Assisted living in South Dakota

This state publishes the document, not the severity.

South Dakota Dept. of Health posts that it issued a statement of deficiency or an enforcement action, but not how serious the finding was — and a statement of deficiency can be anything from a forced medication pass to a missing signature. So nothing below is marked a serious violation, and nothing below is ranked: we list alphabetically. More paperwork on file is not the same as being worse, and ordering these communities by how thick their file is would be our guess at severity dressed up as the state’s finding. Open a community’s state report to read the actual citation.

What South Dakota licenses — and why this total isn’t comparable to another state’s

There is no national definition of “assisted living.” Each state decides what it licenses and what to call it, so a state total counts whatever that state chose to license — state counts on this site are not comparable to each other, and a bigger number does not mean more assisted living. Here that total is:

• 144 ALC

Memory care isn’t marked here — because the state doesn’t publish it.

South Dakota Dept. of Health’s licensing file carries no memory-care or dementia-unit designation, so we cannot tell you which of these communities has one. There certainly are memory-care communities in this state — we just have no authoritative list of them, and we won’t guess from a community’s name. Ask any community directly whether it runs a secured dementia unit, and ask your Long-Term Care Ombudsman ↗ which local communities take dementia residents.

Estimated cost range · regional

In South Dakota, assisted living typically runs about $3,900–$5,900/month.

This is a regional estimate modeled from published survey data (the CareScout/Genworth state median, ±20%) — not this community’s actual price, which it sets privately. Ask the community for its current all-in monthly rate and what each care level adds.

Paying with Medicaid

South Dakota Medicaid helps pay for assisted living only in limited circumstances — through a waiver, and not everywhere in the state or for everyone who qualifies.

The South Dakota waiver that can pay for it:

• HOPE Waiver (Home and Community-Based Options and Person Centered Excellence) — covers in-home care / personal care / homemaker / adult day care / assisted living

In South Dakota: apply or check eligibility ↗ or call 877-999-5612.

A waiver pays for care, not for rent. Even where the state covers assisted-living services, room and board is still the resident’s to pay. Full eligibility limits — income, assets, the look-back — are on our South Dakota Medicaid page.