Page 8 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. 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.
Trail Ridge Retirement Community
SC
AL
HC
IL
MC
SNF
Sioux Falls
72No 13 1Michelle Vernon
Strand-Kjorsvig Community Rest Home
SC
AL
HOS
NH
RC
SNF
Roslyn (Raritan Township)
33No 22 1Samuel Van Voorst
Custer Care and Rehab Center
SC
HOS
NH
RC
SNF
Custer
35No 49 1Madison Barta
Good Samaritan Society – Sioux Falls Village
SC
AL
IL
MC
NH
Sioux Falls
177No 50 -Thomas Fraser
The Village of Harmony Hill
SC
ADC
AL
IL
MC
Watertown (Sheridan Township)
104Yes-1Krista Beauchamp
Edgewood in Sioux Falls Assisted Living
SC
AL
Sioux Falls (Oak View)
48No 22 1Susan Huver
Bethany Home Sioux Falls
SC
AL
IL
MC
NH
SNF
Sioux Falls
28No 41 1Amanda Peterson
Avantara Clark City
SC
HOS
MC
NH
SNF
Clark
35No 31 1Rachel Morehouse
Avantara Milbank
SC
HOS
MC
NH
SNF
Milbank
45No 27 1Keisha Dorscher
Nano Nagle Village
SC
NH
Aberdeen
45No 31 1Paula Henrickson
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Overview of Trail Ridge Retirement Community

Trail Ridge Retirement Community in Sioux Falls, SD, offers independent living, assisted living, memory care, skilled nursing, and home care. Independent living provides private living with community services and no daily care, while assisted living adds help with daily tasks such as dressing, bathing, and medication. Memory care provides a secured setting with supervision for someone at risk of wandering, and skilled nursing provides licensed nursing care on site around the clock.

Home care services support a person in their own residence, giving families an option for care outside a residential setting. With several care levels and services available, Trail Ridge Retirement Community may be a good fit for a resident whose needs could grow over time and who may benefit from remaining connected to the same community. Rehabilitation services and wellness programs are also available, giving residents access to those services as part of their care. The community has 72 beds, and Michelle Vernon serves as the administrator.

Contact Trail Ridge Retirement Community

Overview of Strand-Kjorsvig Community Rest Home

Strand-Kjorsvig Community Rest Home offers nursing home and skilled nursing care, assisted living, hospice care, and respite care in Roslyn, SD. Assisted living includes help with bathing, dressing, and medication management, while nursing and skilled nursing provide licensed nursing support. Hospice care is available for residents needing end of life care, and respite care offers a short stay when a usual caregiver needs time away or recovery.

The home has served the community since 1957 and has 33 beds. Its smaller size may suit someone who prefers a setting where staff and residents can get to know each other. Families can also consider ongoing and short term support within one community.

Private rooms and couples’ suites give one resident a private room or allow two people to move in together. Rehabilitation and short term rehabilitation are available for residents needing therapy during a recovery focused stay, and transportation is provided for medical appointments. Medicaid, Medicare, and private pay are accepted: Medicaid may help when savings will not cover a long stay, while Medicare generally applies to short term skilled care after a hospital stay rather than long term residence. Total nurse staffing is 4 hours 13 minutes per resident per day, representing the daily nurse time allocated to each resident, and Samuel Van Voorst serves as administrator.

Contact Strand-Kjorsvig Community Rest Home

Overview of Custer Care and Rehab Center

Custer Care and Rehab Center provides nursing home care, hospice care, respite care, and skilled nursing in Custer, South Dakota. Skilled nursing means licensed nurses are available on site around the clock, while hospice care supports residents with needs at the end of life. Respite care provides a short stay for someone whose usual caregiver needs time away to travel or recover.

