Page 5 of Best Senior Communities in South Dakota

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.

Overview of StoneyBrook Suites Assisted Living

StoneyBrook Suites Assisted Living operates a 50-bed community in Watertown, South Dakota, offering studio, one-bedroom, and two-bedroom suites that cater to single residents and couples alike. Personal care support, including help with bathing, dressing, and medication management, is paired with private apartment living. Administrator Casey Adolphsen oversees the property, which features on-site primary and geriatric medical care alongside therapy services for both long-term restorative needs and short-term rehabilitation stays.

Amenities include a swimming pool, salon, landscaped courtyards, and paved walking paths. An 85 walk score makes the surrounding neighborhood exceptionally easy to navigate, allowing non-driving residents to run most daily errands independently.

Prospective individuals looking for medical oversight and diverse layout choices can connect with StoneyBrook Suites Assisted Living to explore current living arrangements and view the facility.

Overview of Dolan Creek Senior Living

Dolan Creek Senior Living is an assisted living community in Sturgis, SD, with 60 beds. The community also provides housekeeping and linen services, along with assistance with daily tasks, for residents’ convenience. Moreover, a doctor is available on-site, supported by 24-hour staffing, to ensure accessibility of care at all times.

Teresa Henderson serves as administrator. Moreover, restaurant-quality dining includes three nutritious meals daily, with special diets accommodated. A salon and spa, walking trails, and outdoor sitting areas also give residents options for personal care and time outside without leaving the community.

The area has a Walk Score of 64, meaning it is somewhat walkable and some errands are possible on foot.

Overview of Countryside Living

Countryside Living in Mitchell, South Dakota, combines independent living and assisted living options within a single location. Independent living units cater to self-sufficient adults seeking community amenities, while assisted living provides structured help with bathing, dressing, and medication management. Residents can transition between these support levels as their personal needs change over time.

Administrator Kathy Zoss leads this pet-friendly, 50-bed property. On-site services include a salon and barber shop, scheduled transportation, and landscaped outdoor grounds. Certified physical therapists lead daily fitness classes, yoga, and guided movement programs. Dining plans feature nutritionist-approved meals, offering two daily meals for independent living residents and three for those in assisted living. Nearby neighborhood streets rate high in walkability with an 81 out of 100 walk score, enabling easy pedestrian access to local errands.

Families considering local senior living communities can reach out to Countryside Living to ask about current apartment availability or tour the grounds.

Overview of The Village of Harmony Hill

The Village of Harmony Hill offers assisted living, adult day care, independent living, and memory care in Watertown, SD. Assisted living provides help with daily tasks while a resident maintains an apartment, and memory care offers a secured setting with supervision for someone at risk of wandering. Independent living supports private living with community services and no daily care, while adult day care provides a daytime care option.

Several care levels are available in one community. If a resident’s needs grow, they may be able to move to a different level without leaving The Village of Harmony Hill. The community has 104 beds, and Krista Beauchamp serves as the administrator.

Residents can spend time outdoors in courtyards, on patios, along paved trails, or enjoying the views. Meals are prepared by chefs and cooked on site, providing dining within the community. An ecumenical chapel and religious services support residents who want worship to remain part of their routine, while Veteran Resources and Culinary Arts are among the specific programs available.

Pets are allowed, so a resident may continue living with a pet. The community has a Walk Score of 85, and the area is very walkable, meaning most errands can be done on foot. A resident who no longer drives may still be able to get out independently.

With multiple care levels and memory care, The Village of Harmony Hill may be a good fit for a resident whose support needs may change over time, including someone who needs a secured, supervised setting.

Overview of Bethesda of Beresford

Bethesda of Beresford provides nursing home and skilled nursing care in Beresford, South Dakota. Licensed nursing care is available on site around the clock, while therapy and rehabilitation services support treatment and recovery needs. The community may be a good fit for someone who needs ongoing nursing support in a smaller setting.

With 39 beds, Bethesda of Beresford is a smaller community where staff and residents can get to know each other. Total nurse staffing is 3 hours and 45 minutes per resident each day, representing the daily hands-on nursing time allocated to each resident. The community has provided care since opening in 1986.

Medicare, Medicaid and private pay are accepted, giving families several ways to cover a nursing stay based on the resident’s eligibility and resources. Britney Senger serves as the administrator.

