Senior Care in South Dakota
Explore licensed senior care options across 119 cities in South Dakota. Compare 560 verified provider listings, review local cost benchmarks, and find comprehensive care planning guides.
South Dakota Senior Care Cost Report
Median assisted living: $4,900/mo. View statewide pricing comparisons, top 10 city benchmarks, and national medians.
South Dakota Senior Care Cost Benchmarks
Source: CareScout 2025 Cost of Care Survey (published March 2026)
| Care Type | South Dakota Median | Annualized Estimate |
|---|---|---|
| Assisted Living Facility | $4,900/mo | $58,800/yr |
| Memory Care (Estimated) | $6,125/mo | $73,500/yr |
| In-Home Care (Home Health Aide) | $44/hr | $100,672/yr (44 hrs/wk) |
| Homemaker Services | $0/hr | $0/yr (44 hrs/wk) |
| Nursing Home (Private Room) | $10,190/mo | $122,280/yr |
| Adult Day Health Care | $0/day | $0/yr (5 days/wk) |
South Dakota Medicaid & State Regulation
Understanding state regulations and financial assistance programs helps families make informed, secure long-term care placements across South Dakota.
State Licensing Agency
Senior care facilities, residential communities, and memory care homes are licensed and inspected by the South Dakota Department of Health.
Regular inspections assess staffing ratios, medication administration, sanitation, and resident safety rights.
Medicaid HCBS Waiver
Financial assistance for home care and supportive residential living is provided through the HOPE Waiver.
Medicaid waivers fund therapeutic and personal care services, though room and board costs typically require private pay.
Cities in South Dakota
Verified provider directory inventory as of September 2026
Sioux Falls
107 licensed providers
Rapid City
57 licensed providers
Aberdeen
26 licensed providers
Pierre
16 licensed providers
Watertown
16 licensed providers
Mitchell
14 licensed providers
Yankton
14 licensed providers
Milbank
10 licensed providers
Brookings
9 licensed providers
Huron
9 licensed providers
Belle Fourche
8 licensed providers
Flandreau
8 licensed providers
Madison
8 licensed providers
Spearfish
8 licensed providers
Wagner
8 licensed providers
Hot Springs
7 licensed providers
Brandon
6 licensed providers
Canton
6 licensed providers
Chamberlain
6 licensed providers
Dakota Dunes
6 licensed providers
Gregory
6 licensed providers
Redfield
6 licensed providers
Sisseton
6 licensed providers
Vermillion
6 licensed providers
Winner
6 licensed providers
Eureka
5 licensed providers
Miller
5 licensed providers
Sturgis
5 licensed providers
Britton
4 licensed providers
Corsica
4 licensed providers
De Smet
4 licensed providers
Faulkton
4 licensed providers
Freeman
4 licensed providers
Howard
4 licensed providers
Parkston
4 licensed providers
Philip
4 licensed providers
SpearfiSh
4 licensed providers
Armour
3 licensed providers
Clark
3 licensed providers
Clear Lake
3 licensed providers
Custer
3 licensed providers
Dell Rapids
3 licensed providers
Eagle Butte
3 licensed providers
Gettysburg
3 licensed providers
Hartford
3 licensed providers
Marion
3 licensed providers
Mobridge
3 licensed providers
Pine Ridge
3 licensed providers
Platte
3 licensed providers
Scotland
3 licensed providers
Viborg
3 licensed providers
Wessington Springs
3 licensed providers
Beresford
2 licensed providers
Bowdle
2 licensed providers
Bridgewater
2 licensed providers
Bristol
2 licensed providers
Burke
2 licensed providers
Canistota
2 licensed providers
Elk Point
2 licensed providers
Faith
2 licensed providers
Lake Andes
2 licensed providers
Lake Norden
2 licensed providers
Lennox
2 licensed providers
Menno
2 licensed providers
New Underwood
2 licensed providers
Rosebud
2 licensed providers
Tea
2 licensed providers
Wakonda
2 licensed providers
Webster
2 licensed providers
Wilmot
2 licensed providers
Alcester
1 licensed provider
Arlington
1 licensed provider
Black Hawk
1 licensed provider
Bonesteel
1 licensed provider
Bryant
1 licensed provider
Buffalo
1 licensed provider
Castlewood
1 licensed provider
Centerville
1 licensed provider
Colton
1 licensed provider
Davison
1 licensed provider
Deadwood
1 licensed provider
Estelline
1 licensed provider
Florence
1 licensed provider
Fort Meade
1 licensed provider
Garretson
1 licensed provider
Groton
1 licensed provider
Harrisburg
1 licensed provider
Herreid
1 licensed provider
Highmore
1 licensed provider
Hudson
1 licensed provider
Ipswich
1 licensed provider
Irene
1 licensed provider
Kadoka
1 licensed provider
Keystone
1 licensed provider
Kimball
1 licensed provider
Kyle
1 licensed provider
Lake Preston
1 licensed provider
Lead
1 licensed provider
Lemmon
1 licensed provider
Martin
1 licensed provider
Piedmont
1 licensed provider
Plankinton
1 licensed provider
Porcupine
1 licensed provider
Ramona
1 licensed provider
RedfiEld
1 licensed provider
Roscoe
1 licensed provider
Rosholt
1 licensed provider
Roslyn
1 licensed provider
Salem
1 licensed provider
Selby
1 licensed provider
SpringfiEld
1 licensed provider
Tripp
1 licensed provider
Tyndall
1 licensed provider
Volga
1 licensed provider
Waubay
1 licensed provider
White Lake
1 licensed provider
White River
1 licensed provider
Whitewood
1 licensed provider
Woonsocket
1 licensed provider
Frequently Asked Questions
How many licensed senior care facilities operate in South Dakota?
The families.care verified directory tracks 560 licensed senior care providers across 119 cities in South Dakota as of September 2026. This includes assisted living communities, dedicated memory care facilities, skilled nursing homes, and licensed home health agencies.
What is the cost of senior living in South Dakota?
According to the CareScout 2025 Cost of Care Survey (published March 2026), the median cost of assisted living in South Dakota is $4,900 per month. In-home care aides average $44 per hour, and nursing homes average $122,280 annually for private rooms.
Who regulates assisted living and nursing homes in South Dakota?
Senior living facilities in South Dakota are regulated and inspected by the South Dakota Department of Health. Inspection reports, safety audits, and violation records are public records that families should consult prior to admission.
Can South Dakota Medicaid help pay for senior care?
Yes. In South Dakota, Medicaid covers skilled nursing home care for medically and financially qualified individuals. For seniors who prefer living at home or in community residential settings, South Dakota offers Home and Community-Based Services (HCBS) waivers, such as the HOPE Waiver, which cover personal care and therapy services.
Explore Senior Care in Neighboring States
How we research and verify this information
Our team compiles this listing from public records and provider data, and reviews it against authoritative sources. Read our editorial standards and research methodology.
- Cost of Care Survey (2025)Publisher: CareScout. Supports: General senior-care planning information. Last checked: 2026-08-15.
- Skilled nursing facility coveragePublisher: Medicare.gov. Supports: General senior-care planning information. Last checked: 2026-08-15.
- Medicaid coverage and eligibilityPublisher: Medicaid.gov. Supports: General senior-care planning information. Last checked: 2026-07-10.
- Long-term-care guidance for familiesPublisher: National Institute on Aging. Supports: General senior-care planning information. Last checked: 2026-07-10.
- VA pension rates (Aid & Attendance)Publisher: U.S. Department of Veterans Affairs. Supports: General senior-care planning information. Last checked: 2026-08-15.