Rehabilitation services are available for residents who need therapy during recovery or as part of ongoing care. The community has 35 beds, creating a smaller setting where staff and residents may become familiar with one another. Opened in 2023, Custer Care and Rehab Center is overseen by administrator Madison Barta and may suit someone who prefers a smaller community with nursing, rehabilitation, hospice, and respite services in one setting.

Contact Custer Care and Rehab Center

Overview of Good Samaritan Society – Sioux Falls Village

Good Samaritan Society in Sioux Falls Village is an incredible senior living community that offers a comprehensive range of care services, including assisted living places and various assisted living levels of care. From affordable housing and independent living to rehabilitation and memory care, they cater to the diverse needs of seniors at every stage of life.
This exceptional home ensures that residents have access to the support they require, whether it’s in the form of personalized assistance with daily activities or specialized memory care for those facing cognitive challenges. Residents can enjoy the freedom and flexibility to personalize their living spaces within the assisted living places, adding their own cherished furnishings and personal touches. In addition to the comfortable and inviting accommodations, the community offers a wealth of amenities, including a well-stocked library, a serene chapel, and a refreshing indoor pool. For those seeking to prioritize their well-being, a state-of-the-art wellness center provides opportunities for fitness and personal growth.

Starting Price $5,475/Month

Contact Good Samaritan Society – Sioux Falls Village

Overview of The Village of Harmony Hill

The Village of Harmony Hill offers independent living, assisted living, and memory care services that lead to a vibrant residential lifestyle focused on receiving world-class hospitality. The retirement home promotes a youthful and energetic atmosphere that promotes a lifestyle that strives for holistic wellness. At the senior living home, seniors can continue enjoying and fulfilling their interests and needs.

The Village aims to build a habit of working towards the wellness of its residents in a positive and friendly spirit. The upscale home’s accommodations offer opportunities and inspiration that promote a continuum of growth found in scenic outdoor spaces, an ecumenical chapel, and an exquisite dining area. These include weekly housekeeping and laundry, outings and activities, delicious and nutritious meals daily, and specialized programs performed by in-house caregivers.

Contact The Village of Harmony Hill

Overview of Edgewood in Sioux Falls Assisted Living

Forty-eight beds, one year in operation, and a spot in the Oak View neighborhood of Sioux Falls at 3409 E 5th St: that’s Edgewood in Sioux Falls Assisted Living in its basic shape. A car is close to mandatory here; the Walk Score sits at 22 and that is solidly car-dependent, so residents’ visitors should plan on driving rather than walking to nearby services.

Forty-eight beds puts this in a middle-ground size category. Not so small that amenities feel thin, not so large that it loses a personal feel entirely.

What’s on offer leans toward flexibility rather than a single fixed care path. Respite care covers short-term needs when a family needs a temporary break or bridge. Licensed nurses and CNAs are on staff, which matters for anyone weighing how much clinical support is actually available day to day. Short-term stays and adult day services round things out, giving people options that don’t require committing to a full-time move right away.

No pets here; that’s worth knowing upfront if that’s part of the decision. Edgewood reads less like a single-purpose assisted living facility and more like a flexible entry point: respite, short stays, adult day support, and licensed nursing staff, all built for residents and families who need options rather than one fixed path forward.

Contact Edgewood in Sioux Falls Assisted Living

Overview of Bethany Home Sioux Falls

Bethany Home Sioux Falls stands out as a beacon of exceptional care, firmly rooted in Christian values and boundless love. With a rich heritage of providing outstanding services, this home offers an array of amenities that elevate the senior living experience. Here, residents savor the delights of chef-prepared meals, tantalizing their taste buds and nourishing their bodies. The carefully curated social and recreational programs provide ample opportunities for residents to engage in meaningful interactions, fostering a vibrant community spirit. Safety is paramount, as evidenced by the round-the-clock emergency response system and meticulous medication administration, giving residents and their families peace of mind.

