Page 4 of Best Senior Communities in South Dakota

Why trust this guide? Our editorial team analyzed 158 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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Last updated
We analyzed These are the facilities in South Dakota our team has analyzed — not a count of every senior community provider in South Dakota.
158 homes
Other senior care options in South Dakota:
Avg Walk Score: 42/ 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: 69The average licensed bed capacity across facilities in South Dakota. Individual facilities can vary widely from this average.
National Average: 90

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. 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.
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 Watertown
SC
AL
IL
Watertown
66No 18 Private Rooms1Jackie Clark
Legends at Lake Lorraine
SC
AL
IL
MC
Sioux Falls
185Yes 43 -1Kyrsten Fokken
Avantara Mountainview
SC
NH
SNF
Rapid City
95
Facility 95
SD AVG
Rank #15 / 70
No
55
Facility 55
SD AVG
Rank #26 / 73
-
1
Facility 1
SD AVG
Rank #3 / 64
Laura Karlson
Tieszen Memorial Home Inc
SC
AL
HOS
MC
NH
SNF
Marion
64
Facility 64
SD AVG
Rank #34 / 70
No
23
Facility 23
SD AVG
Rank #53 / 73
-
1
Facility 1
SD AVG
Rank #3 / 64
Laura Wilson
Bethesda Home of Aberdeen
SC
AL
HC
NH
RC
SNF
Aberdeen (Aberdeen Township)
86
Facility 86
SD AVG
Rank #17 / 70
No
85
Facility 85
SD AVG
Rank #1 / 73
-
1
Facility 1
SD AVG
Rank #3 / 64
Scott Eisenbeisz
Spearfish Canyon Healthcare
SC
HOS
NH
SNF
Spearfish
105
Facility 105
SD AVG
Rank #10 / 70
No
50
Facility 50
SD AVG
Rank #29 / 73
-
1
Facility 1
SD AVG
Rank #3 / 64
Charlotte Pentheny
Good Samaritan Society – St Martin Village
SC
AL
IL
MC
NH
RC
Rapid City
60
Facility 60
SD AVG
Rank #35 / 70
No
83
Facility 83
SD AVG
Rank #6 / 73
-
1
Facility 1
SD AVG
Rank #3 / 64
Jana Mccroden
Bethesda Towne Square
SC
AL
HC
NH
RC
SNF
Aberdeen (Melrose Addition)
52
Facility 52
SD AVG
Rank #42 / 70
Yes
21
Facility 21
SD AVG
Rank #56 / 73
Suite
1
Facility 1
SD AVG
Rank #3 / 64
Scott Eisenbeisz
Palisade Healthcare Center
SC
MC
NH
RC
SNF
Garretson (Palisade Township)
55
Facility 55
SD AVG
Rank #41 / 70
No
37
Facility 37
SD AVG
Rank #41 / 73
-
1
Facility 1
SD AVG
Rank #3 / 64
Carolyn Riggs
Prairie Heights Healthcare
SC
HOS
NH
SNF
Aberdeen
99
Facility 99
SD AVG
Rank #12 / 70
No
38
Facility 38
SD AVG
Rank #40 / 73
-
1
Facility 1
SD AVG
Rank #3 / 64
Darcy Albrecht

Rank badges are statewide: each community is ranked against every SD community we track that reports that metric, not just the 158 on this page. See how we rank facilities

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Overview of Edgewood Watertown

Located on 14th Avenue Northeast in Watertown, South Dakota, Edgewood Watertown is a community offering assisted living and independent living in Codington County. The community is about 1.25 miles from Prairie Lakes Hospital, giving residents and families convenient access to nearby medical care.

The community opened about a year ago. It features a two-story building with 66 beds and private rooms. Residents are moving into a newer community rather than one with many years of established operations. Edgewood Watertown is part of the Edgewood Senior Living family of communities, led by administrator Jackie Clark.

Daily support includes housekeeping, transportation, interior and exterior maintenance, and assistance with activities of daily living. Residents also have access to specialized programs that focus on movement and neurological health, including LSVT Big and Loud, the Parkinson’s Care Program, Parkinson’s Wellness Recovery, Rocky Steady Boxing, and the CaringEdge therapy program. Together, these services highlight the community’s focus on supporting residents living with Parkinson’s disease and similar conditions. Transportation services, fitness programs, and recreational activities are also available here.

