Best Senior Communities in South Dakota
Tucked away in the heart of the American Midwest, South Dakota is a thriving state known for its expansive prairies and home to two iconic historical monuments – Mt. Rushmore and Crazy Horse Memorial, a tribute to the storied Native American tribal leader. The city is a compelling option for those seeking affordability and a comfortable lifestyle with its relatively low cost of living and affordable housing. South Dakota’s stunning landscapes and tight-knit senior communities foster a relaxing environment for retirees, combined with its numerous recreational activities and accessible health care facilities that ensures all of its residents live comfortably and thrive.
Compare Senior Communities around South Dakota
Pine Hills Retirement Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Hot Springs
78
No
-
0
-
-
-
-
-
-
-
-
-
-
-
-
-
Dow Rummel Village
+2%
+20%
+17%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Sioux Falls
50
No
A+
54
HAHN, CHRISTOPHER
-
$21,677,278.00
$11,329,272.00
52.3%
47.20
5.1971
1
7
3
+2%+20%+17%
93.7%
Prairie Heights Healthcare
-18%
-11%
-21%
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Aberdeen
99
No
-
38
-
-
$13,009,613.00
$5,134,336.00
39.5%
61.60
3.8642
-
5
-
-18%-11%-21%
63.2%
Trail Ridge Senior Living Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Sioux Falls
72
No
A+
17
-
-
-
-
-
-
-
-
-
-
-
-
-
The Parkwood
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Sioux Falls
133
Yes
A-
10
-
Studio / 1 Bed / 2 Bed
-
-
-
-
-
-
-
-
-
-
-
Edgewood Pierre
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Pierre
86
Yes
-
6
-
Studio / 1 Bed / 2 Bed
-
-
-
-
-
-
-
-
-
-
-
Countryside Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Mitchell
50
No
-
36
-
-
-
-
-
-
-
-
-
-
-
-
-
The Inn on Westport
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Sioux Falls
140
No
A+
63
-
-
-
-
-
-
-
-
-
-
-
-
-
The Village at Skyline Pines Assisted Living & Memory Care
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Rapid City
116
No
-
32
-
1 Bed / 2 Bed
-
-
-
-
-
-
-
-
-
-
-
Avantara Lake Norden
+8%
-23%
+15%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57248
48
No
-
6
GRIMM, MARGARET
-
$7,058,696.00
$2,117,765.00
30%
46.50
3.3290
1
4
1
+8%-23%+15%
92.1%
Bethesda Home of Aberdeen
-30%
+1%
+16%
SNF
Nursing Homes 24/7 care needed
Aberdeen
86
No
-
12
EISENBEISZ, SCOTT
-
$10,651,656.00
$5,683,900.00
53.4%
82.80
4.3775
-
7
-
-30%+1%+16%
92.8%
Touchmark at All Saints
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Sioux Falls (All Saints)
153
No
A+
80
-
-
-
-
-
-
-
-
-
-
-
-
-
The Village of Harmony Hill
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Watertown
104
Yes
-
0
-
Studio / 1 Bed / 2 Bed
-
-
-
-
-
-
-
-
-
-
-
Avantara Norton
+34%
-19%
+14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57105
100
No
-
61
KLINKHAMMER, JEREMY
-
$16,589,769.00
$3,749,956.00
22.6%
94.70
3.5336
7
75
18
+34%-19%+14%
91.5%
Legends at Lake Lorraine
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Sioux Falls
185
No
-
43
-
-
-
-
-
-
-
-
-
-
-
-
-
Rows per page:
View all Nearby Homes
Dow Rummel Village
Type of care:
SNF
AL
Community:
Sioux Falls
Bed Count:
50
Pets Allowed:
No
Operator:
HAHN, CHRISTOPHER
Home Revenue:
$21,677,278.00
Payroll Costs:
$11,329,272.00
Payroll %:
52.3%
Avg Residents/Day:
47.20
Overall Rating:
Adj Nurse Hours:
5.1971
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
7
Severe Citations:
3
RN share vs State Avg:
+2%
+2%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
+17%
+17%
Occupancy %:
93.7%
Prairie Heights Healthcare
Type of care:
MC
SNF
Community:
Aberdeen
Bed Count:
99
Pets Allowed:
No
Home Revenue:
$13,009,613.00
Payroll Costs:
$5,134,336.00
Payroll %:
39.5%
Avg Residents/Day:
61.60
Overall Rating:
Adj Nurse Hours:
3.8642
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
5
RN share vs State Avg:
-18%
-18%
Staffing vs State Avg:
-11%
-11%
Occupancy vs State Avg:
-21%
-21%
Occupancy %:
63.2%
Avantara Lake Norden
Type of care:
SNF
AL
Community:
SD 57248
Bed Count:
48
Pets Allowed:
No
Operator:
GRIMM, MARGARET
Home Revenue:
$7,058,696.00
Payroll Costs:
$2,117,765.00
Payroll %:
30%
Avg Residents/Day:
46.50
Overall Rating:
Adj Nurse Hours:
3.3290
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
4
Severe Citations:
1
RN share vs State Avg:
+8%
+8%
Staffing vs State Avg:
-23%
-23%
Occupancy vs State Avg:
+15%
+15%
Occupancy %:
92.1%
Bethesda Home of Aberdeen
Type of care:
SNF
Community:
Aberdeen
Bed Count:
86
Pets Allowed:
No
Operator:
EISENBEISZ, SCOTT
Home Revenue:
$10,651,656.00
Payroll Costs:
$5,683,900.00
Payroll %:
53.4%
Avg Residents/Day:
82.80
Overall Rating:
Adj Nurse Hours:
4.3775
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
7
RN share vs State Avg:
-30%
-30%
Staffing vs State Avg:
+1%
+1%
Occupancy vs State Avg:
+16%
+16%
Occupancy %:
92.8%
Avantara Norton
Type of care:
SNF
AL
Community:
SD 57105
Bed Count:
100
Pets Allowed:
No
Operator:
KLINKHAMMER, JEREMY
Home Revenue:
$16,589,769.00
Payroll Costs:
$3,749,956.00
Payroll %:
22.6%
Avg Residents/Day:
94.70
Overall Rating:
Adj Nurse Hours:
3.5336
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
7
Citations:
75
Severe Citations:
18
RN share vs State Avg:
+34%
+34%
Staffing vs State Avg:
-19%
-19%
Occupancy vs State Avg:
+14%
+14%
Occupancy %:
91.5%
Sun Dial Manor
Sun Dial Manor is a not-for-profit senior care facility located in Bristol, South Dakota. It offers skilled nursing and assisted living services in a welcoming, rural setting. The facility is committed to providing compassionate, person-centered care.
Highmore Health
Highmore Health has provided personalized and professional care to the community for over 50 years. It offers a range of services including rehabilitation care, memory care, long-term care, and palliative support. The facility is dedicated to providing quality care in a compassionate and dignified environment.
Five Counties Nursing Home
Five Counties Nursing Home is a skilled nursing facility located in Lemmon, South Dakota. It offers both short- and long-term care, as well as assisted living and independent living services. The facility is dedicated to providing personalized medical care and rehabilitation services in a nurturing environment.
Estelline Nursing and Care Center
Estelline Nursing and Care Center is located in Estelline, South Dakota. It provides various medical services and care options for residents. The center is committed to enhancing the quality of life for its residents.
Bethesda of Beresford
Bethesda of Beresford is a senior living community in Beresford, SD. It offers nursing services, therapy services, and independent living options. The facility has a long history of caring for its residents since its founding in 1914.
Bethesda Home of Aberdeen
Bethesda Home of Aberdeen offers care for children and the elderly. They provide daycare, nursing home, assisted living, in-home care, and senior living. The facility is committed to quality and personal care for all ages.
Avantara Saint Cloud
Avantara Saint Cloud offers a range of services to support residents living with dementia and Alzheimer’s disease. The facility provides specialized secured memory care and cutting-edge robotics to enhance the quality of life for residents. It is dedicated to fostering a serene environment with extensive amenities for comfort and support.
Palisade Healthcare Center
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.
