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Assisted Living in South Dakota

South Dakota has 161 licensed assisted living communities listed on ElderCareCosts across 485 cities. The median estimated cost statewide is $4,900/mo. Pick a city below for local pricing and provider listings.

161 licensed assisted living communities listed.

Cost of assisted living in South Dakota

Median monthly price, South Dakota

$4,900/mo

Modeled range $4,678 – $5,326 how this range is derived

● South Dakota $4,900 ○ National median $6,230

Published survey median · 2025

Median costs for assisted living versus South Dakota and the middle state nationally. The 25th and 75th percentile rows are the modeled range explained on the methodology page; in the national column they are percentiles across state medians. Figures are estimates, not quotes.

Assisted Living cost comparison (2025)
Assisted LivingSouth DakotaNational
25th percentile$4,678/mo$5,488/mo
Median$4,900/mo$6,230/mo
75th percentile$5,326/mo$7,083/mo

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Source: Published survey median · 2025 (opens in a new tab)
Methodology
Why is this number different on other websites? Many directories quote a community's "starting at" rent, before care fees. This figure is the state survey median. It is an estimate to plan against, not a quote; ask each provider for its own number in writing. Our methodology →

Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

South Dakota licensing & regulation

South Dakota Department of Health — Office of Health Care Facilities Licensure & Certification licenses and inspects assisted living communities in South Dakota. Before you sign anything, look up the community's license status and past complaints on the state's own site, not a marketing page.

Source: State licensing agency.GOV

Medicaid & local resources in South Dakota

Long-Term Care Ombudsman

South Dakota Long-Term Care Ombudsman Program helps residents of nursing homes, assisted living, and similar settings in South Dakota resolve concerns about care and rights.

Official Ombudsman locator / program page

Source: State LTC Ombudsman.GOV

Medicaid HCBS / LTSS programs

Named programs below are from official state Medicaid agency pages. We list eligibility dollar amounts and wait lists only when a primary source is cited.

Source: State Medicaid program.GOV

Free national starting points. Official sites only; we do not scrape these directories.

Cities in South Dakota

3 of the 485 cities we track in South Dakota have their own assisted living page. Use search for the rest.

Counties in South Dakota

County pages carry the local Area Agency on Aging, the state Medicaid waiver contacts and, for nursing homes, what federal inspectors recorded. Ordered by how many assisted living providers each county holds.

Assisted Living by county in South Dakota

Assisted Living providers in South Dakota

Sample of licensed assisted living communities listed for South Dakota. City pages show fuller local inventories.

Sponsored placements, when they appear, are always labeled. How we make money →

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How we rank these

Frequently asked questions

Which cities in South Dakota have assisted living listings?

We track 485 South Dakota cities for assisted living. See the city list on this page for options near you.

We last pulled this list from our sources on Aug 7. That is when our records were refreshed, not a check of each listing.

How to cite this page

Cite this: According to ElderCareCosts' 2026 index, assisted living in South Dakota costs $4,900/month (median).

APA: ElderCareCosts Research. (2026). Assisted Living in South Dakota. ElderCareCosts. Retrieved November 1, 2026, from https://www.eldercarecosts.com/assisted-living/south-dakota/

Chicago: ElderCareCosts Research. "Assisted Living in South Dakota." ElderCareCosts. Last modified August 10, 2026. Accessed November 1, 2026. https://www.eldercarecosts.com/assisted-living/south-dakota/.

These figures may be quoted and reproduced with attribution and a link back to this page. No permission needed. Methodology · Data sources · Who produces this · Corrections

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