Page 4 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. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative 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.
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 Pierre
SC
ADC
AL
MC
Pierre
86Yes 6 1Melissa Johnson
Tieszen Memorial Home Inc
SC
AL
HOS
MC
NH
SNF
Marion
64No 23 1Laura Wilson
Palisade Healthcare Center
SC
MC
NH
RC
SNF
Garretson (Palisade Township)
55No 37 1Carolyn Riggs
Prairie Heights Healthcare
SC
HOS
NH
SNF
Aberdeen
99No 38 1Darcy Albrecht
Good Samaritan Society – St Martin Village
SC
AL
IL
MC
NH
RC
Rapid City
60No 83 1Jana Mccroden
Rolling Hills Healthcare
SC
HOS
NH
SNF
Belle Fourche
83No 47 1Gerald Bosen
Westhills Village
SC
AL
HC
IL
NH
PC
SNF
Rapid City
44No 21 1Kelsey Bertsch
Good Samaritan Society Sioux Falls Center
SC
NH
SNF
Sioux Falls
98No 19 1Luke Wanous
Five Counties Nursing Home
SC
AL
IL
NH
SNF
W Lemmon
37No 42 1Jordan Fish
Avantara Watertown
SC
HOS
MC
NH
SNF
Ne Watertown
51No 69 1Lynna Speier
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Overview of Edgewood Pierre

Administered by Melissa Johnson, Edgewood Pierre is an assisted living community in Pierre, South Dakota. It offers assisted living, adult day care, and memory care. The community is located at 1950 E. 4th Street in Hughes County. The two-story building has 86 beds and offers studio, one-bedroom, and two-bedroom apartments, giving residents several choices based on their space needs.

Serving residents for about one year, Edgewood Pierre features newer construction and recently built common areas. The surrounding neighborhood has a Walk Score of 6. It’s car-dependent, so most errands require a vehicle. Families who prefer a quieter residential setting instead of a busy commercial area may find the location appealing.

Residents take part in memory care programs offered in a home-like setting. Activities are designed around comfort and familiar daily routines. Shared amenities include a chapel, a family gathering room, several recreation rooms, a dedicated dining room, and an on-site fitness center. The community also provides transportation services and welcomes pets, giving residents both structured support and everyday flexibility.

Families considering Edgewood Pierre may ask about current availability for the studio, one-bedroom, and two-bedroom apartments because different floor plans may fill at different times.

Contact Edgewood Pierre

Overview of Tieszen Memorial Home

Tieszen Memorial Home, located in Marion, South Dakota, offers skilled nursing, assisted living, memory care, and hospice services within a 64-bed campus. Skilled nursing units feature licensed medical oversight 24 hours a day. Assisted living residents receive help with daily routines like bathing, dressing, and medication management, while the memory care section provides a secure environment tailored for safety and supervision. End-of-life hospice support is also available on-site.

Daily care operations average 4 hours and 35 minutes of total nursing staff time per resident. The community maintains rehab services, skilled clinical care, and a wellness center to support physical recovery and ongoing health. Laura Wilson serves as administrator, and payment options include Medicare, Medicaid, and private funds, creating potential coverage avenues for long-term placement needs.

Interested families looking for multi-level care options in Marion can contact the Tieszen Memorial Home for further details or placement inquiries.

Contact Tieszen Memorial Home Inc

Overview of Palisade Healthcare Center

Palisade Healthcare Center in Garretson, South Dakota, offers skilled nursing, memory care, short-term rehabilitation, and respite care. The memory care division uses a secured layout to monitor individuals who need constant supervision, while respite options furnish temporary stays for primary family caregivers taking time away.

Administrator Carolyn Riggs oversees the 55-bed property. Daily care metrics average 3 hours and 23 minutes of hands-on nursing time per resident. Located in the Palisade Township neighborhood, the center sits in a car-dependent zone with a 37 walk score, meaning local trips require motor transit.

Older adults looking for long-term clinical care or specialized memory support can reach out to Palisade Healthcare Center to check openings, clarify financial options, or arrange a visit. Accepted funding methods cover Medicare, Medicaid, and private payment plans.

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

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.

Price range $3,657 - $7,725/Month

Contact Good Samaritan Society – St Martin Village

Overview of Rolling Hills Healthcare

Rolling Hills Healthcare provides nursing home care, skilled nursing, and hospice care in Belle Fourche, South Dakota. Skilled nursing gives residents access to licensed nursing care, while hospice focuses on comfort for people nearing the end of life. The facility also offers short term rehabilitation and long term care, making it suitable both for someone recovering from an illness or procedure and for a resident who needs ongoing support.

Rolling Hills Healthcare has 83 beds. Individualized care plans, pain management, dental care, dialysis, podiatry services, and rehabilitation give residents access to care planning and several health services within the facility. Social activities are available too, providing structured options for residents who want activities during their stay.

Payment options include Medicaid, Medicare, and private pay. Gerald Bosen serves as the administrator.

