Assisted living in South Dakota offers a range of options for families seeking senior care for their loved ones. The state of South Dakota provides a supportive environment for seniors, with a variety of services and amenities available.
In terms of costs, South Dakota generally has lower average assisted living expenses compared to the national average. This can make the state an attractive option for families looking for affordable senior care options. Additionally, the average income in South Dakota is also lower than the national average, which may be a factor to consider when planning for assisted living costs.
When it comes to popular cities for assisted living in South Dakota, some of the top choices include Sioux Falls, Rapid City, and Aberdeen. These cities offer a range of senior care facilities, amenities, and resources to meet the needs of elderly individuals.
It's important for families to thoroughly research and visit different assisted living communities in South Dakota to find the one that best suits their loved one's needs. Each facility may have its own unique offerings and services, so taking the time to explore options and ask questions can help make an informed decision.
Overall, South Dakota provides a welcoming environment for seniors in need of assisted living, with affordable options available and a variety of cities to choose from.
3408 W Ralph Rogers Rd, South Dakota 57108
Trail Ridge Senior Living Community stands out in Sioux Falls for its genuinely warm atmosphere and the way staff interact with residents. People who visit often mention how engaged and approachable the staff are, especially in memory care—there's a sense that employees actually enjoy being there, not just clocking in. The apartments and common spaces are spacious, clean, and well-kept, with a swimming pool, large courtyards, and garden areas that residents use regularly.
1002 N Jay St, South Dakota 57401
Avera Mother Joseph Manor Retirement Community stands out in Aberdeen for its blend of practical care and a genuinely caring staff. It's not a flashy place, but families notice that the employees go out of their way to help residents feel comfortable and supported. The staff is often described as positive and attentive, which makes a real difference for people who need daily help.
1801 3rd Ave SE, South Dakota 57401
Derian Place Senior Living stands out in Aberdeen for its flexible, individualized care and a warm, family-like environment that residents and their families mention again and again. What’s different here is how they blend practical support—like 24/7 licensed nurse supervision and tailored care plans that adjust as needs change—with a strong focus on keeping life vibrant and engaging.
821 Fox Run Dr, South Dakota 57701
Families looking for real independence with a safety net often land at Echo Ridge. Residents live in private apartments that actually have full kitchens—so if your parent still loves to cook, that's a big plus. Weekly housekeeping helps keep things tidy, but folks can still do their own thing if they want. Staff are around 24/7, handling everything from medication reminders to help with bathing or dressing when needed.
1050 Fairmont Blvd, South Dakota 57701
The Village at Skyline Pines sits just above Mount Rushmore Road, tucked into Rapid City's medical corridor. Locals know it for its newer, well-kept building and for rooms that actually have a view—either city lights or pine-dotted hills, depending on which side you're on. Families say the staff really tries to get to know residents, not just check boxes. One reviewer mentioned her husband moved into a brand new room and she felt the team was attentive, especially in his wing.
4501 E Pampas Pl, South Dakota 57110
StoneyBrook Suites in Sioux Falls feels more like a small neighborhood than a facility. The layout is all on one level, so getting around is easy for folks with walkers or wheelchairs. They offer a range of apartment sizes, from studios up to two bedrooms, and some have been recently renovated. The staff includes nurses and restorative therapy professionals who work one-on-one with residents.
255 Texas St, South Dakota 57701
Westhills Village is one of those places that feels more like a small town than a senior community. The staff includes RNs, certified nurse assistants, and a therapy team—so you’ll see familiar faces whether your loved one needs help with daily tasks or more advanced care like physical or speech therapy. Families often mention that the staff genuinely care about the residents, and you can tell by the way they interact—lots of patience and real conversations, not just quick check-ins.
1015 Mountain View Rd, South Dakota 57702
Clarkson Mt View Health Care Facility stands out for its attentive staff and the little touches that make daily life smoother for residents. Families often mention how easy it is to get help from the team—people describe the staff as genuinely friendly and quick to address concerns. Private rooms are a highlight here, offering a sense of personal space that’s not always easy to find in nursing homes.
