Assisted Living in South Dakota (SD)

Costs of Assisted Living in South Dakota

The cost of a month of care in an Assisted Living Facility in the state of South Dakota averages $3,370 which is around $300 less than the average nationwide cost of $3,628. This difference is due, in part, to the cost of living being lower in South Dakota than it is in the rest of the United States. The cost of care in an Assisted Living facility also varies across the state of South Dakota with the costs of assisted living facilities in Sioux Falls, South Dakota costing $2,880 per month while those in Rapid City are more expensive at around $3,530 monthly. Not only do costs vary within the state, or even within the same city, but they may also vary within one facilities depending on the needs of the residents as a group or the level of care that one resident may require.

Moreover, Home Health Aides can be used to supplement assisted living (inside assisted living facilities) or simply at one’s home. Another option for senior care in South Dakota is Adult Day Care, where seniors stays at such care facility during the day but return to their own home for the night. A Home Health Aide in South Dakota carries an average cost of close to $4,500 a month – almost $54,000 per year. Adult Day Care in South Dakota carries an average fee of $1,730 monthly or almost $21,000 annually. It is likely, according to a national study conducted by Genworth, that within the next five years the cost of Home Health Aides will increase 4% and Adult Day Health Care will increase 10%.

Nursing Facility care is the right care option for those South Dakota senior citizens who need constant nursing care. Currently, it is estimated that a semi-private room in a Nursing Facility in South Dakota costs around $75,000 per year, and a private room will cost over $78,000 annually. Such costs will increase between 3%-4% in the next five years.

Finally, as the number of seniors in South Dakota increases, the regulations for nursing facilities could potentially increase as well and so will the wages of those caring for senior citizens. By the year 2030, it is projected assisted living facilities in South Dakota will carry fees of $61,200 per year, and South Dakota skilled nursing facilities will cost $113,200 for a semi-private room and over $118,000 for a private room.

Assisted living services and amenities in South Dakota

Assisted living facilities in South Dakota provide a wide range of services and amenities tailored to meet the needs of older adults who require assistance with daily living activities but wish to maintain as much independence as possible. These facilities are designed to ensure safety, comfort, and community engagement while offering personalized care to residents. Below is a detailed overview of the services and amenities commonly available in South Dakota’s assisted living communities.

Personal Care Services

1. Activities of Daily Living (ADLs): Residents receive assistance with tasks such as bathing, dressing, grooming, toileting, and mobility. Staff is trained to provide compassionate support while respecting individual dignity.
2. Medication Management: Facilities have trained professionals to ensure residents take medications correctly, including reminders, dosage administration, and coordination with healthcare providers.
3. Housekeeping and Laundry: Regular cleaning services for private rooms, apartments, or shared spaces are provided, along with laundry and linen services to maintain a clean and comfortable living environment.

Health and Wellness Services

1. On-Site Medical Support: Many South Dakota facilities offer access to visiting physicians, nurses, or on-site health clinics for routine checkups, wound care, and other medical needs.
2. Emergency Response Systems: Residents are provided with 24/7 access to emergency call systems for immediate assistance in case of medical issues or accidents.
3. Chronic Disease Management: Care plans are tailored to manage conditions such as diabetes, arthritis, or hypertension, often in collaboration with local healthcare providers.
4. Physical, Occupational, and Speech Therapy: Some facilities partner with rehabilitation specialists to offer therapy services that promote mobility, strength, and communication skills.

Dining and Nutrition

1. Nutritious Meals: Facilities provide three well-balanced, chef-prepared meals each day, often with menu options accommodating dietary restrictions such as low-sodium, diabetic-friendly, or gluten-free needs.
2. Snacks and Hydration: Healthy snacks and beverages are made available throughout the day to support nutrition and hydration.
3. Restaurant-Style Dining: Residents can enjoy a community-style dining experience, with waitstaff service and social opportunities. Some facilities even provide private dining rooms for family gatherings.

Accommodations and Living Spaces

1. Variety of Living Options: Facilities offer private rooms, semi-private rooms, or apartment-style units, allowing residents to choose accommodations based on their preferences and budgets.
2. Accessibility Features: Residences are equipped with features such as grab bars, roll-in showers, wheelchair-accessible bathrooms, and wide doorways to ensure mobility and safety.
3. Furnished or Unfurnished Units: Residents can bring their personal furniture and decor to create a home-like environment.

