Spearfish, SD has 5 licensed assisted living communities listed on ElderCareCosts. We don't have a city-specific cost estimate for Spearfish yet. Statewide, the median is $4,900/mo. Most assisted living in Spearfish is small: 60% of licensed providers have 16 beds or fewer, against 65% nationally.
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South Dakota, 2025 figures
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A dash means the underlying source can't support that figure for this area. We leave the cell empty rather than estimate around it.
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.
Nearby: Sturgis 4,774 · Rapid City 4,774
Here is what different monthly budgets cover in Spearfish.
Spearfish is a market of small licensed homes. 60% have 16 beds or fewer, against 65% nationally. The typical one has 16 beds, where the South Dakota figure is 25.
Spearfish, in Lawrence County, has about 12,930 residents. About 2,676 of them (21%) are 65 or older. The median household income is $65,688.
Source: US Census BureauState Long-Term Care Ombudsman program.
State Health Insurance Assistance Program (SHIP).
Statewide help for older adults, people with disabilities and caregivers.
VA Medical Center in Fort Meade.
Can help pay for care if your parent qualifies.
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 →
We don't have enough local data for Spearfish, SD yet to publish reliable FAQs. Check back as we add providers and cost data.
Tell us what you need and your budget, and we will email you licensed options right away.
Reading up first? Assisted Living across South Dakota → · Assisted Living cost across South Dakota → · Adult Day Care vs Assisted Living →
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