1810 S Dorothy Ave, South Dakota 57106
Edgewood Prairie Crossings feels more like a small, friendly neighborhood than a big facility. The building has a simple, easy-to-navigate layout—just two main hallways in a U-shape—which makes it less overwhelming for new residents and easier for folks with memory concerns to get around. Meals get a lot of positive feedback: residents can choose from a couple of different entrees at lunch and dinner, and breakfast is flexible, so early risers and late sleepers both get what they need.
1104 Jackson Blvd b, South Dakota
If you’re looking for support at home in Rapid City, Good Samaritan Society - Home Health of the Black Hills is one of the most established names around. They’ve been serving the area for over 30 years, which is rare for home health agencies in this region. What stands out is their focus on helping people stay independent at home, whether that means sending a nurse to manage medications after a hospital stay or providing a home health aide to help with bathing and meals.
215 S Maple, South Dakota 57201
Jenkin's Living Center & Rehab feels less like a big institution and more like a place where people know each other. Staff reviews mention that coworkers and management treat each other—and the residents—like family, which isn’t something you hear everywhere. Folks working there say they actually enjoy coming in, and that the management is kind and understanding. Residents get respect and personal attention, not just routine care.
4000 S Westport Ave, South Dakota 57106
The Inn on Westport has been around for over 20 years and is managed by The Goodman Group, which has a long track record in senior living. They offer several living options—independent apartments, assisted living, and memory care—so residents can get more help if they need it without having to move. What stands out is the range of practical amenities: there's an on-site bank, a full-service salon, and a wellness center, plus heated indoor parking for those harsh South Dakota winters.
2303 Michigan Ave, South Dakota 57701
There's a Hart is a small, home-like assisted living community set in a converted residential house. Residents each have a private bedroom—most with a half bath—and access to a spacious living area and a backyard with a covered patio and garden. The staff here is known for being attentive and experienced, with caregivers available 24/7 and a registered nurse on call at all times.
4001 Derby Ln, South Dakota 57701
Edgewood Rapid City stands out for its personal touch and the way staff genuinely get to know residents. Families and visitors often mention how the staff greet residents by name, know their stories, and pay attention to the small details that make daily life more comfortable. The community is all on one level, which makes it easier for folks with mobility challenges—no stairs or ramps to worry about.
3900 S Terry Ave, South Dakota 57106
Sunnycrest Village is a spot that feels more like a neighborhood than a facility. Residents have their own apartments—equipped with full kitchens and laundry—so it’s not just a room, it’s a real home. There’s a lot of flexibility here: leases are month-to-month, and rent is adjusted based on income, which stands out for families watching their budgets. The staff is known for being friendly and quick to help, especially with maintenance—most requests get handled within 24 hours.
1717 E Melgaard Rd, South Dakota 57401
Angelhaus stands out for its small, close-knit environment where residents get a lot of one-on-one attention. They focus on assisted living and memory care, especially for people with Alzheimer's or dementia. Staff help with daily needs like bathing, dressing, and medication management, and there’s always someone on hand 24/7. Families mention that the staff are friendly and genuinely care, making transitions easier for new residents.
224 E Minnesota St, South Dakota 57701
Arrowhead Lodge Senior Living stands out for its small, friendly atmosphere and the way it feels more like a close-knit neighborhood than a large facility. With only 48 units, it’s easier for staff to really get to know each resident, and families often mention how welcoming everyone is—from the general manager to the activities director. The apartments have full kitchens, which is rare, so residents can cook if they want, but meals are also served restaurant-style in a bright dining area.
4120 Winfield Ct, South Dakota 57701
Morningstar Assisted Living feels less like a big institution and more like a real home. Families who’ve had loved ones there say the staff treat residents like family—there’s a lot of warmth and patience, and it’s clear they genuinely care. The place is small, which means everyone gets more personal attention.