Social and Recreational Activities

1. Daily Activity Programs: Facilities offer scheduled programs that include fitness classes, arts and crafts, gardening, movie nights, and book clubs to encourage engagement and socialization.
2. Community Outings: Organized trips to local attractions, restaurants, parks, and shopping centers allow residents to remain connected to the broader South Dakota community.
3. Religious Services: Many facilities provide transportation to local places of worship or host on-site services to accommodate residents' spiritual needs.
4. Game Rooms and Libraries: Amenities like libraries, computer rooms, and game areas provide opportunities for leisure and learning.
5. Wellness and Fitness Programs: Exercise classes such as chair yoga, tai chi, and balance training are available to support physical health and reduce fall risks.

Safety and Security

1. 24/7 Supervision and Care: Facilities have staff available around the clock to address any needs, ensuring safety at all times.
2. Secure Access: Many communities have secure entrances and exits to protect residents, especially those with memory impairments.
3. Fall Prevention Measures: Facilities often include safety measures such as handrails, well-lit hallways, and monitoring systems to reduce the risk of accidents.

Transportation Services

1. Scheduled Transportation: Many facilities offer transportation to medical appointments, grocery stores, and community events.
2. Specialized Vans: Equipped vehicles accommodate residents with mobility challenges, including wheelchair-accessible options.

Specialized Memory Care Services

For residents with Alzheimer’s or other forms of dementia, many South Dakota facilities have designated memory care units that offer:

• Secure Environments: Specialized areas to ensure safety for residents prone to wandering.
• Cognitive Programs: Activities tailored to support memory retention and cognitive functioning.
• Sensory and Therapeutic Activities: Programs designed to reduce agitation and improve overall well-being.

Pet-Friendly Options

Some assisted living facilities in South Dakota allow residents to bring small pets, recognizing the emotional and therapeutic benefits animals can provide. Pet-friendly services often include designated walking areas and occasional pet therapy visits.

Beauty and Personal Grooming Services

Residents have access to on-site amenities such as beauty salons and barber shops, providing haircuts, manicures, and other grooming services.

Family and Visitor Support

1. Open Visitation Policies: Many facilities encourage family visits to maintain connections and support residents’ emotional well-being.
2. Family Involvement: Care teams often coordinate with family members for personalized care plans, updates, and involvement in community events.

Technology and Communication

1. Wi-Fi Access: Residents and families can stay connected through high-speed internet access, often available throughout the facility.
2. Technology Assistance: Support for using devices such as tablets, phones, or smart TVs may be offered to help residents stay in touch with loved ones.

End-of-Life and Respite Care

Facilities may provide short-term respite care for families needing temporary support and end-of-life care services in collaboration with hospice providers, ensuring comfort and dignity for residents.

Safety and security measures in South Dakota assisted living facilities

Assisted living facilities in South Dakota implement a variety of safety and security measures to ensure the well-being of residents. These measures are designed to address the physical safety, health, and overall security of individuals in their care while adhering to state regulations and standards.

1. State Licensing and Compliance Inspections

South Dakota’s Department of Health oversees the licensing of assisted living facilities. Facilities must meet specific safety and operational standards to obtain and maintain their licenses. Regular inspections and audits are conducted to ensure compliance with state regulations, including emergency preparedness, fire safety, and resident care protocols.

2. Emergency Preparedness Plans

Facilities in South Dakota are required to have comprehensive emergency preparedness plans. These plans address responses to natural disasters, such as blizzards, tornadoes, and flooding, which are common in the region. Staff are trained to execute these plans effectively, ensuring resident safety in emergencies. Regular drills for fire, evacuation, and severe weather scenarios are conducted to keep both staff and residents prepared.

3. 24/7 Staff Availability and Monitoring

Assisted living facilities in South Dakota maintain around-the-clock staffing to ensure immediate assistance is available for residents. Staff are trained to provide care while monitoring residents’ safety. Many facilities use technology such as call systems or motion sensors to alert staff in case of an incident, such as a fall or medical emergency.

4. Secure Building Access and Surveillance

To protect residents from unauthorized access, many facilities implement secure entry systems, such as keycard access or electronic door locks. Surveillance systems, including security cameras, are commonly installed in public areas to monitor activity and enhance safety without infringing on resident privacy.

