2026 Top South Dakota Senior Living Communities

Senior living communities in South Dakota offer much more than amenities, like free WiFi, nutritious meals, and fun activities. Famous for being the “Mount Rushmore State,” South Dakota is also famous for being an absolutely wonderful place to retire and enjoy the good things in life.

Whether taking leisurely walks in the beautiful Black Hills National Forest, browsing the downtown Art Center in Rapid City, or driving through Custer State Park’s Scenic Byway, mature adults choosing to live in a South Dakota retirement community will discover their “golden years” are really the best years of their lives.

Tip: How to Choose a South Dakota Senior Living Community
What should you look for when researching living communities for seniors in South Dakota? Of course, the overall cleanliness and attractiveness of the facility is a top priority to evaluate. But, what about social activities? Does the community have regular outings, hobby clubs, dances, and other opportunities for residents to socialize? Does the staff seem attentive to residents’ needs? Finally, does the community provide emergency buttons in each residential unit?

Ranking The Best Senior Living Facilities in South Dakota

We researched hundreds of senior retirement campuses in South Dakota by reading reviews posted on Facebook, Google, and other sources relevant to senior living in SD. We also explored the state health department website for evidence of complaints filed and noncompliance violations issued to each community. While reviews are helpful, they are not objective and don’t always give us an honest depiction of senior living facilities.

You’ll find the average cost for a mature adult to live in a senior community in South Dakota is slightly below the U.S. average – around $3500 to $3600 per month. Of course, if a loved one requires assistance with multiple daily living activities, continuing care, or more intensive nursing care, the monthly cost will be higher than average. In general, the cost of living in South Dakota is actually ten percent less, or more affordable, compared to the national average.

Top Rated South Dakota Senior Living Facilities

4.85 stars

4.85/5 Average Rating of Facilities
55 Total Reviews


Peaceful Pines Senior Living Community

1760 Tablerock Rd
Rapid City SD 57701

Living Types Available: Independent Living, Assisted Living, Memory Care

4.5 stars

4.9/5 Average Rating
17 Total Reviews

What residents and loved ones have to say about Peaceful Pines Senior Living Community:

I have observed caring and compassionate staff. They appear to truly know their residents and like them. Watching the staff interact with each other and the residents makes me feel confident my mother is well taken care of. My mother has been living here for almost 2 years. She is always happy to return to Peaceful Pines after an outing. I am so pleased we found this place for my mom.

-Debi Minkel

Edgewood Rapid City

4001 Derby Ln
Rapid City SD 57701

Living Types Available: Assisted Living

4.5 stars

4.7/5 Average Rating
15 Total Reviews

What residents and loved ones have to say about Edgewood Rapid City:

My mother has lived at Edgewood for almost six years. She loves her spacious two-bedroom apartment and feels very much at home here. She has made many dear friends among the other residents. The staff are caring, helpful, and kind. The medical team is alert to needs and are very professional and proficient. Housekeeping works hard to keep individual apartments as well as common areas clean. The activities department offers a wide variety of games and interesting things to do including day trips. Having three meals offered daily in the dining room is a huge bonus. Edgewood is a wonderful Assisted Living facility and we highly recommend it!

-Amy Engwall

Edgewood Vista Spearfish

540 Falcon Crest Dr
Spearfish, SD 57783

Living Types Available: Assisted Living, Memory Care

4.5 stars

4.9/5 Average Rating
9 Total Reviews

What residents and loved ones have to say about Edgewood Vista Spearfish:

The staff at Edgewood Vista have been amazing. My mom and stepdad have been in memory care there for some time, and my mom had to be hospitalized for an extended period. Elaine, Raven, and all the staff went above and beyond to help my stepdad visit my mom, and make this difficult separation manageable. Both my mom and my stepdad have expressed how much they like living at Edgewood…that says it all.

-Jim Huddleston

Westhills Village

255 Texas St
Rapid City, SD 57701

Living Types Available: Independent Living

4.5 stars

4.9/5 Average Rating
14 Total Reviews

What residents and loved ones have to say about Westhills Village:

My mom (Arlene) has spent the last 6 weeks at Westhills Village for rehab. I am very thankful to all who took care of her, gave her PT and made her strong again! Everyone was very kind and I am so thankful for all they have done! Bless each and every one of you for the job you do, I know it isn’t an easy one!

-Dee