2900 W 11th St Unit 101, South Dakota 57104
Rehabilitation Center-Blind in Sioux Falls is a place focused on helping people with vision loss gain more independence in daily life. Instead of being a typical assisted living or nursing home, they specialize in teaching practical skills for those who are blind or have low vision. The staff includes trained professionals—often with backgrounds in orientation and mobility, assistive technology, and daily living skills—who work one-on-one or in small groups.
1906 12th St S, South Dakota 57006
StoneyBrook Suites in Brookings feels more like a small community than a facility. The staff includes a full-time nurse (Jessica Burrell, RN), an LPN administrator (Peggy Vostad), and a dedicated team for activities, therapy, and dining. Residents get help with daily tasks like bathing, dressing, and medication, but the real difference is in the details: three homestyle meals a day (no cafeteria trays), on-site physical and cognitive therapy, and a personal pendant system for quick assistance.
4709 E 6th St #108, South Dakota 57110
Washington Crossing Senior Living offers a mix of independent and assisted living, with some memory care services, in a small, well-kept community on the east side of Sioux Falls. Residents here get their own apartments (with several floor plan options, including two bedrooms and dens), and families often mention how bright and spacious the units feel. The staff gets high marks for friendliness and helpfulness, and there’s 24-hour supervision for those who need it.
4825 St Martins Dr, South Dakota 57702
If you're looking for a place where your loved one can really settle in and feel at home, Good Samaritan Society, St. Martin Village is worth a look. The staff here are known for being genuinely friendly and upfront—families mention that they got all their questions answered without having to dig for info. The apartments stand out because each one has its own laundry, which is rare and makes day-to-day life a lot easier for residents.
2500 Arrowhead Dr, South Dakota 57702
Avantara Arrowhead is a skilled nursing and rehab center that’s best known locally for its focus on short-term rehab and medical recovery, especially after surgery or illness. They’re not just a long-term nursing home—many residents come here for a few weeks of intensive therapy before heading home. The staff includes registered nurses, licensed practical nurses, and certified nurse aides, with about 3.5 hours of nursing care per resident each day (split between RNs, LPNs, and aides).
409 E Fairlane Dr, South Dakota 57701
Fairmont Grand Senior Living in Rapid City stands out for offering a mix of independent living, assisted living, and memory care, all in one building. Residents can choose between private apartments or more affordable group housing. The community is known for its daily activity schedule—think music programs, arts and crafts, and regular social outings, which families say help keep residents engaged and connected.
2015 8th St S, South Dakota 57006
Edgewood Brookings stands out for its small, home-like atmosphere and the way staff build real relationships with residents. You’ll hear from families that the staff are genuinely caring—people mention them by name and talk about how they take time to get to know each resident, not just as a patient but as a person. The rooms are private, with each resident having their own bathroom, which isn’t always the case elsewhere.
225 14th Ave NE, South Dakota 57201
Edgewood Cedar View isn’t just another senior living community—it’s a place where stories matter. What stands out here is how much thought goes into making residents feel at home, especially those living with memory loss. The team puts a real focus on memory care, with specialized programs, enhanced safety features, and staff who know how to connect with folks facing dementia or Alzheimer’s.
420 9th St SE, South Dakota 57201
Edgewood Memory Care Watertown stands out because of its focus on supporting people living with memory loss in a way that feels personal and attentive. The community is smaller than some, which means staff can really get to know each resident and their routines. They offer 24-hour staffing, so someone is always available if your loved one needs help, whether it’s with medication, personal care, or just finding a familiar face when things feel confusing.
3401 W Ralph Rogers Rd, South Dakota 57108
Edgewood Sioux Falls Memory Care stands out for families looking for a place that truly understands the challenges of memory loss. This isn’t a massive, impersonal facility—Edgewood is purpose-built for memory care, with a secure layout that helps residents feel comfortable and safe. Staff are on-site 24/7, not just for emergencies, but to help with daily routines, medication, and those unpredictable moments that come with dementia.
