Best Nursing Homes in South Dakota

Known for its iconic Mount Rushmore, South Dakota features an ideal blend of natural beauty and rich cultural history. The state offers an adventurous lifestyle with its beautiful natural landscapes that offers an ideal setting for various outdoor activities. Known for its warm hospitality, tranquil setting, and affordable cost of living, South Dakota makes a comfortable and ideal environment for people of all ages, including seniors who are looking for a peaceful place to live in. Numerous nursing homes are scattered throughout the state to make sure seniors have access to the care and support they need to and live well.

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

Compare Nursing Homes around South Dakota
Prairie Heights Healthcare
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
5/5
3.8642
4/5
2/5
5/5
-
63.2%
Bethesda Home of Aberdeen
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
4/5
4.3775
4/5
4/5
2/5
-
92.8%
Avera Mother Joseph Manor Retirement Community
AL

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

HC

Hospice Care

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

SNF

Nursing Homes 24/7 care needed

Aberdeen
81
Yes
-
31
-
1 Bed / 2 Bed
-
-
-
76.50
4/5
4.6180
3/5
5/5
2/5
2
-
Bethesda Towne Square
AL

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

SNF

Nursing Homes 24/7 care needed

Aberdeen
52
Yes
-
21
-
Suite
-
-
-
-
-
-
-
-
-
-
-
Jenkin‘s Living Center
IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

SNF

Nursing Homes 24/7 care needed

Watertown
110
No
-
85
AUSTIN, DOUG
Private Rooms
$11,323,736.00
$6,338,541.00
56%
68.70
1/5
4.4413
1/5
4/5
3/5
2
70.1%
Nano Nagle Village
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.

SNF

Nursing Homes 24/7 care needed

Aberdeen
45
No
-
31
-
-
-
-
-
-
-
-
-
-
-
-
-
Meadows on Sycamore Inc.
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.

SNF

Nursing Homes 24/7 care needed

Sioux Falls
45
No
-
47
-
-
-
-
-
-
-
-
-
-
-
-
-
Avera Maryhouse
AL

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

HC

Hospice Care

SNF

Nursing Homes 24/7 care needed

Pierre
67
Yes
-
60
-
Private Rooms / Semi-Private Rooms
-
-
-
57.50
5/5
5.2962
4/5
5/5
3/5
-
-
Edgewood Prairie Crossings Assisted Living
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.

SNF

Nursing Homes 24/7 care needed

Sioux Falls
68
No
-
31
-
Private / Semi-Private Rooms
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Health and Rehab
HC

Hospice Care

SNF

Nursing Homes 24/7 care needed

RC

Respite Care

Aberdeen
75
No
-
8
GLASER, KRISTOPHER
-
$7,647,451.00
$3,793,284.00
49.6%
67.60
3/5
4.5928
2/5
5/5
2/5
3
92.0%
Meadow Lake Assisted Living
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.

SNF

Nursing Homes 24/7 care needed

Watertown
16
No
-
0
-
1 Bed
-
-
-
-
-
-
-
-
-
-
-
Benet Place Senior Apartments
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.

SNF

Nursing Homes 24/7 care needed

Watertown
38
Yes
-
0
-
1 Bed / 2 Bed
-
-
-
-
-
-
-
-
-
-
-
Spearfish Canyon Healthcare
SNF

Nursing Homes 24/7 care needed

Spearfish
105
No
-
50
-
-
$11,180,050.00
$4,442,137.00
39.7%
75.50
2/5
3.3678
2/5
2/5
4/5
1
68.6%
Avantara Watertown
AL

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

SNF

Nursing Homes 24/7 care needed

SD 57201
51
No
-
69
SPEIER, LYNNA
-
$7,916,419.00
$2,439,166.00
30.8%
46.20
2/5
3.5762
3/5
4/5
1/5
1
90.2%
Golden Living Center – Groton
SNF

Nursing Homes 24/7 care needed

Groton
49
No
-
32
PETE, JOSHUA
-
$6,213,854.00
$1,712,751.00
27.6%
35.50
3/5
3.1645
3/5
2/5
2/5
5
65.4%
Compare Communities
No communities selected

Beds shows the number of beds currently filled in each community agianst the total number of beds. Higher occupied beds usually indicates strong demand and reputation, while lower occupancy may suggest more availability for new residents.

No data selected

Settled in the serene area of Watertown, SD, Meadow Lake Assisted Living is an encouraging senior living community, offering excellent assisted living services. The community provides each resident with a supportive and caring environment with access to various services, including assistance with daily living activities and other supportive services they may need. Dedicated to ensuring residents are comfortable and provided with the care they need, the community carefully curates personalized care plans for each resident based on their specific needs and preferences.

