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South Dakota Assisted Living Facilities

Search South Dakota Assisted Living Communities by ZIP

South Dakota assisted living facilities are listed by city below. We recommend you search by ZIP code to include nearby facilities. However, you may choose a city to view all assisted living options in that area.


Cost of South Dakota Assisted Living Facilities

According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in South Dakota is $3,023 per month.

The monthly base rate for South Dakota assisted living is typically lower when compared to neighboring states. South Dakota is also less expensive compared to the national average.

This cost is the base cost for a one-bedroom assisted living unit in South Dakota. Additional fees beyond the base rate may apply.

More info on Assisted Living Costs

Monthly Costs Compared to Neighboring States

South Dakota$3,023
North Dakota$3,239

Assisted Living Regulations

South Dakota defines an assisted living facility as a freestanding building that provides personal support and services that extend beyond room, board and laundry to more than five people.

South Dakota Assisted Living Facilities Scope of Care

Any licensed healthcare worker is permitted to provide services within the scope of his or her professional license. Facilities must provide for the needs of their residents, such as providing physician services as needed, and hiring a registered dietician if therapeutic diets are being offered. South Dakota policy also requires that assisted living facilities meet the spiritual needs of their residents.

South Dakota Assisted Living Admission Requirements

To be admitted into a South Dakota assisted living facility, a physician must certify that the potential resident is in reasonably good health and free from any communicable diseases, chronic illnesses, or disability that would require more than limited assistance with ADL's.

South Dakota Assisted Living Care Plan Requirements

Within 30 days of admission, an assessment must take place to determine the needs of the resident in regards to the following: (1) Nursing care needs; (2) Medication administration needs; (3) Cognitive status, including IADLs; (4) Mental health status; (5) Physical abilities including ADLs, ambulation, and the need for assistive devices; and 6. Dietary needs. The care plan, once developed, must be reviewed annually or as the resident's needs change.

South Dakota Assisted Living Medication Management Requirements

If an assisted living facility is going to assist with medication, then the facility must either contract with or hire a nurse who reviews each resident's care and condition on a weekly basis. Staff who assist with medication who are not licensed to do so must be at least 18, have passed a medication course, and receive annual training.

South Dakota Assisted Living Facility Requirements

Every resident must have a toilet and sink, and no more than two residents are permitted per residential unit. Private resident units must be a minimum of 120 square feet and multiple-occupancy resident units must provide a minimum of 100 square feet of living space per resident.

South Dakota Assisted Living Staffing Requirements

Direct care staff must be sufficient in number to meet the needs of the residents. At least one direct care staff person must be present and awake at all times. Shifts should be covered adequately so that each resident receives 0.8 hours of care daily. Extensive annual training includes mandatory coverage on a range of topics, including fire prevention and response, emergency procedures and preparedness, infection control and prevention, accident prevention and safety procedures, proper use of restraints, patient and resident rights, confidentiality of resident information, incidents and diseases subject to mandatory reporting and facility's reporting mechanism, care of residents with unique needs, dining assistance, nutritional risks, and hydration needs of residents, working with cognitively impaired residents, and oxygen handling. An administrator is responsible for the overall management of the facility and must be either a licensed health care professional or hold a high school diploma and adequate training.

South Dakota Assisted Living Medicaid Policy

Assisted living services are covered by a broad Medicaid home and community-based services waiver, coupled with state funds.

South Dakota Alzheimer's Unit Requirements

If an assisted living facility has an Alzheimer's unit, then staff who work in the unit must have specific training for working with that population. At least one specially trained staff person must be present in the unit at all times. Exit alarms must also be installed. Certain written disclosures are required for these units.

South Dakota Medicaid Coverage of Assisted Living and Related Services

The State of South Dakota pays for services in assisted living communities through the HCBS Waiver for the Elderly.

The Home & Community Based Waiver Services for the Elderly (HCBS) Waiver is administered and managed by the South Dakota Department of Social Services. It is intended to control Medicaid expenses by reducing full-time nursing home care costs. The waiver helps individuals to be cared for in their homes or in assisted living communities.

The Home & Community Based Waiver Services for the Elderly Benefits

Potential benefits include the following:

- Adult Day Services

- Emergency Response System

- Homemaker Services

- Meals and/or Nutritional Supplements

- Medication Administration in Assisted Living

- Private Duty Nursing

- Respite Care

- Specialized Medical Equipment/Disposable Supplies

How to apply - the waiver program is available throughout all of South Dakota but there are enrollment caps and waiting lists may exist. Learn more by visiting the local Department of Social Service office or call the local number in your area:

Rapid City - 855-315-1986

Pierre - 855-642-3055

Watertown - 855-315-1987

Mitchell - 855-315-1988

Sioux Falls - 877-660-0301

Individuals have two other options:

Personal Care Services and Benefits

South Dakota allow limited Personal Care services to Medicaid eligible individuals in their homes. Its objective is to prevent skilled nursing care. Individuals are given the needed support to remain at home. Skilled nursing care is not available through the Personal Care Services program.

Benefits include: assistance with activities of daily living such as personal hygiene, grocery shopping, housekeeping, laundry, meal preparation and organization (storage, labeling and heating instructions). These mentioned services are provided only during weekday work hours.

How to apply - use the online referral form available on the Department of Social Services website or you can call 1-866-854-5465.

Chore, Homemaker and Respite Program is the other option available to South Dakota residents. This program offers services to be received in multiple areas simultaneously. It is intended to help individuals maintain home safety. The services offered are: minor home repairs, changing light bulbs and batteries, caring for the lawn and snow removal.

Homemaker Services include (limited) personal care, shopping for groceries, picking up medications, house cleaning, laundry and meal design and preparation.

Respite Care offers short term assistance to relieve a primary caregiver of their responsibilities. This program is administered and managed under the administration of the South Dakota Department of Social Services, Division of Adult Services and Aging.

How to apply - you can begin the process by contacting the Aging and Adult Services Regional Office - here is a list of offices. Or call a local office, a list of phone numbers is here.

Department of Health, Office of Health Care Facilities Licensure and Certification

Phone (605) 773-3356

Contact: Deb Wegleitner Phone (605) 995-8073


Web Site:

South Dakota Contacts

South Dakota Department of Health, Office of Health Care Facilities Licensure and Certification

Phone: (605) 773-3356

Rosemary Connot
Phone: (605) 842-2969

Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.

License information source: South Dakota Department of Health

South Dakota Assisted Living Facilities by City