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ElderCareCosts
Updated August 2026

Home Health Care in Spearfish, South Dakota

Spearfish, SD has 1 licensed home health care agency listed on ElderCareCosts. We don't have a city-specific cost estimate for Spearfish yet. Statewide, the median is $8,437/mo.

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

Home Health Care, Spearfish median
Not yet available

What senior care costs in Spearfish

South Dakota, 2025 figures

This uses the survey's home care rate, because the survey no longer prices skilled nursing or therapy visits separately. Skilled visits are usually billed per visit.

Home Health Care cost comparison (2025)
Home Health CareSpearfishSouth DakotaNational
25th percentile—$8,054/mo$6,221/mo
Median—$8,437/mo$6,769/mo
75th percentile—$9,170/mo$7,627/mo

Scroll for more →

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: Rapid City 8,221

If getting up from the toilet is the hard part, an electric toilet lift does the lifting, day or night. Sponsored

What can you afford?

Here is what different monthly budgets cover in Spearfish.

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 Spearfish has 5 such properties. If money is very tight, ask about Medicaid waivers.
$2,500 – $7,000/mo

Part-time home care or entry assisted living

If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Assisted living with room to spare

This budget usually covers assisted living or substantial home care in Spearfish.
Over $11,000/mo

Nursing care or heavy home-care schedules

Budgets this size cover skilled nursing or around-the-clock home care in Spearfish.
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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1 home health care agency in Spearfish

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Also serving Spearfish

Home health care comes to the home, so agencies based one town over often serve Spearfish; their licensed office is simply in a different city. These 1 are based nearby, listed by office location, nearest first. They are separate from the licensed-in-Spearfish count above. Always confirm they cover your address.

Ordered by distance from Spearfish, never by who pays. Office location is shown on every card.

Include a nearby agency in your Spearfish shortlist
Check Compare on any nearby agency above, then continue. Selection before consent.
Choose nearby agencies →

Between visits, a medical alert button covers the hours no one is in the house. See plans and the current offer. Sponsored

Free local help worth saving

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 Bureau
  • 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.

  • Fort Meade VA Medical Centerva.gov

    VA Medical Center in Fort Meade.

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

    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 →

Questions families ask

We don't have enough local data for Spearfish, SD yet to publish reliable FAQs. Check back as we add providers and cost data.

Find Spearfish 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? Home Health Care across South Dakota → · Home Health Care cost across South Dakota → · Assisted Living vs Home Health Care →

Assessment scheduled this week? Print our checklist: what to ask during your in-home assessment, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

Home Health Care in Spearfish, SD. Cost & Providers