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ElderCareCosts
Updated August 2026

Assisted Living in Sioux Falls, South Dakota

Sioux Falls, SD has 27 licensed assisted living communities listed on ElderCareCosts. The median estimated cost is $4,943/mo. That's roughly in line with the South Dakota state median. The typical licensed assisted living provider in Sioux Falls has 40 beds, against 25 statewide.

Not sure which type of care fits? Take our 3-question care quiz →

Median monthly price, Sioux Falls

$4,943/mo

Estimated range $4,795 – $5,833

● Sioux Falls $4,943 ○ National median $6,230

Source: CareScout 2025 survey, adjusted for local wages

What senior care costs in Sioux Falls

2025 figures

Assisted Living cost comparison (2025)
Assisted LivingSioux FallsSouth DakotaNational
25th percentile$4,795/mo$4,678/mo$5,488/mo
Median$4,943/mo$4,900/mo$6,230/mo
75th percentile$5,833/mo$5,326/mo$7,083/mo

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Staying home instead

Home care in Sioux Falls runs about $45 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$3,869
44 hrs/weekMost of every weekday$8,511
24/7 (168 hrs/week)Round-the-clock coverage~$32,497

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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.

What can you afford?

Here is what different monthly budgets cover in Sioux Falls.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care and help from family are the usual options at this budget. Income-restricted affordable senior housing is the other common choice, and Sioux Falls has 14 such properties. If money is very tight, ask about Medicaid waivers.
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care usually falls here. Full-time care at 44 hours a week runs about $8,511 a month. The local assisted living median is $4,943 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Sioux Falls assisted living median of $4,943 a month with room to spare. It also covers close to full-time home care, about $8,511 a month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Sioux Falls run about $9,527 a month at the median. Around-the-clock home care usually costs more.
Find options that fit your budget
Tell us how you plan to pay and we'll send licensed options that fit.
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27 assisted living communities in Sioux Falls

What assisted living looks like in Sioux Falls

The typical licensed assisted living provider in Sioux Falls has 40 beds, against 25 across South Dakota. They range from 1 to 185.

Compare communities side by side
Tick Compare on the ones you like, then continue.
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Free local help worth saving

Sioux Falls, in Minnehaha County, has about 201,469 residents. About 28,329 of them (14%) are 65 or older. The median household income is $75,970.

Source: US Census Bureau
  • Dakota at Home (South Dakota LTSS / ADRC)833-663-9673dhs.sd.gov

    Statewide ADRC for South Dakota’s single PSA (covers Sioux Falls). Contact from DHS Dakota at Home.

  • South Dakota Long-Term Care Ombudsman Programltcombudsman.org

    State Long-Term Care Ombudsman program.

  • South Dakota State Health Insurance Assistance Program (SHIP)shiphelp.org

    State Health Insurance Assistance Program (SHIP).

  • Dakota at Home1-833-663-9673dhs.sd.gov

    Statewide help for older adults, people with disabilities and caregivers.

  • Royal C. Johnson Veterans' Memorial Hospitalva.gov

    VA Medical Center in Sioux Falls.

  • Home and Community-Based Options and Person Centered Excellence (HOPE) WaiverOfficial program page

    Can help pay for care if your parent qualifies.

  • Veterans options in Sioux Falls

    1 VA Community Living Center or State Veterans Home nearby.

    VA Aid & Attendance overview →

National helplines, including the Eldercare Locator and 211, are listed on paying for care.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →

Questions families ask

Is assisted living in Sioux Falls more expensive than the rest of South Dakota?

Sioux Falls's median assisted living cost is about 1% higher than the South Dakota state median.

Find Sioux Falls care options

Tell us what you need and your budget, and we will email you licensed options right away.

Find care options →

Reading up first? Assisted Living across South Dakota → · Assisted Living cost across South Dakota → · Adult Day Care vs Assisted Living →

Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

Assisted Living in Sioux Falls: 2026 Costs & Licensed Providers