5324 W 49th St, South Dakota 57106
If you're looking into Good Samaritan Society - Meadowstone for your parent, here's what stands out beyond the usual brochure talk. Meadowstone focuses on assisted living, so it's really about helping folks who want to stay as independent as possible but need a hand with daily things like meals, bathing, or medication reminders.
312 9th Ave SE C, South Dakota 57201
Independent Living Choices isn’t your typical senior care provider. What stands out is that they focus on helping people with disabilities—of all ages—live more independently, not just seniors. Families say the staff really listen and go the extra mile to make sure you get what you need, whether it’s help applying for disability benefits, getting adaptive devices for your home, or finding ways to stay social and active.
17444 Meadow Lake Rd, South Dakota 57201
Meadow Lake Assisted Living feels less like an institution and more like a small, close-knit neighborhood where folks genuinely look out for each other. The staff here, known locally for being both attentive and approachable, are often praised in reviews for their kindness and patience—traits that families in Watertown say make all the difference.
405 1st Ave, South Dakota 57006
United Living Community in Brookings is one of those places that covers a lot of ground: they offer independent living, assisted living, memory care, and nursing home services all under one roof. If your parent is in independent living, it's pretty hands-off—they get their own apartment with a living room, kitchen, bedroom, and bathroom. Meals aren’t included, so most folks use Meals on Wheels or cook for themselves.
1321 Columbus St, South Dakota 57701
Victorian Assisted Living on Columbus Street is a familiar name in Rapid City for seniors who want a smaller, more personal setting. Staff here handle everything from help with bathing and dressing to medication management, and they're around 24/7. The building is newer, with lots of sunlight and big windows—residents often mention the backyard view and the sense of space, which is a nice change from the usual parking lot scenery.
1425 15th Ave SE, South Dakota 57401
Bethesda Towne Square feels more like a small neighborhood than a typical senior facility. Residents have their pick of 40 roomy apartments, each with a bit of privacy and space to make their own. What stands out here is the mix of independence and support—folks can keep their routines but have help close by when they need it. The staff is known for being attentive, and there’s always a licensed team member around, day or night, which gives families some peace of mind.
4400 W Creekside Dr, South Dakota 57106
If you're weighing options for your parent, Good Samaritan Society - Prairie Creek stands out for its flexibility and sense of community. They offer independent living, assisted living, and memory care, so your loved one can stay in familiar surroundings even if their needs change. Staff are available 24/7 and help with everything from medication to daily routines like bathing and dressing.
1760 Tablerock Rd, South Dakota 57701
Peaceful Pines Senior Living at Rapid City stands out for its blend of independence and support, offering a range of care options under one roof. Residents can choose from independent living, assisted living, and memory care, so families don’t have to worry about moving their loved one if needs change. The staff includes 24-hour caregivers and a registered nurse on-site, which means help is available day and night, and medication management is handled by professionals.
1250 Windsor Dr, South Dakota 57006
If you're looking for a place where your parent can keep their independence but still have support nearby, Pheasant Run Apartments in Brookings might be worth a closer look. It’s not a flashy spot, but that’s actually part of the appeal for a lot of families. The building is designed for seniors who want affordable housing, and it’s known for being accessible and practical. Rents are lower because they get government funding, so it’s a good option if budget is a concern.
130 N Sycamore Ave, South Dakota 57110
Meadows On Sycamore feels a bit more down-to-earth than some of the flashier places in Sioux Falls. They’re not huge or fancy, but what stands out is how practical and approachable everything seems. The building has 123 beds, so it’s big enough for variety but not so large that it feels overwhelming. Staff help with the basics—things like medication reminders, bathing, dressing, and making sure meals fit special diets.
3901 S Marion Rd, South Dakota 57106
Good Samaritan Society - Sioux Falls Village is one of those places where you can find a full range of senior living options under one roof. They offer everything from independent apartments to assisted living, memory care, and long-term nursing care. What stands out is their practical, day-to-day support: residents can get help with things like medication reminders, laundry, housekeeping, and meals.