With a focus on promoting independence and well-being, the community also offers plenty of opportunities for life enrichment through its wide array of stimulating and engaging activities, combined with various amenities. A range of conveniences, such as transportation to and from doctor’s appointments, housekeeping, and laundry services are offered for residents’ enjoyment. Here, residents are provided with all the tools and resources they need to thrive and maintain their independence.

Overview of Meadow Lake Assisted Living

Settled in the serene area of Watertown, SD, Meadow Lake Assisted Living is an encouraging senior living community, offering excellent assisted living services. The community provides each resident with a supportive and caring environment with access to various services, including assistance with daily living activities and other supportive services they may need. Dedicated to ensuring residents are comfortable and provided with the care they need, the community carefully curates personalized care plans for each resident based on their specific needs and preferences.

With a focus on promoting independence and well-being, the community also offers plenty of opportunities for life enrichment through its wide array of stimulating and engaging activities, combined with various amenities. A range of conveniences, such as transportation to and from doctor’s appointments, housekeeping, and laundry services are offered for residents’ enjoyment. Here, residents are provided with all the tools and resources they need to thrive and maintain their independence.

What does this home offer?

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Housing Options: 1 Bed

Building type icon
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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Type of Care Available

Independent Living Assisted Living
Contact Meadow Lake Assisted Living

In Rapid City, South Dakota, Fountain Springs Healthcare Center is a haven for healing and compassionate care. Whether residents require transitional care following hospitalization or seek long-term support due to safety concerns at home, Fountain Springs offers a serene refuge. The center has garnered acclaim for its successful patient transitions back home or to a lower level of care, earning the prestigious 2018 Pinnacle Customer Experience Award for its exceptional senior healthcare services.

At Fountain Springs, individuals receive personalized care through an interdisciplinary approach to skilled nursing. The recreation department fosters a sense of community and home by organizing various activities and outings. Whether it’s assisted living, skilled nursing, memory support, or respite stays, Fountain Springs Healthcare Center remains steadfast in delivering 5-star quality care to its residents. 

Overview of Fountain Springs Healthcare Center

In Rapid City, South Dakota, Fountain Springs Healthcare Center is a haven for healing and compassionate care. Whether residents require transitional care following hospitalization or seek long-term support due to safety concerns at home, Fountain Springs offers a serene refuge. The center has garnered acclaim for its successful patient transitions back home or to a lower level of care, earning the prestigious 2018 Pinnacle Customer Experience Award for its exceptional senior healthcare services.

At Fountain Springs, individuals receive personalized care through an interdisciplinary approach to skilled nursing. The recreation department fosters a sense of community and home by organizing various activities and outings. Whether it’s assisted living, skilled nursing, memory support, or respite stays, Fountain Springs Healthcare Center remains steadfast in delivering 5-star quality care to its residents. 

What does this home offer?

Housing options icon
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Housing Options: Private Rooms / Semi-Private Rooms

Building type icon
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Building Type: Single-story

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Transportation Services

Fitness and recreation icon
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Fitness and Recreation

Type of Care Available

Assisted Living Independent Living Nursing Home
Phone: 605-343-3555
Contact Fountain Springs Healthcare Center

Overlooking the spectacular views of Watertown, SD, Benet Place Senior Apartments is a serene senior living community, offering a peaceful and nurturing environment for independent living. Here, residents are guaranteed a care-free, zero-maintenance living with lawn care, gardening, maintenance, and snow removal handled by the community’s attentive maintenance team. The community features 38 beautifully designed apartments that offer residents utmost comfort and a peaceful space for relaxation or inviting friends and family over.

The community also makes room for vibrant and engaging activities, including daily exercise classes, social activities, arts & crafts classes and more. Hearty meals and nourishing snacks are also offered to make sure residents are always full and happy. Convenient services, such as housekeeping, lawn care, and snow removal are also available to make residents’ living experience more comfortable and carefree.

Overview of Benet Place Senior Apartments

Overlooking the spectacular views of Watertown, SD, Benet Place Senior Apartments is a serene senior living community, offering a peaceful and nurturing environment for independent living. Here, residents are guaranteed a care-free, zero-maintenance living with lawn care, gardening, maintenance, and snow removal handled by the community’s attentive maintenance team. The community features 38 beautifully designed apartments that offer residents utmost comfort and a peaceful space for relaxation or inviting friends and family over.

The community also makes room for vibrant and engaging activities, including daily exercise classes, social activities, arts & crafts classes and more. Hearty meals and nourishing snacks are also offered to make sure residents are always full and happy. Convenient services, such as housekeeping, lawn care, and snow removal are also available to make residents’ living experience more comfortable and carefree.

