According to Genworth’s 2020 Cost of Care Survey, South Dakota is one of the most affordable states to live in an assisted living facility. The average price tag is $3,638 per month, while the national average is $4,300. However, since some low-income seniors don’t have the financial resources to cover assisted living costs, South Dakota offers The HOPE (Home and Community-Based Options and Person Centered Excellence) Waiver to those who qualify for Medicaid. The waiver pays for some of the costs of personal care assistance provided in an assisted living facility, but usually not the cost of room and board.
10 Best Assisted Living Facilities in South Dakota

Bethesda Towne Square, Aberdeen
Bethesda offers 40 spacious apartment suites for seniors who need minimal assistance with daily tasks and minor medical supervision. Residents enjoy planned activities including exercise classes, and participate in group outings into the Aberdeen community. A 24-hour nurse is available as needed to help with oxygen therapy and medication management, and an attentive staff can help with bathing, dressing, and mobility. Therapeutic rehabilitation services can also be arranged.
Cost begins at $3,370 per month.

Primrose, Aberdeen
Primrose is designed for seniors who want the privacy of their own apartment home with the security of 24-hour care. Daily activities include Tai Chi, coffee socials, card games, Wii Bowling, and Book Club at the Pub. Three home-cooked meals are served each day in the dining room, and scheduled transportation is offered into Aberdeen. The facility stresses that they have open communication between residents, their families, and physicians.
Cost begins at $3,200 per month.

Stoneybrook Suites, Brookings
StoneyBrook Suites is close to South Dakota State University, which is perfect for seniors living at Stoneybrook who enjoy watching Division I sports. Residents can also enjoy day trips to the local art museum, performing arts center, and shopping centers. Onsite, a dedicated nursing staff provides quality of care for health conditions such as incontinence, diabetes, breathing conditions and more. Medications and therapies are tracked and dispensed using an advanced EMAR (electronic medical administration record) system, providing direction and accountability throughout each day.
Cost begins at $2,835 per month.

Edgewood, Rapid City
Residents at Edgewood appreciate its close proximity to Mount Rushmore and Crazy Horse, which are both fun to visit with family and friends. The facility’s healthcare service division, CaringEdge, provides onsite therapy services, while staff nurses monitor residents’ blood sugar, pulse, weight, dietary needs and more. Seniors often gather around the pool table to challenge friends, and enjoy dining together for meals three times a day. Short-term stays can be arranged.
Cost begins at $3,390 per month.

Peaceful Pines, Rapid City
Peaceful Pines is located in the Black Hills, offering residents breathtaking views of forests and wildlife. The community has plenty of community areas where seniors can socialize, including a cafe, game room, and a community garden. A medically-trained staff is available 24/7 for help with daily living tasks, and each resident has an emergency safety system. Transportation is available into town for running errands, but residents can also take advantage of grocery and pharmacy delivery services. Peaceful Pines is easily accessible from I-90 and Rapid City’s regional airport.
Cost begins at $3,430 per month.

Avera Prince of Peace, Sioux Falls
Avera Prince of Peace is designed to resemble downtown Sioux Falls, complete with a central main street area that has a gift shop, salon, corner café, bank, and pub. Residents also have access to an exercise room and secure courtyard. A 24-hour staff offers help with bathing, dressing, and medications, and residents have immediate access to premier health care services through Avera. Catholic mass is offered daily, with bi-weekly ecumenical services and pastoral care available.
Cost begins at $2,915 per month.

Good Samaritan Society, Sioux Falls
At Good Samaritan Society – Sioux Falls Hearthstone, residents have access to 24-hour assistance, three nutritious meals a day, housekeeping service and a personal emergency response system. Staff nurses provide medication administration and monitor vital signs, while pharmacists are available for consultation. If needs progress, rehabilitative care and skilled nursing are available without the resident needing to move to a different facility. As a faith-based community, Sioux Falls Village integrates spiritual care as part of its mission.
Cost begins at $2,940 per month.

Trail Ridge, Sioux Falls
Trail Ridge comprises 40 individual assisted living cottages situated on 18 serene acres. Residents can arrange transportation to the many shopping and entertainment venues in Sioux Falls, but also have everything they need onsite. Delicious, nutritious meals are served three times a day, and wellness programs meet the recommendations of the International Council on Active Aging. Caregivers offer cognitive support as well as assistance with grooming and medications, and housekeeping services are included.
Cost begins around $3,000 per month.

Key City, Sturgis
Key City is a residential style community serving 16 seniors. Residents have the comfort of knowing a nursing staff can help with activities of daily living as well as refilling prescriptions, making medical appointments, and arranging transportation to doctor appointments. Each private room includes a 24-hour monitored emergency call system. Without having to worry about home maintenance and housekeeping, residents are able to truly enjoy the social, spiritual and recreational programs provided by Key City’s staff. This facility accepts Medicaid.
Cost begins at $3,040 per month.

Walnut Village, Yankton
Walnut Village offers 16 assisted living units within the historic Yankton High School and Middle School building. The renovated building offers private apartments along with a resident workshop, a library with a fireplace, a Great Room with a pool table, and a patio for enjoying outdoor dining. Residents can easily venture out into historic downtown Yankton to visit the Dakota Theater, coffee shops, retail stores, and the Auld-Brokaw Walking Trail. A registered nurse is on staff, and speech, occupational, and physical therapies can be arranged.
Cost begins at $4,790 per month.