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ElderCareCosts
Updated August 2026

Nursing Home in Rapid City, South Dakota

Rapid City, SD has 8 licensed nursing homes listed on ElderCareCosts. The median estimated cost is $9,202/mo. That's roughly in line with the South Dakota state median. The typical licensed nursing homes provider in Rapid City has 68 beds, against 50 statewide.

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Median monthly price, Rapid City

$9,202/mo

Estimated range $9,032 – $9,929

● Rapid City $9,202 ○ National median $10,205

Source: CareScout 2025 survey, adjusted for local wages

What senior care costs in Rapid City

2025 figures

Nursing Homes cost comparison (2025)
Nursing HomesRapid CitySouth DakotaNational
25th percentile$9,032/mo$9,015/mo$8,951/mo
Median$9,202/mo$9,444/mo$10,205/mo
75th percentile$9,929/mo$10,264/mo$12,642/mo

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Staying home instead

Home care in Rapid 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~$3,737
44 hrs/weekMost of every weekday$8,221
24/7 (168 hrs/week)Round-the-clock coverage~$31,389

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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 Rapid 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 Rapid City has 7 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 $8,221 a month. The local assisted living median is $4,774 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 Rapid City assisted living median of $4,774 a month with room to spare. It also covers close to full-time home care, about $8,221 a month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Rapid City run about $9,202 a month at the median. Around-the-clock home care usually costs more.
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8 nursing homes in Rapid City

What nursing homes looks like in Rapid City

The typical licensed nursing homes provider in Rapid City has 68 beds, against 50 across South Dakota. They range from 44 to 101.

On the most recent inspection on file, federal inspectors recorded an average of 17.4 findings per provider here.

2 of the 8 nursing homes here with a current CMS rating hold four or five stars, 25% against 38% across South Dakota.

Compare facilities side by side
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Free local help worth saving

Rapid City, in Pennington County, has about 77,946 residents. About 16,108 of them (21%) are 65 or older. The median household income is $70,870.

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.

  • Rapid City VA Clinicva.gov

    Multi-Specialty Community-Based Outpatient Clinic in Rapid City.

  • 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 Rapid City more expensive than the rest of South Dakota?

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

Find Rapid City care options

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

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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 Rapid City: 2026 Costs & Licensed Providers