Page 8 of Best Senior Communities in South Dakota

Why trust this guide? Our editorial team analyzed 158 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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Last updated
We analyzed These are the facilities in South Dakota our team has analyzed — not a count of every senior community provider in South Dakota.
158 homes
Other senior care options in South Dakota:
Avg Walk Score: 42/ 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

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.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
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.
Good Samaritan Society – Echo Ridge
SC
AL
IL
Rapid City
34No 11 Private Rooms1Lindsey Hixson
Trail Ridge Senior Living Community
SC
AL
HC
IL
MC
SNF
Sioux Falls
72No 17 -31Michelle Vernon
Countryside Living
SC
AL
IL
Mitchell
50Yes 36 -28Kathy Zoss
Strand-Kjorsvig Community Rest Home
SC
AL
HOS
NH
RC
SNF
Roslyn (Raritan Township)
33
Facility 33
SD AVG
Rank #68 / 70
No
22
Facility 22
SD AVG
Rank #54 / 73
-
1
Facility 1
SD AVG
Rank #3 / 64
Samuel Van Voorst
Avantara Groton
SC
HOS
NH
SNF
Groton
45
Facility 45
SD AVG
Rank #49 / 70
No
32
Facility 32
SD AVG
Rank #43 / 73
-
1
Facility 1
SD AVG
Rank #3 / 64
Chloe Brand
Custer Care and Rehab Center
SC
HOS
NH
RC
SNF
Custer
35
Facility 35
SD AVG
Rank #65 / 70
No
49
Facility 49
SD AVG
Rank #31 / 73
-
1
Facility 1
SD AVG
Rank #3 / 64
Madison Barta
Trail Ridge Retirement Community
SC
AL
HC
IL
MC
SNF
Sioux Falls
72No 13 -1Michelle Vernon
Good Samaritan Society – Sioux Falls Village
SC
AL
IL
MC
NH
Sioux Falls
177
Facility 177
SD AVG
Rank #2 / 70
No
50
Facility 50
SD AVG
Rank #29 / 73
--Thomas Fraser
The Village of Harmony Hill
SC
ADC
AL
IL
MC
Watertown (Sheridan Township)
104Yes-Studio / 1 Bed / 2 Bed1Krista Beauchamp
Bethany Home Sioux Falls
SC
AL
IL
MC
NH
SNF
Sioux Falls
28
Facility 28
SD AVG
Rank #69 / 70
No
41
Facility 41
SD AVG
Rank #36 / 73
-
1
Facility 1
SD AVG
Rank #3 / 64
Amanda Peterson

Rank badges are statewide: each community is ranked against every SD community we track that reports that metric, not just the 158 on this page. See how we rank facilities

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Overview of Good Samaritan Society – Echo Ridge

The Good Samaritan Society in Echo Ridge 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.

Contact Good Samaritan Society – Echo Ridge

Overview of Trail Ridge Senior Living Community

Trail Ridge Senior Living Community is a vibrant community with an energetic atmosphere. The senior living community offers housing for independent living, assisted living, and memory care; they are a not-for-profit faith-based community. Trail Ridge understands that individuals are unique and have their own needs, which is why they provide innovative ways to attend to their residents as soon as possible. During their 27 years of service, they have gained the trust of many families in South Dakota. 
Their calendar-filled engaging social and educational activities maximize the community amenities that keep residents stimulated and an enhanced standard of living through their amenities such as the 24-hour emergency communication system, game room, and library available/

Contact Trail Ridge Senior Living Community

Overview of Countryside Living

Countryside Living is a retirement community that houses assisted living and independent living where its services and community features are designed with the thought of ensuring that residents maintain an active lifestyle with endless opportunities. The community’s goal is to ensure that their residents live every day as a way to live a purposeful living as individuals who are constantly growing and learning as they begin their new journey. Countryside Living is the ideal place for comfort, convenience, and choice– with the help of their professional care staff dedicated to attending to your needs.
The countryside lifestyle is inclusive of ADLs, scheduled activities, and medical supervision. 

Contact Countryside Living

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 Avantara Groton

Avantara Groton is a nursing home in Groton, SD that offers hospice care and skilled nursing. Skilled nursing provides licensed nursing care on site around the clock, while hospice care supports residents receiving end-of-life care.

The community offers rehabilitation services and short-term rehabilitation, which can suit someone recovering from an illness, injury, or procedure who needs a temporary stay for recovery. Its healthcare services include orthopedic care, stroke and neurological care, cardiac care, and oncology recovery care, giving residents access to treatment for these documented needs.

Avantara Groton has 45 beds, placing it among smaller communities where staff and residents can get to know each other. Total nurse staffing is 3h 28m per resident per day, representing the daily nursing time allocated per resident. Medicare, Medicaid, and private pay are accepted, and Chloe Brand serves as the administrator.

Contact Avantara Groton

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 Trail Ridge Retirement Community

Trail Ridge Retirement Community is a senior living community in Sioux Falls, South Dakota, offering independent living, assisted living, and memory care. This 72-bed community is licensed in Lincoln County in 2025, making it one of the newer senior care providers in the area.

Rehabilitation services, licensed nurses, and CNAs on staff, home care services, and wellness programs are provided, along with various living options, including independent living, assisted living, and memory care, under one roof. Additionally, Home care services extend the community’s reach beyond the building itself, offering flexibility for older adults who may not yet be ready for full residential placement.

Its location on Ralph Rogers Road, in southwest Sioux Falls, carries a Walk Score of 13, reflecting a car-dependent neighborhood where most errands and services will require transportation. Families visiting from the Sioux Falls metro area or surrounding Lincoln County neighborhoods are encouraged to plan travel accordingly.

Trail Ridge Retirement Community is ideal for older adults seeking a mid-sized community that spans independent living through memory care in the Sioux Falls and Lincoln County area, particularly those who value licensed clinical staff on-site and home care services as a transitional option.

Contact Trail Ridge Retirement Community

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.

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 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

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.
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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 158 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.