5. Fire and Building Safety

Fire safety is a top priority for South Dakota assisted living facilities. They are equipped with smoke detectors, fire alarms, sprinkler systems, and fire extinguishers as required by state building codes. Facilities undergo regular inspections by local fire departments to ensure compliance. Clear evacuation routes and emergency exits are posted, and staff are trained in fire safety procedures.

6. Medication Management and Health Monitoring

To reduce health-related risks, facilities adhere to strict protocols for medication management. Staff are responsible for safely storing, administering, and monitoring medication for residents. Health monitoring programs track vital signs, nutritional intake, and overall wellness, helping to identify potential health concerns before they escalate.

7. Fall Prevention Programs

Falls are a major safety concern in assisted living communities, especially for seniors. Facilities in South Dakota implement fall prevention strategies, including installing handrails, non-slip flooring, adequate lighting, and grab bars in restrooms. Residents are often assessed for mobility issues, and tailored care plans are developed to minimize fall risks.

8. Secure Memory Care Units

For residents with Alzheimer’s or other forms of dementia, South Dakota facilities often provide secure memory care units. These units have controlled access to prevent wandering, a common issue for residents with cognitive impairments. Staff in memory care are specially trained to handle the unique safety and security needs of these individuals.

9. Infection Control Measures

Facilities follow stringent infection control policies to protect residents from illnesses, especially in communal living environments. This includes regular sanitation of shared spaces, proper hand hygiene practices, and vaccination programs. The response to contagious diseases, such as COVID-19 or flu outbreaks, involves isolating affected individuals and implementing precautionary protocols.

10. Personalized Care Plans and Safety Assessments

Each resident in a South Dakota assisted living facility undergoes a personalized care assessment upon admission. These assessments include evaluating the resident’s mobility, cognitive ability, and medical needs. Based on the findings, care plans are developed to address safety concerns, such as fall risks, wandering behaviors, or emergency responses tailored to individual needs.

11. Staff Training and Certification

Staff in South Dakota assisted living facilities are required to undergo training in areas such as CPR, first aid, medication administration, and emergency response. Ongoing education ensures they are up to date with best practices for resident safety, health, and security.

12. Resident Safety Committees and Family Involvement

Many facilities encourage resident and family involvement in safety measures. Regular meetings or committees provide an opportunity for residents and families to voice safety concerns and offer suggestions. Transparency regarding facility policies further fosters trust and security.

13. Transportation Safety

When transporting residents to medical appointments or activities, facilities in South Dakota ensure vehicles are properly maintained and equipped with safety features. Staff assist residents during boarding and disembarking to prevent accidents and ensure their comfort and security.

Types of South Dakota Assisted Living Communities

South Dakota offers a variety of assisted living community options tailored to different needs, preferences, and care levels. These communities cater to seniors looking for supportive environments with varying services, amenities, and pricing structures. Below are detailed descriptions of the types of assisted living communities available in South Dakota, presented in random order:

Specialized Memory Care Communities

Memory care communities in South Dakota focus on seniors facing Alzheimer's disease, dementia, or other cognitive impairments. These facilities are equipped with secure environments to prevent wandering, structured routines, and specially trained staff to handle the unique challenges of memory loss. Communities in areas like Sioux Falls and Rapid City often integrate sensory therapies, daily memory exercises, and stimulating activities to slow cognitive decline. Additionally, residents benefit from calming spaces, secured courtyards, and tailored programs that provide comfort and familiarity.

Small Residential Assisted Living Homes

Commonly referred to as "board and care homes" or small group homes, these are ideal for seniors who prefer an intimate, family-like setting. In South Dakota's rural regions and smaller towns like Watertown or Huron, these homes are often housed within converted residences and typically serve a limited number of residents (6-12 individuals). Personalized care is a hallmark, with staff providing one-on-one attention, meal preparation, and daily assistance with activities like dressing, medication management, and bathing. These homes foster a strong sense of community and a quieter living environment.

Luxury Assisted Living Communities

In cities like Sioux Falls, some upscale assisted living communities cater to seniors who want a higher level of comfort and amenities. These facilities often feature apartment-style living with spacious floor plans, premium furnishings, and concierge services. On-site amenities might include fitness centers, private dining rooms, theaters, spas, and lush gardens. Residents enjoy chef-prepared meals, social outings to local attractions like Falls Park or cultural events, and robust wellness programs. Such communities focus on enhancing the retirement lifestyle while offering necessary care services.

