian Assisted Living

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.

Contact Victorian Assisted Living

Overview of Westhills Village

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.

Contact Westhills Village

Overview of Arrowhead Lodge Senior Living

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.

Contact Arrowhead Lodge Senior Living

Overview of Nano Nagle Village

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. 

Contact Nano Nagle Village

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 Edgewood in Sioux Falls Assisted Living

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. 

Contact Edgewood in Sioux Falls Assisted Living

Overview of Ponderosa Lodge Senior Living

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.

Contact Ponderosa Lodge Senior Living

Overview of Avera Maryhouse

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.

Contact Avera Maryhouse

Overview of Edgewood Watertown

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.

Contact Edgewood Watertown

Overview of Meadows on Sycamore INC.

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.

Contact Meadows on Sycamore Inc.

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.