Best Home Care in South Dakota

Why trust this guide? Our editorial team analyzed 17 home care providers in SD using SD Dept. of Health (DOH) data, inspection records, complaints, and provider-level details. How we rank home care in SD
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We analyzed These are the providers in South Dakota our team has analyzed — not a count of every home care provider in South Dakota.
17 providers
Other senior care options in South Dakota:
Overview of Bethesda Home of Aberdeen

Located in Aberdeen, South Dakota, Bethesda Home of Aberdeen is a skilled nursing home in Brown County. It is less than a mile from Avera St. Luke’s Hospital’s emergency room and about 2 miles from the city center. Scott Eisenbeisz owns the community and serves as CEO and Administrator. Alongside skilled nursing, it offers assisted living, home care, respite care, senior apartments, and adult day services. Families can use these options in the same community as care needs change.

The 86-bed home currently serves 82 residents. It runs close to full, with a 98% occupancy rate. Residents stay an average of about 153 days, reflecting both post-acute rehabilitation and longer-term nursing care. The community has been open for about 1 year.

Total nursing care averages 4 hours and 23 minutes per resident daily. Rehabilitation and physical rehabilitation services are also available to support residents recovering from surgery, illness, or a hospital stay. Families can choose from Medicare, Medicaid, and private pay to cover both short-term and long-term care.

State health inspections have often focused on documentation and care coordination practices. These include documenting respiratory care and hospice services together. Reviews have also covered food temperatures, food safety records, hand hygiene, and skin-assessment practices, which are recurring administrative and procedural themes rather than one major concern. Families touring the community may ask how staff manage these practices daily.

The surrounding area is car-dependent, with a Walk Score of 12 out of 100. Most errands and visits require driving rather than walking. However, the nearby hospital can benefit residents needing frequent medical follow-up or transfers.

Type of Care Available

Assisted Living Home Care Nursing Care Nursing Home Respite Care Skilled Nursing

Contact Bethesda Home of Aberdeen

Overview of 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.

Contact Bethesda Home of Aberdeen

Overview of Bethesda Towne Square

Bethesda Towne Square Assisted Living Community, situated in Aberdeen, provides a selection of 40 spacious apartment suites for residents to choose from. In addition, residents benefit from priority access to the on-site skilled nursing home, ensuring comprehensive care if the need arises. The community prides itself on fostering a warm and compassionate atmosphere, catering to both short-term recovery and around-the-clock long-term care. Bethesda is dedicated to promoting independence of both body and spirit, with the added support of onsite chaplain services available to all residents.

The highly trained staff at Bethesda goes above and beyond physical health care, offering a diverse range of programs aimed at maximizing social interaction. From engaging dining experiences to socialization activities and exercise programs, residents are provided with ample opportunities to thrive and connect. These offerings are delivered in welcoming and comfortable surroundings that prioritize all aspects of life, extending support beyond medical attention to encompass the holistic well-being of each resident.

Type of Care Available

Assisted Living Home Care Nursing Care Nursing Home Respite Care Skilled Nursing

Contact Bethesda Towne Square

Overview of Westhills Village

Westhills Village sits at 255 Texas St in Rapid City, South Dakota, in a stretch of the city that’s firmly car-dependent. The Walk Score here comes in at 21, so anyone visiting should plan on driving. There’s not much within walking distance, and that’s just the nature of this part of town.

The facility has 44 beds, and right now every single one is filled. A full house at one year of operation says something on its own; this is a place that filled up fast. Rehabilitation services and respite care are both available here, meaning residents can come in for short-term recovery work or for a temporary stay while family caregivers get a break.

Staffing runs around the clock, and the numbers back that up with real specificity. Registered nurses put in about 1 hour and 13 minutes per resident each day, while licensed practical nurses contribute another 28 minutes. Add nurse aide time, and the total nursing care residents receive averages 4 hours and 36 minutes per resident, per day.