Contact Rolling Hills Healthcare

Overview of Westhills Village

Westhills Village sits at 255 Texas St in Rapid City, South Dakota, in a stretch of the city that’s firmly car-dependent. The Walk Score here comes in at 21, so anyone visiting should plan on driving. There’s not much within walking distance, and that’s just the nature of this part of town.

The facility has 44 beds, and right now every single one is filled. A full house at one year of operation says something on its own; this is a place that filled up fast. Rehabilitation services and respite care are both available here, meaning residents can come in for short-term recovery work or for a temporary stay while family caregivers get a break.

Staffing runs around the clock, and the numbers back that up with real specificity. Registered nurses put in about 1 hour and 13 minutes per resident each day, while licensed practical nurses contribute another 28 minutes. Add nurse aide time, and the total nursing care residents receive averages 4 hours and 36 minutes per resident, per day.

Financially, Westhills Village takes Medicare and private pay, so there’s more than one route to covering costs depending on a family’s situation. There’s also a volunteer program woven into daily life here, which tends to matter more than people expect once they’re actually living somewhere.

South Dakota’s Department of Health, Office of Health Care Facilities Licensure oversees inspections, and the recurring focus areas, medication management, infection control, and resident rights, are the same categories regulators lean on everywhere. Between the full occupancy, the staffing hours, and the rehab and respite options on the table, Westhills Village reads as a facility that’s found its footing quickly and is running at real capacity.

Contact Westhills Village

Overview of Good Samaritan Society Sioux Falls Center

Good Samaritan Society Sioux Falls Center provides nursing home and skilled nursing care in Sioux Falls, SD. Skilled nursing includes licensed nursing care on site around the clock for residents who need ongoing clinical support. The community has 98 beds, with 4 hours and 5 minutes of nurse staffing per resident each day, representing the daily hands-on nursing time allocated per resident.

Short-term rehabilitation can suit someone who needs a temporary setting for rehabilitation rather than ongoing residence. Occupational therapy, speech and language therapy, and other rehabilitation services support residents who need therapy as part of their care. Medicare covers short-term skilled care after a hospital stay, Medicaid can help when savings may not cover a long stay, and private pay means the family pays directly.

A salon provides personal grooming within the community, while the chapel and religious services offer access to worship on site. Home-based services and caregiver support address care needs beyond the daily residential setting. Luke Wanous is the administrator.

Contact Good Samaritan Society Sioux Falls Center

Overview of Five Counties Nursing Home

Five Counties Nursing Home offers nursing home and skilled nursing care, assisted living, and independent living in Lemmon, South Dakota. Nursing home and skilled nursing care include licensed nursing care on site around the clock, while assisted living helps with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment. Independent living provides private living with community services and no daily care.

Short term and long term care are available, covering temporary skilled stays as well as ongoing nursing care. Rehabilitation services support residents who need therapy as part of their care. The range of care levels may suit a resident whose needs grow over time, since moving to another level can happen without leaving the community or starting over socially.

Five Counties Nursing Home has 37 beds. Total nurse staffing is 3 hours and 51 minutes per resident each day, representing the daily nursing time assigned per resident. The community opened in 1951 and is administered by Jordan Fish.

Payment options include Medicare, Medicaid, and private pay. Medicare generally covers short term skilled care after a hospital stay rather than long term residence, while Medicaid may help when savings do not cover a long stay; private pay is also accepted. A Walk Score of 42 places the area in a car dependent setting, so most errands require a car or a ride, including routine outings for a resident who no longer drives.

Contact Five Counties Nursing Home

Overview of Avantara Watertown

Forty-six beds are filled out of 51. Avantara Watertown runs at 90% occupancy, a solid number for a facility that only recently opened, sitting less than a mile from Prairie Lakes Hospital in Watertown’s 4th Avenue Northeast neighborhood. The address at 415 4th Ave. NE puts it in a moderately walkable part of the city (Walk Score 69), which matters for families who visit regularly.

At 168 days, the average length of stay sits in the middle range. This is not purely a 30-day Medicare rehab operation, but it’s also not a long-term custodial care setting by the numbers. The clinical menu reflects that positioning: stroke and neurological recovery, cardiac care, pulmonary care, oncology recovery, and orthopedic rehabilitation are the confirmed programs, all squarely in the post-acute specialty space. Administrator Lynna Speier leads a 51-bed facility in the Avantara network that is clearly built around structured medical recovery rather than extended residential care.

Registered nurses log 1 hour and 9 minutes per resident per day, with total nursing care at 3 hours and 35 minutes. Nurse aides account for 1 hour and 58 minutes of that total. Medicare, Medicaid, and private pay are all accepted.

Avantara Watertown is a compact, recently opened nursing home with a clinical program built for residents recovering from cardiac events, neurological incidents, cancer treatment, and orthopedic procedures, operating near hospital infrastructure that supports that care model.

Contact Avantara Watertown

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.