Faith-Based Assisted Living Communities

Faith-based assisted living options are popular throughout South Dakota, especially among seniors seeking spiritual fulfillment alongside care services. Many communities are affiliated with churches or religious organizations and incorporate spiritual activities like daily prayers, worship services, and Bible studies into their programming. These communities are prevalent in areas like Mitchell and Aberdeen and appeal to seniors who want their values and beliefs to align with their living environment.

Continuing Care Retirement Communities (CCRCs)

CCRCs in South Dakota offer multiple levels of care within one campus, including independent living, assisted living, and skilled nursing care. These communities are designed for seniors who want to "age in place," ensuring they do not need to relocate if their health care needs increase over time. Cities like Brookings and Pierre host CCRCs that allow residents to transition seamlessly between care levels while maintaining consistent staff relationships and social connections. Residents often benefit from a variety of amenities, communal dining options, and engaging life enrichment programs.

Rural Assisted Living Facilities

Given South Dakota’s vast rural landscape, many smaller towns and counties offer assisted living facilities designed to serve seniors in close-knit rural communities. These facilities prioritize affordability and accessibility for residents who prefer to remain in or near their hometowns. Locations like Spearfish and Madison host facilities that focus on essential care services like mobility assistance, personal care, and medication support. The relaxed, slower-paced environment makes these communities ideal for seniors who value a rural lifestyle with strong neighborly ties.

Apartment-Style Assisted Living Communities

In South Dakota's more urban areas, such as Sioux Falls or Rapid City, larger apartment-style assisted living facilities provide a balance of independence and care. These communities offer private apartments with kitchenettes or full kitchens while still delivering support services like housekeeping, transportation, and 24-hour assistance. Residents enjoy communal dining, wellness programs, and organized social events. This type of community is ideal for seniors who require moderate assistance but still value privacy and autonomy.

Affordable Assisted Living Options

For seniors on a tighter budget, South Dakota provides affordable assisted living communities supported by programs like Medicaid waivers or other state-based subsidies. These facilities focus on delivering essential care services, safe housing, and community activities without the added costs of luxury amenities. Locations in smaller towns, such as Yankton or Vermillion, often house affordable options that serve the needs of low-income seniors while maintaining quality care and comfort.

Veterans-Focused Assisted Living Communities

South Dakota has dedicated assisted living communities or wings within facilities that focus on veterans and their unique needs. With a strong military presence in the state, these communities aim to support veterans through care tailored to combat-related health conditions, mobility assistance, and camaraderie with fellow veterans. Facilities near VA hospitals or veteran support centers in areas like Hot Springs offer additional resources, such as mental health counseling, financial assistance programs, and veteran-focused recreational activities.

Moving to South Dakota Assisted Living Facilities

If you or a loved one are planning a move to an assisted living facility in South Dakota, there are several factors to consider specific to the state. From understanding local regulations to choosing the right facility, here’s a detailed guide to help you navigate the process.

1. Research South Dakota’s Assisted Living Regulations

In South Dakota, assisted living facilities are regulated by the South Dakota Department of Health. Facilities must meet strict licensing and safety standards, which include staffing requirements, care protocols, and resident rights. It’s important to verify that the facility you’re considering is licensed and adheres to state regulations to ensure proper care and a safe environment.

2. Understand the Climate and Location

South Dakota experiences a wide range of temperatures, with cold, snowy winters and warm summers. Consider whether you prefer facilities in areas with more temperate climates, such as Rapid City, or cities like Sioux Falls with greater access to urban amenities. Proximity to medical centers and family is also crucial when selecting a location.

3. Explore Costs and Financial Assistance Options

The cost of assisted living in South Dakota is relatively affordable compared to the national average. Prices may vary depending on location and services offered, with urban centers like Sioux Falls often being more expensive. South Dakota’s Medicaid Home and Community-Based Services (HCBS) Waiver can help qualifying individuals pay for assisted living. Research eligibility requirements and speak with the facility’s financial advisors to understand your options.