The neighborhood has a Walk Score of 18, making it a car-dependent location where most errands and outings require a vehicle. Families traveling from outside the area should drive when they visit.

Contact Edgewood Watertown

Overview of Legends at Lake Lorraine

Legends at Lake Lorraine (Formerly Grand Living at Lake Lorraine) is a distinguished senior living community that sets the standard for luxury independent living, assisted living, and memory care services in Sioux Falls, South Dakota. This home is climbing the charts of excellence, offering unparalleled service and a truly engaging lifestyle that captivates residents and their families alike.

Indulge in the grand spa and fitness center, where you can rejuvenate your body and nurture your well-being. Legends at Lake Lorraine also goes above and beyond to provide life-enriching experiences through a variety of programs. From world-class music entertainment performances to delightful cocktail evenings and friendly games of bocce ball, there’s always something exciting happening.

Contact Legends at Lake Lorraine

Overview of Avantara Mountainview

Avantara Mountainview is a nursing home in Rapid City, SD that provides skilled nursing care. Skilled nursing gives residents access to licensed nursing care on site around the clock, while the community’s 95 beds support a residential setting for people who need ongoing nursing services.

Avantara Mountainview offers post-surgical care and short-term rehabilitation for residents recovering after a procedure or medical event, with rehabilitation services focused on stroke and other neurological conditions, cardiac care, oncology recovery, orthopedic rehabilitation, and pulmonary care. These services may make the community a good fit for someone who needs skilled nursing and a structured rehabilitation stay during recovery. Laura Karlson serves as the administrator.

Contact Avantara Mountainview

Overview of Tieszen Memorial Home

Located in Marion, South Dakota, Tieszen Memorial Home is a nursing home in Turner County. Tieszen Memorial Home operates the community, and Laura Wilson serves as administrator. Alongside skilled nursing, it offers assisted living, memory care, and hospice care, giving families a full continuum of care as residents’ needs change.

The 64-bed home is almost full, with occupancy around 93%. Residents stay an average of about 409 days, a figure that shows that most residents stay here for long-term care rather than short rehabilitation stays. The community has been operating for about 1 year. Rehabilitation Services and a Wellness Center support residents’ ongoing health and activity needs. Skilled care and apartment-style housing options are also available.

Total nursing care averages about 4 hours and 33 minutes per resident daily, and it’s a central part of daily life. Families can choose from Medicare, Medicaid, and private pay to cover both short-term and long-term stays.

The community is in a small, rural part of South Dakota, with a Walk Score of 23. Most errands and outings require driving. Families visiting from outside the area may want to plan transportation before visiting.

Contact Tieszen Memorial Home Inc

Overview of Bethesda Home of Aberdeen
Bethesda Home of Aberdeen offers care for children and the elderly. They provide daycare, nursing home, assisted living, in-home care, and senior living. The facility is committed to quality and personal care for all ages.

Contact Bethesda Home of Aberdeen

Spearfish Canyon Healthcare

1020 N 10Th St, Spearfish, SD 57783
Overview of Spearfish Canyon Healthcare

Spearfish Canyon Healthcare, located in beautiful Spearfish, South Dakota, offers a range of skilled care services for seniors. With skilled nursing, long term & short term care, and a variety of therapies including physical, occupational, and speech, this community ensures comprehensive care. Seniors can enjoy the serene surroundings and the sense of community as they work on regaining their independence and well-being.

Fostering compassionate, individualized care to each resident, Spearfish Canyon Healthcare offers various amenities and programs designed for residents wellness and healing, such as pain management, wound care, and social services. With specialized therapies for post-surgical recovery, stroke recovery, and cardiac care, residents receive the support they need. Additional services like dental care, dialysis, and hospice care further enhance the quality of life, making Spearfish Canyon Healthcare a place where seniors can thrive.

