
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 |
Aberdeen Area Senior Center is a senior activity center in Aberdeen, SD, offering recreational opportunities for those 50+. Promoting a lively and inviting environment, the community ensures older adults feel a sense of belonging. Informational, educational, and social programs are among the services provided, dedicated to older adults’ well-being. The center also collaborates with local businesses and amenities to conduct fundraising events for older adults.
Bingo, open house events, and exercise programs are among the many leisure and wellness opportunities provided to help older adults live actively and prevent them from getting lonely. With its welcoming setting, the center ensures older adults can freely interact with same-age peers. Located along 6th Avenue SE, near a variety of restaurants, shops, and local amenities, the center guarantees accessibility. This senior center is a great choice for older adults seeking a time away from home and have fun in their later years.
Angelhaus North is an assisted senior living facility nestled in the heart of Aberdeen, South Dakota. They offer a comprehensive range of care services, including assisted living homes, memory care units, and behavioral health, all authorized and certified by the department of health to provide the highest level of care.
At Angelhaus North, the focus is on going above and beyond for the residents. From scheduled transportation and housekeeping to life-enriching activities and medication management, every aspect of their daily lives is taken care of with the utmost attention and dedication. The facility’s commitment to compassionate care extends to specialized services like oxygen care and hospice care coordination, ensuring that residents receive the support they need during every stage of their journey.
Countryside Hospice Support and Memory Center is a resident-focused senior care in a home-like setting. The staff is committed to advocating for the health of its residents, ensuring that they receive the best care possible through family-like treatment. The nurturing approach ensures a blossoming trust and respect between caregiver and senior, ideal for those who seek comfort and flexibility in a nurturing environment.
Countryside Hospice Support empathizes and emphasizes the importance of genuine care and wellness; residents are encouraged to be engaged and enriched with recreational activities, socialization, wellness plans, ADLs, and stimulating memory care activities.
Bicentennial Apartments is a haven nestled in the heart of Aberdeen, South Dakota, offering senior living affordable housing without compromising on quality. Here, residents with low-income households find a home that truly cares. With safety as a top priority, the apartments are equipped with fire alarms and smoke detectors, ensuring a secure environment for all. A non-smoking policy further enhances the well-being of the community.
Convenience is at your fingertips, with elevators, on-site mail delivery, and thoughtfully designed residences. Activities like cooking, cleaning, and transportation support residents in leading fulfilling lives. Here, you’ll discover a decent environment that nurtures not only your physical well-being but also fosters a sense of belonging and camaraderie.
Avantara Groton takes pride in being a community that is a serene and nurturing environment that is ideal for comfort and security for a distinct living focused on relaxation and recovery. As one of the city’s most trusted nursing homes, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Groton has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life.
The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care.
Just a few minutes from Watertown, Country View in Florence is a memory care living community that hints at a refreshing experience through its activities that make some residents feel young and secure in a home-like setting.
The staff ensures a comfortable environment designed for its residents’ convenience at the senior living home.
Operating a 68-bed nursing home at 1620 North 7th Street in Rapid City’s North 7th Street neighborhood, Avantara North serves residents under administrator Celina Block’s leadership.
The privately owned facility, operational since early 2025, accepts Medicare, Medicaid, and private-pay residents and maintains 87% occupancy; exceeding South Dakota’s average of 79.9%. Average resident stay extends to 151 days.
CMS assigns a 2-star overall rating, 20.3% below state average, driven by health inspection performance rated 2 stars (21.6% below state) and below-average quality measures.
Conversely, staffing earns a 3-star rating, 4.5% above state benchmarks, as does quality measures at 3 stars with 9.9% above-state performance. Total nursing care averages 3 hours 7 minutes per resident daily, falling 17% below the state average. Weekend nursing drops to 2 hours 32 minutes daily, 23% below state norms. Staff-to-resident ratio of 1.32:1 underperforms the state standard of 1.93:1 by 31%, indicating concentrated staffing constraints.
Rehabilitation programming encompasses post-surgical recovery, short-term skilled rehabilitation, stroke and neurological care, cardiac services, oncology recovery, orthopedic rehabilitation, and pulmonary support. Respite care and on-site salon services complement clinical offerings. Wi-Fi access and community spaces support resident engagement.
Five inspections since 2022 identified 20 health citations with no critical findings. One $12,000 federal penalty was imposed in October 2024.
Clinical strengths include zero reported depressive symptoms and minimal antipsychotic use (10.0%, well below state average of 24.4%). Walking ability decline at 37.2% significantly exceeds state benchmarks.
The location sits 1.4 miles from downtown and adjacent to Black Hills Urgent Care (0.37 miles). Walk score of 39 indicates somewhat walkable surroundings dependent on transportation for most errands.
Avantara North operates as a newly established short-stay rehabilitation facility managing competing staffing constraints against selected clinical outcome advantages.
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.
The Good Samaritan Society in St. Martin Village is one of the trusted senior living communities in Rapid City. They provide a range of comprehensive care that focuses on assisted living places and various assisted living levels of care which includes independent living. 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, o r chapel; wellness programs, religious services, an emergency response system, and housekeeping services are also offered.
Primrose Retirement Communities, situated in Aberdeen, South Dakota, offer a range of living options, including luxurious Townhome villas, spacious Independent Living apartments, and comfortable Assisted Living apartments. The exceptional care and compassion demonstrated by dedicated employees are a testament to the quality of the assisted living community.
Primrose Retirement Communities is dedicated to assisting residents in achieving their personal goals and regaining optimal well-being.
Ranking Methodology
How we rank these communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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
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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 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.




















