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ElderCareCosts
Updated August 2026

Nursing Home in North Sioux City, South Dakota

We're still building out our nursing homes directory for North Sioux City, SD. The median estimated cost is $9,157/mo. That's below the South Dakota state median by about 3%. Browse nearby cities or the South Dakota page while we finish adding local providers.

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

Median monthly price, North Sioux City

$9,157/mo

Estimated range $8,679 – $9,880

● North Sioux City $9,157 ○ National median $10,205

Source: CareScout 2025 survey, adjusted for local wages

What senior care costs in North Sioux City

2025 figures

Nursing Homes cost comparison (2025)
Nursing HomesNorth Sioux CitySouth DakotaNational
25th percentile$8,679/mo$9,015/mo$8,951/mo
Median$9,157/mo$9,444/mo$10,205/mo
75th percentile$9,880/mo$10,264/mo$12,642/mo

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Staying home instead

Home care in North Sioux City runs about $43 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$3,718
44 hrs/weekMost of every weekday$8,180
24/7 (168 hrs/week)Round-the-clock coverage~$31,233

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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.

Nearby: Sioux Falls 9,527

What can you afford?

Here is what different monthly budgets cover in North Sioux City.

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 North Sioux City has 3 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 $8,180 a month. The local assisted living median is $4,751 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 North Sioux City assisted living median of $4,751 a month with room to spare. It also covers close to full-time home care, about $8,180 a month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in North Sioux City run about $9,157 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.
Find care options →

Nursing Homes in North Sioux City

We do not list a licensed nursing home in North Sioux City yet. An advisor can tell you what is near North Sioux City at no cost. Sponsored

We don't have licensed nursing homes listed for North Sioux City, SD yet.

Nearby cities are linked below.

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

North Sioux City, in Union County, has about 3,045 residents. About 640 of them (21%) are 65 or older. The median household income is $71,908.

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.

  • Sioux City VA Clinicva.gov

    Multi-Specialty Community-Based Outpatient Clinic in Dakota Dunes.

  • 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

Are nursing homes in North Sioux City more expensive than the rest of South Dakota?

North Sioux City's median nursing home cost is about 3% lower than the South Dakota state median.

Find North Sioux City 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 North Sioux City: 2026 Costs & Licensed Providers