Contact Spearfish Canyon Healthcare

Overview of Good Samaritan Society – St Martin Village

Good Samaritan Society, St Martin Village provides nursing home, assisted living, independent living, memory care, and respite care in Rapid City, SD. Assisted living provides help with daily tasks while a resident maintains an apartment, memory care offers supervision in a secured setting for someone at risk of wandering, and nursing home care provides licensed nursing care around the clock. Independent living supports private living with community services and no daily care, while respite care offers a short stay for a family whose usual caregiver needs to travel or recover.

With several care levels in one community, Good Samaritan Society, St Martin Village can suit a resident whose needs may grow over time without requiring a move to a different community. The community has 60 beds, and Jana McCroden serves as administrator. Rehabilitation services are available for residents who need therapy during recovery or ongoing care.

A swimming pool and wellness center support exercise and water-based activities, while walking trails and a community garden provide outdoor spaces for recreation. The community also has a salon, chapel, library, coffee house, woodshop, and scheduled activities, giving residents places for personal care, worship, hobbies, and social time. Home-based services and caregiver support are also available for residents and families who need assistance beyond the community setting.

The area has a Walk Score of 83, making it very walkable, with most errands possible on foot. Shops and other daily destinations within a short walk can help a resident who no longer drives get out independently.

Contact Good Samaritan Society – St Martin Village

Overview of Bethesda Towne Square

Bethesda Towne Square Assisted Living Community, situated in Aberdeen, provides a selection of 40 spacious apartment suites for residents to choose from. In addition, residents benefit from priority access to the on-site skilled nursing home, ensuring comprehensive care if the need arises. The community prides itself on fostering a warm and compassionate atmosphere, catering to both short-term recovery and around-the-clock long-term care. Bethesda is dedicated to promoting independence of both body and spirit, with the added support of onsite chaplain services available to all residents.

The highly trained staff at Bethesda goes above and beyond physical health care, offering a diverse range of programs aimed at maximizing social interaction. From engaging dining experiences to socialization activities and exercise programs, residents are provided with ample opportunities to thrive and connect. These offerings are delivered in welcoming and comfortable surroundings that prioritize all aspects of life, extending support beyond medical attention to encompass the holistic well-being of each resident.

Contact Bethesda Towne Square

Overview of Palisade Healthcare Center

Located on 4th Street in Garretson, South Dakota, Palisade Healthcare Center is a skilled nursing facility with 55 beds. Most daily errands within this small community require transportation beyond walking distance. The center has an occupancy rate of 84%, and residents stay an average of 96 days. Medicare, Medicaid, and private pay are accepted, providing access routes for rehabilitation stays and longer-term care.

The community’s clinical focus is reflected in its staffing model. Nurse staffing averages 4 hours and 2 minutes per resident each day. Residents are supported by registered nurses, nurse aides, and licensed practical nurses. This hands-on support makes it an ideal setting for patients recovering from an illness or injury, or for those needing ongoing skilled nursing care.

Clinically, Palisade offers rehabilitation services and respite care options, so families can choose if they need short-term support for a recovering relative. There’s 24-hour staffing and memory support services to ensure the safety and specialized care for residents with cognitive needs. Residents’ meals are prepared on-site with attention to nutrition.

The straightforward, no-frills facility is best-suited for families focused on skilled care and clinical support rather than extensive amenities or activities programming.

Contact Palisade Healthcare Center

Prairie Heights Healthcare

400 8Th Ave Nw, Aberdeen, SD 57401
Overview of Prairie Heights Healthcare

Prairie Heights Healthcare in Aberdeen, South Dakota, offers top-notch senior living with a focus on individual wellness and recovery. Seniors can enjoy a variety of personalized care services to make their stay as comfortable as possible. Whether it’s skilled nursing, long-term care, short-term stays, or physical therapy, there’s something for everyone to feel at ease and well-cared for in this vibrant community.

Dedicated to providing a nurturing environment where residents can thrive, Prairie Heights Healthcare in Aberdeen offers a range of amenities and programs, including physical, occupational, and speech therapies tailored to each individual. With both long and short-term care options, residents can find support, learn new strategies, and connect with others in similar situations. Prairie Heights Healthcare is dedicated to helping residents achieve their personal health goals and maintain their independence.

Contact Prairie Heights Healthcare

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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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 158 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.