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.

Watch this Video to see South Dakota's Top-rated Senior Communities
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Comparison Chart

Compare Senior Communities around South Dakota
Legends at Lake Lorraine
AL

For seniors needing help with daily tasks but not full-time nursing.

IL

For self-sufficient seniors seeking community and minimal assistance.

MC

Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Sioux Falls
185
No
-
43
-
-
-
-
-
-
-
-
-
-
-
-
-
Good Samaritan Society – Sioux Falls Village
AL

For seniors needing help with daily tasks but not full-time nursing.

Sioux Falls
177
No
A+
50
BACHMEIER, DANA
-
$23,584,274.00
$8,814,865.00
37.4%
160.40
1/5
4.0155
1/5
3/5
2/5
5
88.3%
Touchmark at All Saints
AL

For seniors needing help with daily tasks but not full-time nursing.

IL

For self-sufficient seniors seeking community and minimal assistance.

MC

Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Sioux Falls
153
No
A+
80
-
-
-
-
-
-
-
-
-
-
-
-
-
The Inn on Westport
AL

For seniors needing help with daily tasks but not full-time nursing.

Sioux Falls
140
No
A+
63
-
-
-
-
-
-
-
-
-
-
-
-
-
The Parkwood
IL

For self-sufficient seniors seeking community and minimal assistance.

Sioux Falls
133
Yes
A-
10
-
Studio / 1 Bed / 2 Bed
-
-
-
-
-
-
-
-
-
-
-
The Village at Skyline Pines Assisted Living & Memory Care
AL

For seniors needing help with daily tasks but not full-time nursing.

MC

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 Norton
AL

For seniors needing help with daily tasks but not full-time nursing.

SD 57105
110
No
-
61
KLINKHAMMER, JEREMY
-
$13,670,092.00
$3,015,937.00
22.1%
94.70
1/5
3.5336
1/5
2/5
2/5
7
84.4%
Edgewood Rapid City
AL

For seniors needing help with daily tasks but not full-time nursing.

Rapid City
110
No
-
6
-
-
-
-
-
-
-
-
-
-
-
-
-
Jenkin‘s Living Center
AL

For seniors needing help with daily tasks but not full-time nursing.

Watertown
110
No
-
85
AUSTIN, DOUG
Private Rooms
$11,392,165.00
$6,786,901.00
59.6%
68.70
1/5
4.4413
1/5
4/5
3/5
2
67.1%
Spearfish Canyon Healthcare
SNF

24/7 care needed

Spearfish
105
No
-
50
-
-
$12,283,666.00
$4,526,171.00
36.8%
75.50
2/5
3.3678
2/5
2/5
4/5
1
70.3%
The Village of Harmony Hill
AL

For seniors needing help with daily tasks but not full-time nursing.

Watertown
104
Yes
-
0
-
Studio / 1 Bed / 2 Bed
-
-
-
-
-
-
-
-
-
-
-
Avantara Mountainview
AL

For seniors needing help with daily tasks but not full-time nursing.

SD 57702
101
No
-
55
-
-
$16,070,741.00
$4,063,801.00
25.3%
86.50
3/5
3.4135
3/5
3/5
3/5
1
80.3%
Prairie Heights Healthcare
MC

Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

24/7 care needed

Aberdeen
99
No
-
38
-
-
$13,451,786.00
$4,984,110.00
37.1%
61.60
5/5
3.8642
4/5
2/5
5/5
-
57.8%
Bethesda Home of Aberdeen
SNF

24/7 care needed

Aberdeen
86
No
-
12
EISENBEISZ, SCOTT
-
$10,598,631.00
$5,372,240.00
50.7%
82.80
4/5
4.3775
4/5
4/5
2/5
-
95.5%
Edgewood Pierre
AL

For seniors needing help with daily tasks but not full-time nursing.

MC

Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Pierre
86
Yes
-
6
-
Studio / 1 Bed / 2 Bed
-
-
-
-
-
-
-
-
-
-
-
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Prosperous Home Health is dedicated to preserving the essence of independent living for seniors in the Sioux Falls community. Their commitment lies in ensuring that seniors can relish a healthy and autonomous lifestyle within the familiar comforts of their homes while receiving the essential support they require. The range of services they offer, including non-medical caregiving, companionship, and skilled home health, reflects their comprehensive approach to senior care.

With a focus on delivering top-tier services, their team goes above and beyond. They provide specialized care such as wound care, cancer care, stroke management, hydration management, chronic diagnosis care, and IV therapy, ensuring that every aspect of a senior’s health and well-being is meticulously looked after. Seniors and their families can trust in Prosperous Home Health’s dedication to enhancing the quality of life for those they serve, ensuring a nurturing and supportive environment for every individual in their care.

