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ElderCareCosts
Updated August 2026

Nursing Home in De Smet, South Dakota

De Smet, SD has 1 licensed nursing home listed on ElderCareCosts. We don't have a city-specific cost estimate for De Smet yet. Statewide, the median is $9,444/mo.

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

Nursing Homes, De Smet median
Not yet available

What senior care costs in De Smet

South Dakota, 2025 figures

Nursing Homes cost comparison (2025)
Nursing HomesDe SmetSouth DakotaNational
25th percentile—$9,015/mo$8,951/mo
Median—$9,444/mo$10,205/mo
75th percentile—$10,264/mo$12,642/mo

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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.

What can you afford?

Here is what different monthly budgets cover in De Smet.

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. Ask each property about its income limits. 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 De Smet.
Over $11,000/mo

Nursing care or heavy home-care schedules

Budgets this size cover skilled nursing or around-the-clock home care in De Smet.
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1 nursing home in De Smet

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In the last 365 days: 3 newly licensed. Counts come from our ingestion diffs, not a complete state registry dump.

Free local help worth saving

De Smet, in Kingsbury County, has about 943 residents. About 276 of them (29%) are 65 or older. The median household income is $67,321.

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.

  • 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 De Smet, SD yet to publish reliable FAQs. Check back as we add providers and cost data.

Find De Smet 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? Nursing Homes across South Dakota → · Nursing Homes cost across South Dakota → · Assisted Living vs Nursing Homes →

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.

Nursing Homes in De Smet, SD. Cost & Providers