Financially, Westhills Village takes Medicare and private pay, so there’s more than one route to covering costs depending on a family’s situation. There’s also a volunteer program woven into daily life here, which tends to matter more than people expect once they’re actually living somewhere.

South Dakota’s Department of Health, Office of Health Care Facilities Licensure oversees inspections, and the recurring focus areas, medication management, infection control, and resident rights, are the same categories regulators lean on everywhere. Between the full occupancy, the staffing hours, and the rehab and respite options on the table, Westhills Village reads as a facility that’s found its footing quickly and is running at real capacity.

Contact Westhills Village

Overview of Trail Ridge Senior Living Community

Trail Ridge Senior Living Community is a vibrant community with an energetic atmosphere. The senior living community offers housing for independent living, assisted living, and memory care; they are a not-for-profit faith-based community. Trail Ridge understands that individuals are unique and have their own needs, which is why they provide innovative ways to attend to their residents as soon as possible. During their 27 years of service, they have gained the trust of many families in South Dakota. 
Their calendar-filled engaging social and educational activities maximize the community amenities that keep residents stimulated and an enhanced standard of living through their amenities such as the 24-hour emergency communication system, game room, and library available/

Contact Trail Ridge Senior Living Community

Overview of Trail Ridge Retirement Community

Trail Ridge Retirement Community is a senior living community in Sioux Falls, South Dakota, offering independent living, assisted living, and memory care. This 72-bed community is licensed in Lincoln County in 2025, making it one of the newer senior care providers in the area.

Rehabilitation services, licensed nurses, and CNAs on staff, home care services, and wellness programs are provided, along with various living options, including independent living, assisted living, and memory care, under one roof. Additionally, Home care services extend the community’s reach beyond the building itself, offering flexibility for older adults who may not yet be ready for full residential placement.

Its location on Ralph Rogers Road, in southwest Sioux Falls, carries a Walk Score of 13, reflecting a car-dependent neighborhood where most errands and services will require transportation. Families visiting from the Sioux Falls metro area or surrounding Lincoln County neighborhoods are encouraged to plan travel accordingly.

Trail Ridge Retirement Community is ideal for older adults seeking a mid-sized community that spans independent living through memory care in the Sioux Falls and Lincoln County area, particularly those who value licensed clinical staff on-site and home care services as a transitional option.

Contact Trail Ridge Retirement Community

Overview of Good Samaritan Society – Prairie Creek

Good Samaritan Society – Prairie Creek is a trusted and compassionate home located in Sioux Falls, South Dakota. Here, seniors can truly embrace carefree living in their assisted living homes and memory care private homes. Central heating and air conditioning, as well as emergency response systems, provide residents of both the assisted living homes and memory care private homes with comfort and security. Transportation services are available to ensure easy access to appointments and outings. 
Amenities in this home are abundant, offering residents a diverse range of opportunities for engagement and enjoyment. The community features a chapel for spiritual enrichment, a salon for personal care, and a swimming pool for recreation. A library invites residents to indulge in reading and learning, while a wellness center and whirlpool offer opportunities for relaxation and rejuvenation. Walking trails beckon residents to explore the beautiful surroundings and maintain an active lifestyle.

Contact Good Samaritan Society – Prairie Creek

Dow Rummel Village

1321 W Dow Rummel St, Sioux Falls, SD 57104
Overview of Dow Rummel Village

Dow Rummel Village is an extraordinary nonprofit organization in Sioux Falls, South Dakota, dedicated to providing a premier life plan retirement community that encompasses assisted living levels of care. With a remarkable 60-year history of service, they offer a comprehensive range of services under one roof, including independent living, memory care, assisted living, skilled nursing, respite care, and more.
Residents in this assisted living home have the opportunity to choose different levels of care that best suit their needs. Whether they opt for independent living, where they can enjoy the freedom and autonomy of a vibrant community, or require the specialized support and assistance provided in memory care or assisted living, every aspect is thoughtfully tailored to enhance their well-being. Discover a variety of floor plans, including spacious studios, comfortable one-bedroom suites, and inviting two-bedroom options. From personal assistance with daily living to weekly housekeeping and convenient transportation services, residents can truly embrace a worry-free lifestyle.

