
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 |
Golden Living Center Groton is an exceptional senior living community offering a diverse range of options including specialized memory care and skilled nursing services. For those seeking memory care, this center stands as a beacon of understanding and support. Every corner of the facility has been purposefully crafted to provide a secure and nurturing haven for individuals with memory loss.
Accessibility is a cornerstone at Golden Living Center Groton. With thoughtfully designed spaces that cater to wheelchair users and inviting indoor and outdoor common areas, residents are treated to an environment that seamlessly blends comfort with the beauty of nature. It’s a place where cherished memories are made, laughter echoes through the halls, and meaningful connections are formed.
Forty-six beds are filled out of 51. Avantara Watertown runs at 90% occupancy, a solid number for a facility that only recently opened, sitting less than a mile from Prairie Lakes Hospital in Watertown’s 4th Avenue Northeast neighborhood. The address at 415 4th Ave. NE puts it in a moderately walkable part of the city (Walk Score 69), which matters for families who visit regularly.
At 168 days, the average length of stay sits in the middle range. This is not purely a 30-day Medicare rehab operation, but it’s also not a long-term custodial care setting by the numbers. The clinical menu reflects that positioning: stroke and neurological recovery, cardiac care, pulmonary care, oncology recovery, and orthopedic rehabilitation are the confirmed programs, all squarely in the post-acute specialty space. Administrator Lynna Speier leads a 51-bed facility in the Avantara network that is clearly built around structured medical recovery rather than extended residential care.
Registered nurses log 1 hour and 9 minutes per resident per day, with total nursing care at 3 hours and 35 minutes. Nurse aides account for 1 hour and 58 minutes of that total. Medicare, Medicaid, and private pay are all accepted.
Avantara Watertown is a compact, recently opened nursing home with a clinical program built for residents recovering from cardiac events, neurological incidents, cancer treatment, and orthopedic procedures, operating near hospital infrastructure that supports that care model.
Seventy-five percent occupancy, or 51 of 68 beds, at a nursing home positioned in Rapid City’s Broadmoor Subdivision, about 2.3 miles from the city center and less than a mile from the nearest hospital. The address is 2500 Arrowhead Dr, and the surrounding area is car-dependent (Walk Score 12). Sharon Martin administers the facility, which operates within the Avantara network.
The average length of stay is 174 days. That number places Avantara Arrowhead in a middle zone: not a pure short-stay rehab operation, but not configured primarily around indefinite long-term residence either. Rehabilitation services and short-term rehab are the confirmed service lines, with orthopedic care listed as a clinical program.
Staffing reported to CMS totals 2 hours and 48 minutes of nursing care per resident per day. Registered nurses account for 47 minutes; nurse aides account for 2 hours and 2 minutes. Medicare, Medicaid, and private pay are all accepted.
Avantara Arrowhead is a mid-sized nursing home serving residents in post-acute and transitional care, with orthopedic rehabilitation among its confirmed clinical offerings and full coverage across Medicare, Medicaid, and private pay.
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.
Palisade Healthcare Center provides comprehensive care in a peaceful setting, offering short-term rehabilitation and long-term care to help residents recover and regain their quality of life. The facility offers skilled nursing care, rehabilitation therapy, memory support, and respite stays. It is dedicated to providing high-quality, patient-centered care in a compassionate environment.
Edgewood Rapid City is the ideal place for residents to experience an active lifestyle where seniors can fulfill independence and support, regardless of their housing options. Specializing in independent living, assisted living, memory care, skilled nursing, and rehabilitation. The continuing care community understands the importance of happiness and serenity, ensuring that each and every resident is able to receive only the best care. Edgewood Rapid City is the home where seniors thrive and get back on their feet quickly and independently.
Edgewood Summit’s nursing home care is multidisciplinary for both skilled nursing and rehabilitation services– focusing on post-surgical care, on-site therapy (physical, occupational, speech), strength conditioning, and mobility improvement. There’s a massive value found in independent living, assisted living, memory care, and nursing home cost; they offer two basic costs, a refundable resident deposit, and a monthly service package.
The Wellshire Park Place is a charming haven in South Dakota that caters to vibrant hearts in their golden years. This exceptional residence not only offers the utmost autonomy and security but also serves as a gateway to self-discovery and renewed passions. A registered dietitian ensures their nutritional needs are met, while meticulous medication management services guarantee peace of mind. Restorative therapy and wellness visits, overseen by our dedicated licensed nurse, restore vitality and well-being. Engaging programs and activities, ranging from invigorating fitness sessions to soul-stirring music and expressive art, foster self-expression and joy.
Comfort reigns supreme in this home, with individually controlled air conditioning ensuring an optimal climate for each resident. Their meticulous housekeeping services create a haven of serenity, allowing residents to focus on what truly matters. When it’s time to dine, residents savor nutritionally balanced meals, carefully tailored to accommodate their unique health requirements, while also tantalizing their taste buds. Their conference room sets the stage for intellectual exchange and meaningful connections, while the warm glow of fireplaces invites moments of tranquility and reflection. A grand piano beckons residents to unleash their musical talents, and the beautifully landscaped gardens offer a sanctuary of serenity.
Set on the beautiful grounds of Aberdeen, SD, Derian Place Senior Living is a remarkable senior living community that offers assisted living and respite care. Residents live in comfortable and well-designed accommodations with a broad selection of floor plans to choose from, including a studio, one-bedroom, and two-bedroom floor plans. Acknowledging that individuals require different levels of care at varying stages of their lives, the community provides individualized and flexible care plans that change as residents’ needs change.
The community provides plenty of opportunities for socializing and companionship on a daily basis with their diverse calendar of activities. A licensed nurse is available 24/7 to provide supervision and immediately respond to residents’ needs. Encouraging lifelong learning, the community offers several signature monthly opportunities for it, including learning through guest speakers, fine arts programs, and educational series. The community works closely with their residents in understanding their goals and dreams and help them turn it into a reality.
Morningstar Assisted Living Community, situated in the heart of Rapid City, South Dakota, offers a welcoming and supportive environment for seniors requiring assistance with daily living tasks. Rather than a clinical facility, it provides a sense of home. The dedicated staff ensures personalized care while residents enjoy delicious meals.
Engaging activities foster a sense of family and belonging, making Morningstar Assisted Living a place where seniors thrive and find comfort in their golden years.
Offering spacious nursing home living options, Primrose Cottages in Aberdeen prides itself on modern comfort that provides residents with nothing short of an excellent retirement experience. Primrose also has senior townhomes available should you find yourself needing more space than their considerably large apartments, for a more home-style feel with an added tinge of luxury in terms of amenities and professional chef-curated meals, daily.
On top of impressive floor areas, an adept nursing staff provides round-the-clock service to residents for consistent well-being monitoring that is neither invasive nor disruptive, allowing for each individual to maintain their routines and sense of freedom in the nursing home facility.
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.




















