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Best Senior Communities in South Dakota

Reviewed by Dr. Jordan Weiss
Updated Apr 2026
We analyzed 7 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.

Explore home photos

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
Pine Hills Retirement Community
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.

Hot Springs
78No 0 -1-Nekuda, Vickie
Dow Rummel Village
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.

Sioux Falls
50No 54 --A+Hahn, Christopher
Prairie Heights Healthcare
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.

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).

Aberdeen
99No 38 -1-Albrecht, Darcy
Trail Ridge Senior Living Community
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.

Sioux Falls (West Ralph Rogers Road)
72No 17 -31A+Vernon, Michelle
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
133Yes 10 Studio / 1 Bed / 2 Bed1A-Kasselder, Nathan
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
86Yes 6 Studio / 1 Bed / 2 Bed1-Johnson, Melissa
Countryside 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.

Mitchell (Mitchell)
50No 36 -28-Zoss, Kathy
The Inn on Westport
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.

Sioux Falls
140No 63 -30A+Dykstra, Jill
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
116No 32 1 Bed / 2 Bed1-Back, Kelli
Avantara Lake Norden
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.

Lake Norden (Park Street)
48No 6 -1-Grimm, Margaret
Bethesda Home of Aberdeen
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).

Aberdeen (Melrose Addition)
86No 12 -1-Eisenbeisz, Scott
Touchmark at All Saints
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.

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.

Sioux Falls (All Saints)
153No 80 -32A+Snoozy, Amanda
The Village of Harmony Hill
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)
104Yes 0 Studio / 1 Bed / 2 Bed1-Beauchamp, Krista
Avantara Norton
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.

Sioux Falls
100No 61 -1-Nickel, Ashley
Legends at Lake Lorraine
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.

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.

Sioux Falls
185No 43 -1-Fokken, Kyrsten
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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.
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

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.
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

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.
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

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.
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

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.
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

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.
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.

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.
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

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.
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

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.
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

Avantara Huron is a rehabilitation facility in Huron, South Dakota. It offers short-term rehabilitation, cardiac recovery care, orthopedic recovery care, pulmonary recovery care, and wound care. The facility is committed to providing quality medical care with a personal touch.
Overview of Avantara Huron
Avantara Huron is a rehabilitation facility in Huron, South Dakota. It offers short-term rehabilitation, cardiac recovery care, orthopedic recovery care, pulmonary recovery care, and wound care. The facility is committed to providing quality medical care with a personal touch.

Contact Avantara Huron

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.

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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.