How many assisted living centers are there in South Dakota?

Our South Dakota directory lists 85 licensed assisted living centers across 60 cities. The largest concentrations are in Minnehaha County, Pennington County, Brown County.

What is an assisted living center in South Dakota?

"Assisted Living Center" is the South Dakota licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Licensed homes range from small residential settings to larger communities.

How much does assisted living cost in South Dakota?

The median assisted living rate in South Dakota is $4,900 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.

Who licenses assisted living centers in South Dakota?

South Dakota Department of Health, Office of Health Care Facilities Licensure and Certification licenses and inspects every assisted living center in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.

Does Medicaid pay for assisted living centers in South Dakota?

South Dakota's HOPE waiver can pay for services in participating assisted living centers. Eligibility rules and waitlists vary, so confirm current terms with the state before you count on coverage.

Assisted Living Centers in South Dakota

South Dakota Assisted Living Centers Directory

85 licensed assisted living centers across 60 cities.

South Dakota licenses Assisted Living Centers through the Department of Health, Office of Health Care Facilities Licensure and Certification. The state has 85 small licensed centers with 30 or fewer beds, serving communities from Sioux Falls and Rapid City to smaller rural towns across the state.

See what care costs here, or learn how assisted living centers work.

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13 counties

Cities in South Dakota

60 cities

South Dakota care costs at a glance

Median monthly figures for South Dakota. Small residential homes often price below the assisted living median because they carry lower overhead, though rates rise with care needs. Ask any home for its rate sheet in writing.

Type of care	Median per month
Assisted living Monthly median, one resident	$4,900
In-home care Non-medical caregiver, 44 hours a week	$8,437
Nursing home Semi-private room	$9,444

Home care median is CareScout's non-medical caregiver rate at 44 hours per week.

Source: CareScout (formerly Genworth) Cost of Care Survey, 2025.

Full cost breakdown for South Dakota assisted living centers →

Talk through your shortlist with an advisor

A Place For Mom connects families with local senior living advisors. The guidance is free for families; advisors are paid by the communities that participate in their network. An advisor can help you build a shortlist and schedule tours. The judging stays with you: verify any home you are considering against the state license database, whoever recommended it.

Connect with a senior living advisor at no cost to you →

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What small care homes are called in South Dakota

Licensing term: assisted living center (ALC)
Size and capacity: Licensed homes range from small residential settings to larger communities.
Licensed and inspected by: South Dakota Department of Health, Office of Health Care Facilities Licensure and Certification

Check any home you are considering against the state license record before you tour or sign anything. The lookup shows current license status and inspection history.

Search the South Dakota license database → What "Assisted living facility" means →

Does Medicaid pay in South Dakota?

South Dakota's HOPE waiver can pay for services in participating assisted living centers.

How Medicaid covers residential care →

Common questions about assisted living centers in South Dakota

How many assisted living centers are there in South Dakota?: Our South Dakota directory lists 85 licensed assisted living centers across 60 cities. The largest concentrations are in Minnehaha County, Pennington County, Brown County.
What is an assisted living center in South Dakota?: "Assisted Living Center" is the South Dakota licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Licensed homes range from small residential settings to larger communities.
How much does assisted living cost in South Dakota?: The median assisted living rate in South Dakota is $4,900 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.
Who licenses assisted living centers in South Dakota?: South Dakota Department of Health, Office of Health Care Facilities Licensure and Certification licenses and inspects every assisted living center in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.
Does Medicaid pay for assisted living centers in South Dakota?: South Dakota's HOPE waiver can pay for services in participating assisted living centers. Eligibility rules and waitlists vary, so confirm current terms with the state before you count on coverage.

Keep looking

Largest South Dakota city directories

Neighboring states

Estimate monthly costs → What assisted living centers are → All state directories →