Page 6 of Best Senior Communities in South Dakota

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.

Share This Listing

Starting Price $4,205/Month Pricing updated on October 7th, 2026

Pine Hills Retirement Community, a 78-bed community in Hot Springs, SD, runs independent living plus assisted living. Everyday tasks are what assisted living help covers. Independent living is meant for somebody who does not need daily care at all.

Having both together suits a person whose support needs might climb later. Vickie Nekuda administers the community, and 52 for a Walk Score means some errands can be handled on foot.

Rehabilitation Services are named among the services. Senior Living Wellness is a program with a name of its own for a resident who wants wellness programming as part of the week.

Skilled care is the name the center puts on its rehabilitation program. Alcester Care and Rehab Center stands in Alcester, South Dakota, with nursing home care, assisted living, and skilled nursing on one license. Forty-one beds puts it in the smaller end of the range, where the aide who helps someone one day is likely the same on the next, and the next week too.

Assisted living covers bathing, dressing, and medication for a person who does not need a nurse for those things. Skilled nursing covers the hours when someone does. Help with a shower in the afternoon and a licensed nurse at two in the morning are both something the building can handle.

Needs that change do not require a change of address to somewhere else.

Nursing time stands at 3 hours and 40 minutes for each resident daily. Therapy is part of the stay rather than an errand. A chapel, a sun room, and a salon are on the property, and there is also a gazebo and a backyard area outside. Tiffany Miller runs the center.

Three payment routes are open here: Medicare, Medicaid, and private pay.

Overview of Avantara Clark City

Avantara Clark City provides nursing home, hospice care, and skilled nursing services in Clark, SD. Nursing home and skilled nursing services give residents a residential setting with licensed nursing care on site around the clock, while hospice care focuses on comfort for a person with a life limiting illness. Short term rehabilitation gives a resident a temporary setting for recovery after an illness, injury, or medical treatment.

Orthopedic care, oncology recovery care, wound care, and rehabilitation services may suit someone recovering from orthopedic treatment or cancer care. The home has 35 beds. Total nurse staffing is 3h 3m per resident/day, representing the total daily nurse time allocated to each resident across the nursing staff. Families can use Medicare, Medicaid, or private pay to fund care, and Rachel Morehouse serves as administrator.

Overview of Dells Nursing and Rehab Center

Two care types are on the board at Dells Nursing and Rehab Center in Dell Rapids, SD. They are nursing home care and skilled nursing.

Forty-six beds fall in the smaller range, where staff and residents know each other. Extensive long-term service is what the nursing home side names, and skilled nursing means a licensed nurse is never off the floor. The long-term work and a short rehabilitation stay both rest on that same overnight cover.

Short-term rehabilitation covers physical therapy, occupational therapy, and speech therapy, so more than one discipline is open during a rehabilitation stay. Social activities are named too. That answers someone needing short term rehabilitation or ongoing nursing in a smaller building.

Medicare, Medicaid, and private pay are accepted. Medicaid answers the long stay once savings run short, and Medicare the weeks of skilled care that follow a hospital. Private pay is the route that needs no answer at all.

Nursing here affords 3 hours and 26 minutes to each resident’s day. Calyn Togel is named administrator.

Flandreau Santee Sioux Tribe Care Center is a nursing home in Flandreau, South Dakota, offering memory care and skilled nursing. Memory care provides a secured setting with supervision for a resident who may be at risk of wandering, while skilled nursing provides licensed nursing care on site around the clock. These services can suit someone who needs ongoing nursing support or a supervised setting for dementia related needs.

The center has 42 beds, creating a smaller community where staff and residents can get to know one another. It opened in 2022. Personal grooming and relaxation are supported by a salon and spa, while a courtyard offers outdoor time and a private family dining area provides space for meals with visiting relatives.

A doctor is on staff, and transportation is available for resident needs. The administrator is AnnMarie Kutzke. The area has a Walk Score of 59, described as somewhat walkable, so some errands can be completed on foot while others may require transportation.

Fountain Springs Healthcare Center is a 10-bed nursing home situated in Rapid City, SD, which offers skilled nursing care, memory care, and respite care. The licensed nursing falls under the skilled nursing designation. A resident at risk of wandering comes here for memory care, where the area is secured and monitored.

Respite care is the answer for when a caregiver’s own schedule conflicts with their need to provide care; it finishes on a day chosen before the start of the stay. Rooms are private or semi-private, so a resident moving in can move in alone or share. The bed count is very small, and closeness to the staff and to other residents is what that means.

Spread across those beds, nursing works out to 3 hours and 28 minutes a day for each resident. Medicare covers the cost of a skilled stretch that follows after a hospital admission. Medicaid becomes the solution once savings stop covering the cost of a long stay. Private pay is the family’s own money covering the cost of care.

Kristine Harvey is the administrator here. Nursing or memory care in a small, intimate setting is what this community is built for.

Overview of Wellshire Park Place

Wellshire Park Place provides assisted living in Milbank, South Dakota. Overseen by Keisha Dorscher, the community also features licensed nurses and CNAs on-site to provide continuous support for residents’ needs. Rehabilitation services also provide recovery support to help improve residents’ ability to function.

With 36 beds, it offers an environment where staff and residents can get to know each other. Moreover, fitness, music, art, games, and group outings offer ways to stay involved, and On Campus Rehabilitation provides rehabilitation services without requiring a trip elsewhere.

Meanwhile, a Walk Score of 64 means some errands are possible on foot, so a resident who no longer drives may be able to handle certain nearby tasks independently.

Overview of StoneyBrook Suites Assisted Living

StoneyBrook Suites Assisted Living provides assisted living in Sioux Falls, SD, with help with daily tasks such as bathing, dressing, and medication while residents live in their own suites. The community has 54 beds, and assisted living may suit a resident who needs this daily support while also having access to in house physical therapy and primary care. Jody Elton serves as the administrator.

Room options include a studio, one bedroom suite, and two bedroom suite. A studio provides a single private living space, while a two bedroom suite can suit two people moving together. Residents can use the pool, salon, courtyards, patios, and outdoor walking paths, giving them places for recreation, personal care, and time outside on the property.

StoneyBrook Suites Assisted Living also offers short term rehabilitation, allowing someone to receive rehabilitation services during a limited stay. A Walk Score of 47 places the area in a car dependent setting, so most errands require a car or a ride. A resident who no longer drives would generally need transportation for them.

Overview of Park Place Assisted Living

Park Place Assisted Living’s two care types in Brookings, SD, are assisted living and memory care. Assisted living gives a resident a private space and personal care to go with it. Memory care is for residents who may wander, and it is secured and supervised.

Both levels operate within the 32-bed community, so needing more help later means a change of care level rather than of address. Families who need a short stay can arrange respite care.

Gardens and walking paths give residents room outdoors, and a salon handles grooming. Daily programs and hobbies make up the activity side of life here, with pets allowed as well.

Liz deBerg is the administrator. Walk Score places the area in the very walkable category, at 82.