What does this home offer?

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Total Residents: 38

Pets allowed icon
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Pets Allowed: Yes, Pets Allowed

Housing options icon
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Housing Options: 1 Bed / 2 Bed

Building type icon
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Building Type: 3-story

Fitness and recreation icon
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Fitness and Recreation

Type of Care Available

Independent Living
Phone: 605-886-9177
Contact Benet Place Senior Apartments

Spearfish Canyon Healthcare, located in beautiful Spearfish, South Dakota, offers a range of skilled care services for seniors. With skilled nursing, long term & short term care, and a variety of therapies including physical, occupational, and speech, this community ensures comprehensive care. Seniors can enjoy the serene surroundings and the sense of community as they work on regaining their independence and well-being.

Fostering compassionate, individualized care to each resident, Spearfish Canyon Healthcare offers various amenities and programs designed for residents wellness and healing, such as pain management, wound care, and social services. With specialized therapies for post-surgical recovery, stroke recovery, and cardiac care, residents receive the support they need. Additional services like dental care, dialysis, and hospice care further enhance the quality of life, making Spearfish Canyon Healthcare a place where seniors can thrive.

Overview of Spearfish Canyon Healthcare

Spearfish Canyon Healthcare, located in beautiful Spearfish, South Dakota, offers a range of skilled care services for seniors. With skilled nursing, long term & short term care, and a variety of therapies including physical, occupational, and speech, this community ensures comprehensive care. Seniors can enjoy the serene surroundings and the sense of community as they work on regaining their independence and well-being.

Fostering compassionate, individualized care to each resident, Spearfish Canyon Healthcare offers various amenities and programs designed for residents wellness and healing, such as pain management, wound care, and social services. With specialized therapies for post-surgical recovery, stroke recovery, and cardiac care, residents receive the support they need. Additional services like dental care, dialysis, and hospice care further enhance the quality of life, making Spearfish Canyon Healthcare a place where seniors can thrive.

What does this home offer?

Building type icon
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Building Type: Single-story

Fitness and recreation icon
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Fitness and Recreation

Type of Care Available

Skilled Nursing

Golden Living Center Groton is an exceptional senior living community offering a diverse range of options including specialized memory care and skilled nursing services. For those seeking memory care, this center stands as a beacon of understanding and support. Every corner of the facility has been purposefully crafted to provide a secure and nurturing haven for individuals with memory loss.
Accessibility is a cornerstone at Golden Living Center Groton. With thoughtfully designed spaces that cater to wheelchair users and inviting indoor and outdoor common areas, residents are treated to an environment that seamlessly blends comfort with the beauty of nature. It’s a place where cherished memories are made, laughter echoes through the halls, and meaningful connections are formed.

Overview of Golden Living Center – Groton

Golden Living Center Groton is an exceptional senior living community offering a diverse range of options including specialized memory care and skilled nursing services. For those seeking memory care, this center stands as a beacon of understanding and support. Every corner of the facility has been purposefully crafted to provide a secure and nurturing haven for individuals with memory loss.
Accessibility is a cornerstone at Golden Living Center Groton. With thoughtfully designed spaces that cater to wheelchair users and inviting indoor and outdoor common areas, residents are treated to an environment that seamlessly blends comfort with the beauty of nature. It’s a place where cherished memories are made, laughter echoes through the halls, and meaningful connections are formed.

Type of Care Available

Skilled Nursing
Phone: 860-446-9960
Contact Golden Living Center – Groton

Avantara Watertown is one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. As one of South Dakota’s most trusted rehabilitative homes, there is a merit of an incomparable level of care that provoke quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual; with that merit comes a two-time recognition as the ‘Best Nursing Homes – Long-Term Care’ by the U.S. News and World Report. Avantara Watertown has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
The areas of excellence are found in the range of an array of specialized services such as; cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. The list of accommodations extends to the comprehensive care plan physical therapy equipment, a team of  full-time therapists on-site, and a home assessment completed. 

Overview of Avantara Watertown

Avantara Watertown is one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. As one of South Dakota’s most trusted rehabilitative homes, there is a merit of an incomparable level of care that provoke quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual; with that merit comes a two-time recognition as the ‘Best Nursing Homes – Long-Term Care’ by the U.S. News and World Report. Avantara Watertown has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life. 
The areas of excellence are found in the range of an array of specialized services such as; cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. The list of accommodations extends to the comprehensive care plan physical therapy equipment, a team of  full-time therapists on-site, and a home assessment completed. 

Contact Avantara Watertown

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