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Compare Assisted Living around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
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| Pine Hills Retirement Community |
SC Senior Communitie
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 | 78
Facility
78
SD AVG
69
Rank
#38 / 117 | No |
0
Facility
0
SD AVG
39
Rank
#149 / 159 | - | 1
Facility
1
SD AVG
8
Rank
#14 / 51 | Vickie Nekuda |
| 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
#6 / 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 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.
Pine Hills Retirement Community is one of the most trusted senior living communities in South Dakota. Independent living and assisted living housing options are offered to seniors. Its staff has always aimed to provide a well-respected senior living community that provides exceptional service to seniors that may need financial assistance; its dedicated team of professionals accommodates independent living and assisted living. Pine Hills is an elegant community that ensures that residents of both living options are able to feel dignified by the inclusive and caring environment.
They offer a range of services and amenities, including dining, scheduled activities, and medical activities.
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/
Edgewood Pierre is the ideal place for residents to experience an active lifestyle where seniors can fulfill independence and support, regardless of their housing options. Specializing in assisted living and memory care support, the community understands the importance of happiness and serenity, ensuring that each resident can receive only the best care. Edgewood Pierre is the home where seniors thrive and get back on their feet quickly and independently.
Edgewood Pierre’s accommodations are focused on maintaining an active lifestyle and immersing in stimulating memory care activities in a home-like setting. Other amenities include a family-gathering room, multiple recreational rooms, a Chapel, a dining room, and a fitness center.
Overview of The Village at Skyline Pines Assisted Living & Memory Care
The Village at Skyline Pines Assisted Living & Memory Care is situated above Mount Rushmore Road in the medical district of South Rapid City, South Dakota. This distinguished assisted living community prioritizes personalized care and independence for its residents. The compassionate staff, well-versed in assisted living, ensures exceptional service. Memory care specialists are also available to support those dealing with memory-related challenges.
The Village offers a welcoming environment with a solid clinical foundation, allowing residents to feel at home while receiving top-notch care. Perched on a secure hilltop, The Village at Skyline Pines provides city-view rooms for sunrise and city lights enthusiasts and western-view rooms with glimpses of wildlife amidst pine trees. Here, vibrant living awaits—join them to forge friendships and create cherished memories.
Overview of The Inn on Westport
The Inn on Westport is a distinguished senior living community managed by The Goodman Group, bringing 50 years of expertise in developing and managing exceptional healthcare and assisted senior living communities. They offer a comprehensive range of services, including assisted living, independent living, memory care, and respite care, ensuring that each resident’s unique needs are met with the utmost care and attention. As part of their commitment to holistic well-being, they even provide specialized programs, including a Parkinson’s program, to support residents with specific health needs.
Prepare to be captivated by the serene and beautifully landscaped indoor spaces, including a stunning three-story atrium that serves as the centerpiece of the community. From the cozy café to the tranquil chapel, every corner of The Inn on Westport is thoughtfully designed to create a welcoming and nurturing environment. On-site amenities such as a bank, beauty and barber salon, and more, add convenience and luxury to residents’ lives. Recognizing the sacrifices and contributions of veterans, the home also provides an exceptional environment for assisted living for veterans. Here, veterans can connect with fellow servicemen and women, share stories, and be honored for their dedication and commitment.
Overview of Countryside Living
Countryside Living is a retirement community that houses assisted living and independent living where its services and community features are designed with the thought of ensuring that residents maintain an active lifestyle with endless opportunities. The community’s goal is to ensure that their residents live every day as a way to live a purposeful living as individuals who are constantly growing and learning as they begin their new journey. Countryside Living is the ideal place for comfort, convenience, and choice– with the help of their professional care staff dedicated to attending to your needs.
The countryside lifestyle is inclusive of ADLs, scheduled activities, and medical supervision.
Overview of Avantara Lake Norden
Avantara Lake Norden boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. There is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Lake Norden 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 The Village of Harmony Hill
The Village of Harmony Hill offers independent living, assisted living, and memory care services that lead to a vibrant residential lifestyle focused on receiving world-class hospitality. The retirement home promotes a youthful and energetic atmosphere that promotes a lifestyle that strives for holistic wellness. At the senior living home, seniors can continue enjoying and fulfilling their interests and needs.
The Village aims to build a habit of working towards the wellness of its residents in a positive and friendly spirit. The upscale home’s accommodations offer opportunities and inspiration that promote a continuum of growth found in scenic outdoor spaces, an ecumenical chapel, and an exquisite dining area. These include weekly housekeeping and laundry, outings and activities, delicious and nutritious meals daily, and specialized programs performed by in-house caregivers.
Overview of Touchmark at All Saints
Touchmark at All Saints is a magnificent senior living community that offers exquisite living options such as cottages or condo-style rooms for residents of independent living, assisted living, and memory care. Regardless of what kind of living option you are in, management and staff are guaranteed to provide resort-like accommodations with exceptional hospitality. The luxurious and elegant senior living community offers a stimulating environment where every need of each senior is being met. Touchmark at All Saints strives to provide a comfortable lifestyle of everyday living for its residents, making it an ideal place to call a new home.
The Touchmark experience is focused on the holistic wellness of its residents, which is why they have included life-enriching activities, health and fitness club, and recreational activities in the daily routine of seniors.
Ranking Methodology
How we rank these assisted living communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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 Assisted Living in South Dakota
What's the difference between assisted living and memory care in South Dakota?
Assisted living in South Dakota supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.
What's the difference between assisted living and a nursing home in South Dakota?
Assisted living in South Dakota is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does South Dakota Medicaid cover assisted living?
South Dakota Medicaid does not directly pay room-and-board for assisted living, but most states (including South Dakota) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.
What is assisted living?
Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.
How many assisted living facilities are listed on this page?
This page features 128 assisted living facilities in South Dakota. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right assisted living facility 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 assisted living facilities 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.
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