Page 6 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. 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.
Pine Hills Retirement Community
SC
AL
IL
Hot Springs
78No 52 1Vickie Nekuda
Alcester Care and Rehab Center
SC
AL
NH
SNF
Alcester (Alcester Township)
41No 14 1Tiffany Miller
Avantara Clark City
SC
HOS
NH
SNF
Nw Clark
35No 51 1Rachel Morehouse
Dells Nursing and Rehab Center Inc.
SC
NH
SNF
Dell Rapids
46No 60 1Calyn Togel
Fountain Springs Healthcare Center
SC
MC
NH
RC
SNF
Rapid City
10No 16 1Kristine Harvey
Flandreau Santee Sioux Tribe Care Center
SC
MC
NH
SNF
Flandreau
42No 59 1Annmarie Kutzke
Avantara Huron
SC
MC
NH
SNF
Sw Huron (Huron)
80No 27 1Laurie Solem
Wellshire Park Place
SC
AL
Milbank
36No 64 1Keisha Dorscher
StoneyBrook Suites Assisted Living
SC
AL
Sioux Falls
54No 47 1Jody Elton
Park Place Assisted Living
SC
AL
MC
Brookings
32Yes 82 1Liz Deberg
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Overview of Pine Hills Retirement Community

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.

Contact Pine Hills Retirement Community

Overview of Alcester Care and Rehab Center

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.

Contact Alcester Care and Rehab Center

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.

Contact Avantara Clark City

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.

Contact Dells Nursing and Rehab Center Inc.

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 Flandreau Santee Sioux Tribe Care Center

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.

Contact Flandreau Santee Sioux Tribe Care Center

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.

Contact Avantara Huron

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.

Contact Wellshire Park Place

Overview of StoneyBrook Suites Assisted Living

Nestled in a convenient area of Sioux Falls, with easy access to the interstate, StoneyBrook Suites Assisted Living has undergone remarkable remodeling and improvements to cater specifically to assisted living for seniors. They are dedicated to providing comprehensive care services that encompass nursing and wellness, restorative therapy, and dietary support, all tailored to meet the unique needs of seniors in assisted living. Their commitment to excellence shines through in every aspect of their accommodations, offering a range of options, from cozy studios and one-bedroom suites to spacious two-bedroom havens designed with seniors’ comfort in mind.
Prepare to be captivated by their state-of-the-art theater, inviting coffee shop, and beautifully updated suites that exude comfort and style. Their meticulously manicured park yards and a front patio radiates immaculate charm, providing the perfect setting for assisted living for seniors. What truly sets StoneyBrook Suites Assisted Living apart is their unwavering passion for creating an environment where assisted living for seniors thrives. This dedication to exceptional care and support has earned them a reputation as one of the finest retirement centers in South Dakota.

Contact StoneyBrook Suites Assisted Living

Overview of Park Place Assisted Living

Park Place Assisted Living provides assisted living, memory care, and short-term respite stays in Brookings, South Dakota. Designed with 32 beds, the community helps residents handle daily tasks like bathing, dressing, and medication administration while preserving personal independence. The dedicated memory care section offers a secured environment with continuous supervision to protect individuals prone to wandering. Having multiple care levels under one roof enables residents to adjust their support services over time without moving to a new property.

The amenities include outdoor gardens, walking paths, and a salon offering full barber services. The campus allows pets and runs daily structured programs focused on recreational hobbies. Administrator Liz DeBerg oversees operations in a neighborhood with a walk score of 82. This designation means the location is very walkable, allowing residents who choose not to drive to complete most daily errands on foot.

Families exploring care options or short-term relief for family caregivers can reach out to Park Place Assisted Living to review available floor plans and admission details.

Contact Park Place Assisted 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.