Page 5 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. 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. 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.
Avantara Pierre
SC
HOS
MC
NH
SNF
Pierre
65No 57 1Chase Watson
StoneyBrook Suites Assisted Living
SC
AL
Ne Watertown
50No 85 1Casey Adolphsen
Dolan Creek Senior Living
SC
AL
Sturgis
60Yes 64 1Teresa Henderson
Countryside Living
SC
AL
IL
Wisconsin Mitchell
50Yes 81 1Kathy Zoss
The Village of Harmony Hill, Inc.
SC
ADC
AL
IL
MC
Se Watertown
104Yes 85 1Krista Beauchamp
Bethesda of Beresford
SC
NH
SNF
Cedar Beresford (Prairie Township)
39No 48 1Britney Senger
Avantara Arrowhead
SC
HOS
NH
SNF
Rapid City (Broadmoor Subdivision)
68No 12 1Sharon Martin
Avantara Milbank
SC
HOS
MC
NH
SNF
Milbank
45No 64 1Keisha Dorscher
Washington Crossing
SC
AL
IL
Sioux Falls
10No 34 18Steve Thompson
Arrowhead Lodge Senior Living
SC
AL
IL
RC
Rapid City
48No 12 1Sheila Gehring
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Overview of Avantara Pierre

Avantara Pierre provides nursing home, hospice care, memory care, and skilled nursing services in Pierre, South Dakota. Skilled nursing means licensed nursing care is available on site around the clock. Memory care is provided in a secured setting with supervision for a resident at risk of wandering, while hospice care addresses end of life needs. Having these services together may suit someone whose needs could change over time.

The community has 65 beds, with private and semi private suites. A private suite gives one resident a dedicated living space, while a semi private suite means sharing living arrangements with another resident. Family gatherings can take place in the community spaces. On site salon services also let residents receive salon care without arranging an outside visit.

Short term rehabilitation offers a temporary care setting during recovery. Programs include post surgical care, rehabilitation for stroke and other neurological conditions, cardiac care, oncology recovery care, pulmonary care, and orthopedic rehabilitation. Medicare, Medicaid, and private pay are accepted.

Chase Watson serves as administrator. With a Walk Score of 57, some errands can be completed on foot, giving a resident who no longer drives limited opportunities to manage errands independently.

Contact Avantara Pierre

Overview of StoneyBrook Suites Assisted Living

StoneyBrook Suites Assisted Living operates out of Watertown, South Dakota, catering to seniors who require daily care. Floor plans include studio, one-bedroom, and two-bedroom layouts. This setup allows residents to pick an apartment size that fits their preference while receiving help with daily activities.

Administrator Casey Adolphsen oversees this 50-bed location. Health services cover primary care, geriatric medical care, and physical rehabilitation, which includes short-term recovery options. Resident amenities feature a swimming pool, a salon, walking paths, courtyards, and open patios. Daily errands are easy to run on foot thanks to an 85 walk score, which benefits residents who no longer drive.

Prospective representatives looking into local assisted living choices can reach out to StoneyBrook Suites Assisted Living to check current floor plan availability or set up an in-person tour.

Contact StoneyBrook Suites Assisted Living

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.

Contact Dolan Creek Senior Living

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.

Contact Countryside Living

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.

Contact The Village of Harmony Hill, Inc.

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.

Contact Bethesda of Beresford

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.

Contact Avantara Arrowhead

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.

Contact Avantara Milbank

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.

Contact Washington Crossing

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.

$5,785/Month

Contact Arrowhead Lodge Senior Living

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.