The home proudly extends its heartfelt commitment to serving seniors through their exceptional assisted living services. They diligently uphold all nursing home rules and regulations. They adhere to the highest standards of care and operate with strict compliance to ensure the safety, well-being, and comfort of every resident. By following these comprehensive guidelines, they create an environment where residents can thrive, families can trust, and quality of care remains paramount. Bethany Home Sioux Falls stands as a shining example of a compassionate and well-regulated senior living community. With also a focus on assisted living for veterans and an unwavering commitment to upholding nursing home standards, they ensure that residents receive the utmost care and support they deserve.

Contact Bethany Home Sioux Falls

Overview of Avantara Clark City

Clark, South Dakota, is rural by most measures; it has a small population, limited nearby services, and the nearest hospital is more than 30 miles out. Avantara Clark City sits half a mile from Clark’s city center at 201 8th Ave NW, a 35-bed nursing home in the Avantara network, administered by Rachel Morehouse. Walk Score 31 means most errands need a car.

The average length of stay is 115 days. Short for a long-term care setting; long for a pure rehab turnaround. The facility’s clinical programs align with that middle range: orthopedic care, cardiac care, stroke and neurological recovery, and oncology recovery are the confirmed offerings, alongside rehabilitation services broadly. Twenty-eight of 35 beds are occupied, a 79% rate that is modest but not unusual for a small rural facility.

Registered nurses log 43 minutes per resident per day. Total nursing care comes to 3 hours and 9 minutes, with nurse aides accounting for 2 hours and 31 minutes of that figure. Medicare, Medicaid, and private pay are all accepted. Private and semi-private suites are available, along with community spaces, an on-site salon, and WiFi. Meals are prepared fresh daily.

Avantara Clark City is a compact rural nursing home built around post-acute recovery, serving residents from Clark County and the surrounding area who need structured rehabilitation following cardiac events, orthopedic procedures, neurological incidents, or oncology treatment, at a location where access to hospital infrastructure requires planning.

Contact Avantara Clark City

Overview of Avantara Milbank

Avantara Milbank sits on South 2nd Street in Milbank, South Dakota, a small city where most errands mean getting in a car (Walk Score 27). Keisha Dorscher administers the 45-bed nursing home, which opened about a year ago and currently has 30 of its beds occupied.

The clinical range here is notable for a facility this size. Residents recovering from cardiac events, orthopedic procedures, pulmonary conditions, oncology treatment, post-surgical care, and stroke or other neurological conditions all have dedicated recovery tracks. Total nursing coverage is 3 hours and 23 minutes per resident per day; registered nurses account for 59 minutes of that. Suites are available in private and semi-private configurations.

Meals are prepared from fresh ingredients with nutritional balance as the stated standard. Family and community amenities include gathering spaces for events, an on-site salon, and Wi-Fi throughout the building. The facility accepts Medicare, Medicaid, and private pay, which means it can accommodate both the short-term rehab resident arriving on Medicare benefits and the longer-stay resident whose coverage eventually transitions to Medicaid.

At 127 days average length of stay and a program roster built around post-acute recovery, Avantara Milbank is oriented toward people who need a structured clinical bridge between a hospital discharge and a return home, not toward those seeking a long-term residential placement.

Contact Avantara Milbank

Overview of Nano Nagle Village

Nestled at 1020 North Jay Street, Nano Nagle Village is a 45-bed nursing home in Aberdeen, South Dakota. It’s relatively new, having opened within the past year. The home is housed in a one-story building, offering a residential setting in a neighborhood that scores 31 on Walk Score, so a few nearby services can be reached on foot, with most errands and appointments requiring a car.

As a newer community, Nano Nagle Village represents a fresh option for families in Aberdeen considering care for their loved ones. For residents and visitors, the single-story layout can decrease mobility concerns. The location has good access to downtown Aberdeen and nearby services.

For anyone considering Nano Nagle Village, touring in person would be valuable. Doing so will help you see the daily environment, meet the team, and understand what daily life looks like for occupants.

Contact Nano Nagle Village

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.