Overview of Prosperous Home Health

Prosperous Home Health is dedicated to preserving the essence of independent living for seniors in the Sioux Falls community. Their commitment lies in ensuring that seniors can relish a healthy and autonomous lifestyle within the familiar comforts of their homes while receiving the essential support they require. The range of services they offer, including non-medical caregiving, companionship, and skilled home health, reflects their comprehensive approach to senior care.

With a focus on delivering top-tier services, their team goes above and beyond. They provide specialized care such as wound care, cancer care, stroke management, hydration management, chronic diagnosis care, and IV therapy, ensuring that every aspect of a senior’s health and well-being is meticulously looked after. Seniors and their families can trust in Prosperous Home Health’s dedication to enhancing the quality of life for those they serve, ensuring a nurturing and supportive environment for every individual in their care.

Contact Prosperous Home Health

Interim Healthcare of Sioux Falls goes above and beyond in delivering a diverse range of care services right in the comfort of one’s own home. Whether it’s personal care, companionship, or specialized therapy and nursing services, their locally owned and operated team ensures a responsive and compassionate approach to every family they assist. They prioritize holistic well-being, addressing not just physical health, but also the mind, body, spirit, and family dynamics.

With a keen focus on personalized care coordination, hospice, and specialized care, Interim Healthcare of Sioux Falls stands out for its dedication to the complete well-being of their clients. Their services extend beyond traditional caregiving; they provide bereavement and grief support, specialized Alzheimer’s care, and even hospice pet therapy. Their team, comprising highly competitive nurses and other expert staff members, is committed to providing exceptional and tailored care, making sure families feel supported and valued every step of the way.

Overview of Interim Healthcare of Sioux Falls

Interim Healthcare of Sioux Falls goes above and beyond in delivering a diverse range of care services right in the comfort of one’s own home. Whether it’s personal care, companionship, or specialized therapy and nursing services, their locally owned and operated team ensures a responsive and compassionate approach to every family they assist. They prioritize holistic well-being, addressing not just physical health, but also the mind, body, spirit, and family dynamics.

With a keen focus on personalized care coordination, hospice, and specialized care, Interim Healthcare of Sioux Falls stands out for its dedication to the complete well-being of their clients. Their services extend beyond traditional caregiving; they provide bereavement and grief support, specialized Alzheimer’s care, and even hospice pet therapy. Their team, comprising highly competitive nurses and other expert staff members, is committed to providing exceptional and tailored care, making sure families feel supported and valued every step of the way.

Contact Interim Healthcare of Sioux Falls

SYNERGY HomeCare stands out for its tailor-made approach in crafting personalized home care plans tailored to diverse situations and conditions. Their expertise lies in providing life-affirming non-medical in-home care, offering comfort and assurance to individuals dealing with disabilities, illnesses, and the challenges of aging. Their comprehensive range of services includes companionship, homemaker duties, and personal care, ensuring that every aspect of their clients’ well-being is addressed.

Since 2009, they have been dedicated to serving the Sioux Falls area, building a stellar reputation in senior care. Aside from their competitive and highly trained team, they also exhibit unwavering dedication to responsiveness and dependability. Families can trust in SYNERGY HomeCare’s compassionate and knowledgeable staff, who go above and beyond to ensure the well-being of their patients.

Overview of SYNERGY HomeCare – Sioux Falls

SYNERGY HomeCare stands out for its tailor-made approach in crafting personalized home care plans tailored to diverse situations and conditions. Their expertise lies in providing life-affirming non-medical in-home care, offering comfort and assurance to individuals dealing with disabilities, illnesses, and the challenges of aging. Their comprehensive range of services includes companionship, homemaker duties, and personal care, ensuring that every aspect of their clients’ well-being is addressed.

Since 2009, they have been dedicated to serving the Sioux Falls area, building a stellar reputation in senior care. Aside from their competitive and highly trained team, they also exhibit unwavering dedication to responsiveness and dependability. Families can trust in SYNERGY HomeCare’s compassionate and knowledgeable staff, who go above and beyond to ensure the well-being of their patients.

Contact SYNERGY HomeCare – Sioux Falls

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How 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 Most

The 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 Support

Another 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
Balancing Additional Factors

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

Check out our photo album

Check out our virtual tours

Check out our home 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

Check out our photo album

Check out our virtual tours

Check out our home videos

Resident interviews at our senior living facilities

Check out our resident interviews