Other senior care options in South Dakota:

Best Senior Communities in South Dakota

Why trust this guide? Our editorial team analyzed 144 senior communities communities in South Dakota using South Dakota Department of Health (DOH) data, inspection records, complaints, amenities, and facility-level details. How we rank senior communities in SD
Reviewed by
Last updated
Jun 2026
We analyzed
144 homes
Other senior care options in South Dakota:
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: 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

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

The Parkwood
SC
IL
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
Nathan Kasselder
Edgewood Pierre
SC
ADC
AL
MC
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
SC
AL
MC
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
SC
ADC
AL
IL
MC
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
SC
AL
HC
IL
NH
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 #6 / 51
Paula Henrickson
Bethesda Towne Square
SC
AL
HC
NC
NH
RC
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
SC
AL
IL
RC
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
SC
AL
IL
RC
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
SC
AL
HC
NH
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
SC
AL
IL
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
SC
AL
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
SC
AL
IL
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
SC
AL
IL
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
SC
AL
IL
NH
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
SC
AL
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
Rows per page:
View all Nearby Homes
Overview of Fountain Springs Healthcare Center

In Rapid City, South Dakota, Fountain Springs Healthcare Center is a haven for healing and compassionate care. Whether residents require transitional care following hospitalization or seek long-term support due to safety concerns at home, Fountain Springs offers a serene refuge. The center has garnered acclaim for its successful patient transitions back home or to a lower level of care, earning the prestigious 2018 Pinnacle Customer Experience Award for its exceptional senior healthcare services.

At Fountain Springs, individuals receive personalized care through an interdisciplinary approach to skilled nursing. The recreation department fosters a sense of community and home by organizing various activities and outings. Whether it’s assisted living, skilled nursing, memory support, or respite stays, Fountain Springs Healthcare Center remains steadfast in delivering 5-star quality care to its residents. 

Contact Fountain Springs Healthcare Center

Overview of Derian Lodge Senior Living

Surrounded by stunning landscapes and served delightful meals, residents in Derian Lodge Senior Living experience an elevated aging journey like no other. With a variety of independent living floor plans available, the experience of residing here is unmatched in comfort and choice.

Their exceptional independent living services offer a plethora of opportunities for residents to engage in enriching activities and enjoy top-notch amenities, including modern appliances, exciting shopping trips, and an open-door policy that welcomes friends and family. Experience the best of senior living at Derian Lodge, where every moment creates beautiful memories and a fulfilling lifestyle.

Contact Derian Lodge Senior Living

Overview of Dakota Heritage House

Located on East Dakota Avenue, Dakota Heritage House is an assisted living community in Pierre, South Dakota, that provides assistance with activities of daily living. This community also features a single-story building.

With a Walk Score of 57, the community’s surrounding area is relatively walkable, with few errands available within walking distance. This also benefits visiting families, as they can easily access some services and destinations on foot.

For better information about Dakota Heritage House’s care levels, services, amenities, lifestyle programming, and payment options, families exploring care options are encouraged to contact the community directly or visit in-person.

Contact Dakota Heritage House

Overview of Edgewood Cedar View

Edgewood Cedar View is the memory care unit of the senior living home in Watertown. With an emphasis on memory care services, the community understands the importance of happiness and serenity, ensuring that every resident can receive only the best care. Edgewood Cedar View 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 Cedar View

Overview of Good Samaritan Sioux Valley Community

Good Samaritan Sioux Valley Community near Watertown is a luxury senior living community. They provide comprehensive care focusing on assisted living levels of care with independent living and memory care. Many families have trusted the quality service the community has continuously provided for many seniors over the years. As a Good Samaritan Society, seniors can expect a worry-free lifestyle during their stay.

The Good Samaritan’s all-inclusive services and amenities include home-cooked meals, maintenance-free living, and housekeeping; social activities include gatherings at the community room, dining room, or chapel; wellness programs, religious services, an emergency response system, and housekeeping services are also offered.

Contact Good Samaritan Sioux Valley Community

Overview of Benet Place Senior Apartments

Overlooking the spectacular views of Watertown, SD, Benet Place Senior Apartments is a serene senior living community, offering a peaceful and nurturing environment for independent living. Here, residents are guaranteed a care-free, zero-maintenance living with lawn care, gardening, maintenance, and snow removal handled by the community’s attentive maintenance team. The community features 38 beautifully designed apartments that offer residents utmost comfort and a peaceful space for relaxation or inviting friends and family over.

The community also makes room for vibrant and engaging activities, including daily exercise classes, social activities, arts & crafts classes and more. Hearty meals and nourishing snacks are also offered to make sure residents are always full and happy. Convenient services, such as housekeeping, lawn care, and snow removal are also available to make residents’ living experience more comfortable and carefree.

Contact Benet Place Senior Apartments

Overview of Black Hills Care and Rehabilitation Center

Situated in the heart of Rapid City, South Dakota, Black Hills Care and Rehabilitation Center stands as a distinguished assisted living community. This reputable establishment proudly holds Medicare and Medicaid certification, ensuring high-quality care and comprehensive services for its residents.
At Black Hills Care and Rehabilitation Center, residents are embraced with compassion and personalized attention. With a dedicated team of professionals, the community strives to create a nurturing and comfortable environment where individuals can thrive.

Contact Black Hills Care And Rehabilitation Center

Overview of Davis Court

Located on 9th Avenue Northeast, Davis Court is an independent living community in Aberdeen, South Dakota. The community has private and semi-private rooms in a single-story setting. Transportation and maintenance services are also offered to help residents maintain their independence.

Recreational opportunities and wellness programs promote socialization and encourage residents to live actively. Spacious common areas are also available for residents’ leisure. Its surrounding area also earned a Walk Score of 41, allowing residents to access nearby services on foot. However, transportation is still required for most amenities. Davis Court is also located near Manor Park in Aberdeen, providing residents with options for leisure in the area.

Contact Davis Court

Overview of Washington Crossing

Washington Crossing is a remarkable senior living retirement community located in Sioux Falls, South Dakota. This community offers a collected and well-designed environment, providing a perfect setting for seniors to thrive. With top-notch assisted living facilities, Washington Crossing ensures comfort and convenience for residents. From state-of-the-art senior housing to a caring and dedicated staff, every aspect of Washington Crossing aims to enhance the senior living experience. 
From a library and fitness center to a postal center and convenience store, every convenience is within reach. A lounge area provides a space for relaxation and socialization. For those seeking solace and spiritual fulfillment, a chapel is also available. Additional features include a beauty salon and heated underground parking, adding convenience and luxury to daily life. With an on-call registered nurse available 24/7 and comprehensive medication management, residents receive the utmost care and attention.

Contact Washington Crossing

Overview of Holiday Hills Estates | Sky Active Living

A reliable senior living community set in the harmonious neighborhood of Holiday Lane, Rapid City, SD, Holiday Hills Estates ensures seniors live in comfort and warmth by providing independent living services. As a Sky Active Living community, Holiday Hills Estates encourages seniors to keep moving and well-engaged with their surroundings. With its convenient place near local attractions and practical amenities, the community ensures seniors’ needs and desires are within a few steps away.

Awaken your creativity and pursue new interests with a wide array of enjoyable activities and engaging programs. Fostering comfort with meals, the community serves delightful and healthy meals for the finest dining experience. Holiday Hills Estates is a haven for seniors aiming to remain active in their best years.

Contact Holiday Hills Estates | Sky Active 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
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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 144 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.