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Other Senior care options in South Dakota:

Best Senior Communities in South Dakota

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 143 homes in South Dakota

Sources: CMS Centers for Medicare and Medicaid Services, and South Dakota Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Senior Communities facilities in South Dakota.

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

Compare Senior Communities around South Dakota

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

Click column headers to sort
The Parkwood
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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
A-Nathan Kasselder
Edgewood Pierre
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

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
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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 #5 / 51
-Paula Henrickson
Bethesda Towne Square
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

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
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

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
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

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
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

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
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

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
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

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
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Overview of Good Samaritan Society Sioux Falls Village
Good Samaritan Society – Sioux Falls Village offers senior living services in a community that truly feels like home. It provides a full scope of senior living and care, including assisted living, independent living, rehabilitation therapy, and memory care. The facility is committed to delivering high-quality care and support tailored to individual needs.

Contact Good Samaritan Society Sioux Falls Village

Overview of Spearfish Canyon Healthcare
Spearfish Canyon Healthcare focuses on providing skilled nursing, short-term rehabilitation, and long-term care services in a compassionate environment. The facility emphasizes individual wellness and rehabilitation to ensure the best experience for residents. It offers a variety of personalized care services to meet healthcare needs.

Contact Spearfish Canyon Healthcare

Overview of Westhills Village Health Care Facility
Westhills Village offers choices for Independent Senior Living, Retirement Community, Assisted Living and Health Care Services in Rapid City, South Dakota. The facility provides a community of care and a continuing care program to meet the needs of its residents. It is recognized as one of the top retirement communities in South Dakota.

Contact Westhills Village Health Care Facility

Overview of Prairie Heights Healthcare
Prairie Heights Healthcare is a skilled nursing facility located in Aberdeen, South Dakota. It offers a range of services including rehabilitation therapy, long-term and short-term care, and individualized care plans. The facility is dedicated to providing compassionate care in a comfortable environment.

Contact Prairie Heights Healthcare

Overview of Arrowhead Lodge Senior Living
Arrowhead Lodge Senior Living is a premier senior living community in Rapid City, SD. It offers independent living, assisted living, and respite care services tailored to the unique needs of each resident. The community provides a range of activities and amenities to enhance the quality of life for its residents.

Contact Arrowhead Lodge Senior Living

Overview of The Village at Skyline Pines
The Village at Skyline Pines is an assisted living and memory care facility located in Rapid City, South Dakota. It offers a nurturing environment with individualized care for residents, focusing on both assisted living and specialized memory care services. The facility features a variety of amenities and activities to promote a vibrant lifestyle for its residents.

Contact The Village at Skyline Pines

Overview of The Village of Harmony Hill, INC.
The Village of Harmony Hill provides a seamless continuum of care for every stage of senior living. From care-free, zero-maintenance independent living to high-acuity assisted living and innovative memory care therapy, the facility is designed to support every unique season of life. It offers a variety of services including dining, housekeeping, transportation, laundry services, lifestyle and wellness programs, and events.

Contact The Village of Harmony Hill, Inc.

Overview of The Courtyard Westhills Village
The Courtyard at Westhills Village offers assisted living options designed to enhance the quality of life for residents needing assistance with daily activities. The facility provides a continuum of care, allowing residents to transition between different levels of care without having to move to a different location. With a focus on wellness activities and quality nursing care, The Courtyard aims to meet the individual needs of each resident.

Contact The Courtyard Westhills Village

Overview of Avantara Lake Norden
Avantara Lake Norden provides quality, state-of-the-art medical care with a personal touch. The facility offers a range of healthcare services including secured memory care, short-term rehabilitation, and specialized care for various medical conditions. It prides itself on being a community partner and supporting local businesses.

Contact Avantara Lake Norden

Overview of Jenkin`s Living Center
Jenkin's Living Center is a South Dakota State licensed, 110 bed skilled long term care facility located in Watertown. It offers a complete rehabilitation program for inpatient and outpatient care, providing compassionate and loving care for all residents. The facility is committed to creating a home-like atmosphere where residents and their families feel confident and informed.

Contact Jenkin`s Living Center

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 7 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.