Contact Dow Rummel Village

Overview of The Courtyard Westhills Village

The Courtyard Westhills Village is an assisted living community in Rapid City, South Dakota, offering assisted living, rehabilitation services, and respite care. With a 60-bed capacity, this community accepts Medicare, which is uncommon among similar communities. It is also affiliated with the Clarkson Health Care network as well as a broader campus that features therapy services, a Support Plus Program, and in-home care.

Amenities include a wellness space with specialized classes, activity and group areas, a welcoming outdoor inner courtyard, and a sun deck with southern exposure. Furthermore, living spaces feature handicap-accessible bathrooms and showers, generous closet space, expanded cable service, and central heating and cooling throughout. Floor plans are available in one- and two-bedroom configurations, and the building is equipped with a full fire sprinkler system and smoke detectors. Volunteer programs, clinical services, and respite stays are provided through 24-hour nursing staffing.

A comprehensive continuum of services is also provided, including therapy and in-home care, offering a level of care coordination that standalone assisted living communities often cannot match, which appeals to families and older adults anticipating progressing needs. Operating hours are Monday through Friday from 7:30 AM to 7:30 PM, and Saturday through Sunday from 8:30 AM to 5:30 PM.

The Courtyard Westhills Village is a practical option for older adults in the greater Rapid City area seeking assisted living support within a structured, amenity-rich environment, particularly those looking for seamless access to on-site rehabilitation and respite care.

Contact The Courtyard Westhills Village

Dow Rummel Village

1321 W Dow Rummel Street, Sioux Falls, SD 57104
Overview of Dow Rummel Village

Dow Rummel Village is a nonprofit life plan retirement community in Sioux Falls, South Dakota, providing a full continuum of care that includes independent living, assisted living, memory care, skilled nursing, rehabilitation, and respite care services. Serving the region since 1958, the community is recognized as one of the more established senior living providers in South Dakota. Medicare, Medicaid, and private-pay are also accepted, offering flexibility for families with varying financial and healthcare needs.

With a 79-bed capacity, the community is currently operating at a 94% occupancy rate, which is higher than the state average. Additionally, most of the community’s admissions are Medicare-funded rehabilitation stays focused on recovery and therapy services, while longer-term residents remain for multiple years through different stages of care. Rehabilitation, memory care, and skilled nursing services are also provided, allowing residents to access additional support without relocating.

The community maintains strong performance metrics compared to statewide averages, with a 4-star overall rating from the Centers for Medicare & Medicaid Services (CMS). This reflects above-average scores in health inspections, staffing, and quality measures. Staffing levels are also a particular differentiator, with nursing care hours significantly exceeding South Dakota averages. Physical therapy staffing also exceeds state benchmarks, an important consideration for residents recovering from surgery, illness, or hospitalization.

The community also offers studio, one-bedroom, and two-bedroom floor plans. Services also include housekeeping, transportation, dining, wellness programming, and assistance with activities of daily living.

With a combination of rehabilitation resources, memory care services, skilled nursing support, and independent living options, Dow Rummel Village is well-suited for older adults and families seeking a financially stable nonprofit community with strong staffing levels, established clinical infrastructure, and the flexibility of multiple care levels within one campus.

Contact Dow Rummel Village

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Frequently Asked Questions

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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
  • Memory care specialists
  • Finding and ranking the best independent living communities

Frequently Asked Questions about Home Care in South Dakota

What is home care?

Home care brings non-medical caregivers into a senior's own home to assist with daily tasks, companionship, and supervision — without requiring a move to a community.

How many home care providers are listed on this page?

This page features 17 home care providers in South Dakota. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right home care provider 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 home care providers 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.