Assisted Living in South Dakota
Transparent pricing, Medicaid program info, and licensed facility data for South Dakota. No email required, no sales calls.
Median Monthly Cost
$4,200
2024 estimate · South Dakota
Annual Estimate
$50,400
At median monthly rate
Get Your Estimate
Adjust for care level, room type, and add-ons
Cost Range in South Dakota
Budget
~$3,600/mo
Shared rooms, basic services
Median
~$4,200/mo
Private room, standard care
Premium
~$5,900/mo
Luxury amenities, extra services
Medicaid Waiver Program
South Dakota
South Dakota HCBS Waiver for Elderly and Disabled Adults
This state HCBS waiver may cover personal care services for income-eligible residents in assisted living settings. Eligibility requirements and waitlists vary.
Visit official Medicaid pageLicensing Authority
~130 licensed facilities
South Dakota Dept of Health
Assisted living facilities in South Dakota are licensed and inspected by this state agency. Use their official search to verify a facility's license status before touring.
Search licensed facilitiesTop Cities for Assisted Living in South Dakota
Browse facilities by city, or use the cost calculator to compare options.
All 131 Cities in South Dakota
- Sioux Falls (22)
- Rapid City (16)
- Spearfish (12)
- Sturgis (8)
- Mitchell (7)
- Watertown (7)
- Yankton (7)
- Belle Fourche (6)
- Brainerd (5)
- Howard (5)
- Brookings (4)
- Lennox (4)
- Milbank (4)
- Aberdeen (3)
- Bryant (3)
- Clark (3)
- Huron (3)
- Marion (3)
- Pierre (3)
- Platte (3)
- Viborg (3)
- Winner (3)
- Brandon (2)
- Britton (2)
- Chamberlain (2)
- Colome (2)
- Colton (2)
- Corsica (2)
- De Smet (2)
- Flandreau (2)
- Gregory (2)
- Hartford (2)
- Herreid (2)
- Kimball (2)
- Lead (2)
- Miller (2)
- Parkston (2)
- Redfield (2)
- Salem (2)
- Tea (2)
- Volga (2)
- Albion (1)
- Alliance (1)
- Alma (1)
- Arlington (1)
- Armour (1)
- Atkinson (1)
- Auburn (1)
- Battle Lake (1)
- Beatrice (1)
- Bemidji (1)
- Beresford (1)
- Blaine (1)
- Bloomfield (1)
- Boise (1)
- Bonesteel (1)
- Bowdle (1)
- Bristol (1)
- Burke (1)
- Canistota (1)
- Canton (1)
- Castlewood (1)
- Centerville (1)
- Clear Lake (1)
- Custer (1)
- Deland (1)
- Dell Rapids (1)
- Eagle Butte (1)
- East Grand Forks (1)
- Edgemont (1)
- Elk Point (1)
- Elkton (1)
- Ellis (1)
- Ellsworth (1)
- Estelline (1)
- Estes Park (1)
- Florence (1)
- Fort Collins (1)
- Freeman (1)
- Garretson (1)
- Gibbon (1)
- Grand Island (1)
- Greeley (1)
- Hastings (1)
- Hot Springs (1)
- Hudson (1)
- Idaho Falls (1)
- International Falls (1)
- Jackson (1)
- Kearney (1)
- Kissimmee (1)
- Lafayette (1)
- Lake Norden (1)
- Lake Preston (1)
- Lemmon (1)
- Lyons (1)
- Madison (1)
- Menno (1)
- Mesa (1)
- Mobridge (1)
- Moscow (1)
- New Hope (1)
- Osceola (1)
- Pelican Rapids (1)
- Philip (1)
- Pine River (1)
- Prescott (1)
- Ramona (1)
- Redwood Falls (1)
- Roscoe (1)
- Roseville (1)
- Rosholt (1)
- Scotland (1)
- Scribner (1)
- Selby (1)
- Silverton (1)
- Sioux Center (1)
- Sisseton (1)
- St James (1)
- Superior (1)
- Syracuse (1)
- Taylors Falls (1)
- Trent (1)
- Tripp (1)
- Vermillion (1)
- Waconia (1)
- Wagner (1)
- Wakonda (1)
- Whitewood (1)
- Wilmot (1)
- Winfield (1)
Frequently Asked Questions
How much does assisted living cost in South Dakota?
The median cost of assisted living in South Dakota is approximately $4,200/month in 2024. Budget options start around $3,600/month while premium communities can reach $5,900/month or more depending on amenities and care level.
Does Medicaid cover assisted living in South Dakota?
Medicaid does not cover room and board. However, South Dakota offers the South Dakota HCBS Waiver for Elderly and Disabled Adults — an HCBS waiver that may cover personal care services for eligible low-income residents. Visit the state Medicaid page for eligibility details.
How do I verify a facility is licensed in South Dakota?
Facilities are licensed by the South Dakota Dept of Health. You can search the official registry to confirm a facility's license status, inspection history, and any violations before touring.
What is included in the monthly cost?
The base monthly rate typically includes room and board, meals, housekeeping, and basic personal care assistance. Additional services such as memory care, medication management, or two-person transfers are usually billed separately and can add $200–$1,500/month.
Disclaimer: Cost estimates are based on 2024 state median data from Genworth Financial and the AARP Public Policy Institute. Facility counts are approximate. Medicaid program details are provided for informational purposes — contact your state Medicaid office to confirm current eligibility and availability. Always contact facilities directly to verify current pricing and license status.