Overview of Avantara Huron

Avantara Huron opened recently on Michigan Ave. SW in Huron, South Dakota, under the administration of Laurie Solem. It is a nursing home. It has 80 beds, 56 of them currently occupied, and sits in a neighborhood where a car is essentially required for most errands (Walk Score 27).

The care model here is built around post-acute recovery. Residents coming off cardiac events, orthopedic procedures, or pulmonary conditions have dedicated recovery programs waiting for them. Total nursing coverage runs 3 hours and 31 minutes per resident per day, with registered nurses accounting for 40 minutes of that. Suites are available in private and semi-private configurations depending on preference and availability.

Meals are prepared from fresh ingredients with nutritional balance as the stated priority. On the amenities side, the facility has an on-site salon and community spaces that families can use for gatherings and events. State inspections have tended to center on areas like infection prevention and control, care planning and documentation, and fall and injury prevention.

Payment coverage spans Medicare, Medicaid, and private pay. That range matters for a facility with a 135-day average stay: some residents arrive on Medicare short-term rehab benefits and transition to Medicaid as their stay extends, and the facility is structured to accommodate that arc. Avantara Huron is set up for people arriving from a hospital who need a supervised rehabilitation period before going home, not for those seeking a long-term residential placement.

Overview of Avantara Arrowhead

Seventy-five percent occupancy, or 51 of 68 beds, at a nursing home positioned in Rapid City’s Broadmoor Subdivision, about 2.3 miles from the city center and less than a mile from the nearest hospital. The address is 2500 Arrowhead Dr, and the surrounding area is car-dependent (Walk Score 12). Sharon Martin administers the facility, which operates within the Avantara network.

The average length of stay is 174 days. That number places Avantara Arrowhead in a middle zone: not a pure short-stay rehab operation, but not configured primarily around indefinite long-term residence either. Rehabilitation services and short-term rehab are the confirmed service lines, with orthopedic care listed as a clinical program.

Staffing reported to CMS totals 2 hours and 48 minutes of nursing care per resident per day. Registered nurses account for 47 minutes; nurse aides account for 2 hours and 2 minutes. Medicare, Medicaid, and private pay are all accepted.

Avantara Arrowhead is a mid-sized nursing home serving residents in post-acute and transitional care, with orthopedic rehabilitation among its confirmed clinical offerings and full coverage across Medicare, Medicaid, and private pay.

Overview of Avantara Milbank

Avantara Milbank offers nursing home, skilled nursing, hospice care, and memory care in Milbank, SD. Nursing home and skilled nursing care provide licensed nursing care on site around the clock for residents who need ongoing clinical support, while memory care provides a secured setting with supervision for someone at risk of wandering; hospice care supports residents receiving end-of-life care.

The community has 45 beds, a smaller setting where staff and residents can get to know each other. Short-term rehabilitation and rehabilitation services support recovery, with programs for post-surgical care, stroke and other neurological conditions, cardiac care, oncology recovery, orthopedic rehabilitation, and pulmonary care. Avantara Milbank may be a good fit for someone whose needs include memory supervision or rehabilitation for one of these conditions.

Total nurse staffing is 3h 17m per resident each day, representing the documented daily hands-on nursing time allocated per resident. Medicare, Medicaid, and private pay are accepted, giving families public coverage options or the ability to pay directly. A Walk Score of 64 out of 100 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to reach nearby errands independently. Keisha Dorscher serves as the administrator.

Overview of Washington Crossing

Ten beds and eighteen years in operation; that says a lot about Washington Crossing, an assisted living and independent living community in Sioux Falls, South Dakota, located at 4709 E 6th St #108. The Walk Score sits at 34, so a handful of errands are doable on foot, though most trips still call for driving.

A 10-bed community means residents and staff are likely to know each other well, something that’s harder to pull off at a 100-plus bed facility down the road. Beth Fraction serves as Community Director, giving the community a named point of leadership rather than an anonymous management layer.

Day to day, there’s a fair amount on offer: a fitness center, library, dining room, restaurant, and art studio round out the physical amenities, while the activities calendar pulls in crafting sessions, concerts, card games, and fitness classes on a regular basis. Home care is also available as an additional service, useful for residents who need a bit more support without a full move to a higher level of care.

Pets aren’t part of the picture here, so anyone hoping to bring a dog or cat along will need to look elsewhere. What Washington Crossing amounts to, in the end, is a small, long-running community built around close relationships and a steady activity calendar, one where residents can expect to be known by name rather than lost in a crowd.

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Starting Price $1,950/Month Pricing updated on October 7th, 2026