Dells Nursing and Rehab Center Inc.
Dells Nursing and Rehab Center Inc. specializes in quality long-term care in a family-focused environment. The facility is committed to providing a secure and comfortable lifestyle for its residents. Family involvement and community integration are encouraged.
Centerville Care and Rehab Center
Centerville Care and Rehab Center strives to create a loving home and provide healing and compassion for all who are placed in their care. They offer Assisted Living and Skilled Care in a fully modernized facility, along with a full slate of inpatient and outpatient rehabilitation services. The center hosts events such as a Fall Festival to engage the community.
Assisted Living Magazine Ranking Methodology
View Full Ranking MethodologyHow Assisted Living Magazine Evaluates & Scores Nursing Homes
Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence.
Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.
Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.
What We Prioritize MostThe largest share of every nursing home’s score — 45% of the total weighting — comes from clinical and regulatory indicators, including:
- Overall, staffing, and inspection ratings
- Long-stay and short-stay quality measures
- Nurse-to-resident and staff-to-resident ratios
- Health deficiencies and regulatory history
- Accreditations and positive local news reporting
These factors directly reflect resident safety, care quality, and compliance.
Operational Stability & Resident SupportAnother 35% of the score comes from operational and stability signals, such as:
- Nurse hours per patient per day
- Occupancy levels and cleanliness citations
- Administrative stability and ownership quality
- Readmission rates and registered-nurse turnover
The remaining 20% of the score includes contextual elements such as:
- Year built or renovated
- Penalties, fines, and preventable readmissions
- Revenue per bed
- Administrator tenure
These factors help round out the overall picture but carry less weight because our methodology prioritizes clinical outcomes and regulatory consistency above all else.
The result is a clear, data-driven ranking system that elevates nursing homes delivering exceptional care and long-term resident safety.
Who we are
Your Senior Care Partner, Every Step of the Way
We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.
Contact us Today
Frequently Asked Questions
What government services provide money for senior housing?
Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:
- Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
- Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
- Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
- Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
- State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
- Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
- Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?
Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.
Do you help families that need Medicaid?
Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.
How much does this service cost?
We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.
What services do you offer?
- Finding and ranking the best assisted living facilities
- Finding and ranking the best nursing homes
- Finding and ranking the best memory care facilities
- Our concierge service helps seniors move into the perfect home for them
- Helping seniors use medicare, medicaid, and other government programs to pay for their homes
- Helping seniors avoid senior homes that have bad service or fraud
- Helping seniors avoid senior homes that have bad service or fraud
- Autobiography & Family History Writing + Research
- Senior-focused concierge medicine
- Senior-focused nutritionist
- Senior-focused personal training
- Memory care specialists
- Custom wheelchairs at all price points.
- Custom hearing aids
- Cosmetic skincare + dermatology
- Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
- Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
Virtual Tours & Videos
Resident interviews at our senior living facilities
Check out our resident interviews
Cost guide to senior living, assisted living, nursing homes, and more.
Check out our cost guide.
Frequently Asked Questions
Answers to the most common questions from families.
What government services provide money for senior housing?
Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:
- Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
- Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
- Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
- Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
- State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
- Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
- Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?
Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.
Do you help families that need Medicaid?
Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.
Cost guide to senior living, assisted living, nursing homes, and more.
Check out our cost guide.
How much does this service cost?
We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.
What services do you offer?
- Finding and ranking the best assisted living facilities
- Finding and ranking the best nursing homes
- Finding and ranking the best memory care facilities
- Our concierge service helps seniors move into the perfect home for them
- Helping seniors use medicare, medicaid, and other government programs to pay for their homes
- Helping seniors avoid senior homes that have bad service or fraud
- Helping seniors avoid senior homes that have bad service or fraud
- Autobiography & Family History Writing + Research
- Senior-focused concierge medicine
- Senior-focused nutritionist
- Senior-focused personal training
- Memory care specialists
- Custom wheelchairs at all price points.
- Custom hearing aids
- Cosmetic skincare + dermatology
- Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
- Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
Virtual Tours & Videos
Resident interviews at our senior living facilities
Check out our resident interviews
Feedback