1321 Dow Rummel St, South Dakota 57104
Dow Rummel Village stands out because it isn’t just a place to live—it’s a real community where residents can move between independent living, assisted living, enhanced assisted living, memory care, and skilled nursing, all without having to leave the campus. What I appreciate most is how they’ve built everything under one roof, so if your loved one’s needs change, they don’t have to uproot their life.
420 9th St SE, South Dakota 57201
Good Samaritan Sioux Valley Community in Watertown is one of those places families often hear about when looking for senior care in the area. They offer a mix of independent living, assisted living, and nursing home care, so residents can move between levels of support as their needs change.
1020 N Jay St, South Dakota 57401
Nano Nagle Village stands out in Aberdeen for its blend of practical support and a home-like feel that’s hard to find elsewhere. The staff here handles the basics—help with bathing, dressing, and medication reminders—but they also go a step further with things like special meal plans for folks with diabetes or high blood pressure. Residents get three homemade meals a day, and the kitchen is flexible about dietary needs, which families really appreciate.
104 4th St, South Dakota 57006
Park Place Assisted Living in Brookings isn’t flashy, but it does the basics well. Residents get help with daily tasks like bathing and dressing, and there’s always someone on hand—caregivers are available 24/7. The building offers private suites (some set up for couples), which is a nice touch if you’re looking for a bit of privacy. They serve homemade meals every day, and families mention the food feels home-cooked, not institutional.
1324 12th Ave SE, South Dakota 57401
Parkside Retirement Community feels like a place where seniors can keep their independence but still have support when they need it. They have 61 apartments, so it's not huge—there's a sense that people know each other. The staff includes professional nurses who do regular health checks and are there around the clock, which is reassuring if your parent needs help in the middle of the night. They also have a 24-hour emergency call system in every apartment.
900 20th St S, South Dakota 57006
Peaceful Pines Senior Living at Brookings is the kind of place where residents can actually shape their day-to-day experience. The community offers both independent and assisted living, so folks can get a little help when they need it but still keep their routines and independence. Meals are cooked fresh twice a day, and residents don’t have to worry about things like shoveling snow or fixing a leaky faucet—maintenance and housekeeping are taken care of.
1800 S Dorothy Ave, South Dakota 57106
Prairie Crossings at 1800 S Dorothy Ave is an assisted living facility in Sioux Falls, but it's also sometimes listed as Edgewood Prairie Crossings, which can be confusing when you're searching for reviews. The place offers assisted living, and some listings mention nursing home services, but most of what I found points to assisted living and possibly some memory care.
901 14th Ave NE # A, South Dakota 57201
Prairie Crossings in Watertown is one of those places that feels a bit more personal than some of the bigger facilities. It's not flashy, but it does focus on the basics that matter—like making sure folks with memory issues or dementia have a safe, comfortable place to live. Some families have said their loved ones are happier and more relaxed here, especially those dealing with dementia.
2522 13th Ave SE, South Dakota 57401
Red Rose Care Home is a small, home-like assisted living facility tucked into a quiet Aberdeen neighborhood. What stands out here is the personal touch—they're known for individualized care plans that actually adjust to each resident's needs, whether that's help with bathing, dressing, or managing a special diet. Meals are home-cooked and served three times a day, and staff can accommodate dietary restrictions like diabetes or hypertension if you ask.
1611 Mountain View Rd, South Dakota 57702
Rose Manor is a really small senior care home—just two residents at a time—which means your parent would get a lot of one-on-one attention. It’s not a big, fancy facility, but it’s more like a cozy house where staff know each resident well. They offer both assisted living and memory care, so if your parent needs help with daily things like bathing, dressing, or medication, they can handle that.
4513 S Prince of Peace Pl #1, South Dakota 57103
Avera Prince of Peace Retirement Community stands out in Sioux Falls for how much it feels like a real neighborhood rather than just a care facility. Residents here aren’t just moving into a building—they’re joining a small community with its own Main Street, complete with a bank, salon, chapel, general store, café, and even a pub.