4. Evaluate Available Facilities and Amenities

Facilities in South Dakota range from small, family-owned homes to larger communities offering extensive amenities. Consider the services important to your loved one, such as daily assistance, recreational activities, or specialized care for conditions like dementia. Many South Dakota facilities emphasize community living, offering activities like gardening, local outings, and cultural events that reflect the state’s traditions.

5. Plan for Rural vs. Urban Living

South Dakota has both rural and urban assisted living options. Urban areas like Sioux Falls, Aberdeen, or Rapid City provide more amenities, including nearby hospitals and specialized care. Rural facilities may offer a quieter, more community-focused setting. Decide based on your lifestyle preferences, accessibility, and the level of care needed.

6. Visit Facilities In Person

Touring facilities is essential to get a feel for the environment and staff. South Dakota’s communities often have a welcoming, close-knit atmosphere. Ask questions about staff-to-resident ratios, emergency protocols, and personalized care plans. Also, observe the cleanliness, dining options, and activity schedules during your visits.

7. Healthcare Access and Specialized Care

South Dakota’s major healthcare systems, such as Sanford Health and Avera Health, are concentrated in larger cities like Sioux Falls. If access to specialists is a priority, consider facilities near these healthcare hubs. Many assisted living facilities also partner with local health providers for on-site visits, especially in rural areas.

8. Factor in Transportation and Family Visits

For families moving to South Dakota assisted living facilities, travel can play a significant role in your decision. Facilities in urban areas may offer shuttle services for residents’ medical appointments or outings. If family members live out of state, proximity to airports like Sioux Falls Regional Airport or Rapid City Regional Airport can simplify travel for visits.

9. Understand Cultural and Recreational Opportunities

South Dakota offers many recreational opportunities that can enrich the lives of assisted living residents. Facilities often organize outings to local attractions like Mount Rushmore, Badlands National Park, or cultural events celebrating the state’s Native American heritage. Residents can also enjoy outdoor activities like walking trails and fishing.

10. Prepare for the Move

Once you’ve chosen a facility, planning the move is the next step. South Dakota’s slower pace can make the transition smoother, but it’s still important to pack thoughtfully and coordinate with the facility for move-in requirements. Many facilities offer transition support services to help residents settle in comfortably.

Assisted living regulations and requirements in South Dakota

Assisted living facilities (ALFs) in South Dakota are regulated under South Dakota Codified Laws (SDCL) Chapter 34-12 and administrative rules established by the South Dakota Department of Health (DOH). These regulations outline the licensing, operation, and quality standards that assisted living facilities must adhere to in order to legally operate in the state.

Licensing Requirements

Assisted living facilities in South Dakota are required to obtain and maintain a license from the South Dakota Department of Health. The licensing process includes:

1. Application and Fee: Facilities must submit a completed application along with the applicable licensing fee to the DOH.
2. Inspections: Prior to licensure, the facility must pass an on-site inspection to ensure compliance with health, safety, and building standards. Periodic inspections are conducted thereafter to monitor ongoing compliance.
3. Renewal: Licenses must be renewed annually, with facilities required to provide updated documentation and pay the renewal fee.

Facility Standards

The physical environment and structural standards for assisted living facilities include the following:

• Resident Rooms: Rooms must meet minimum square footage requirements, ensure privacy, and provide adequate lighting, ventilation, and furnishings. Shared rooms are permitted but typically limited to two residents.
• Safety and Accessibility: Facilities must comply with fire safety codes, have clearly marked exits, and ensure accessibility in accordance with the Americans with Disabilities Act (ADA).
• Common Areas: Facilities must provide communal dining areas, recreational spaces, and other shared amenities to support residents’ daily living activities.

Staffing Requirements

South Dakota mandates specific staffing standards to ensure resident care and safety:

1. Administrator: The facility must employ a qualified administrator who oversees daily operations and ensures compliance with state regulations.
2. Staffing Levels: Sufficient staff must be on-site 24/7 to meet the needs of residents. While no specific staff-to-resident ratio is mandated, the facility must demonstrate that staffing is adequate for all care and supervision needs.
3. Staff Training: Staff members are required to receive training in areas such as medication management, emergency response, resident rights, and care of individuals with dementia or other special needs.

Resident Care and Services

Assisted living facilities in South Dakota must provide the following services:

• Activities of Daily Living (ADLs): Assistance with bathing, dressing, grooming, mobility, toileting, and eating, based on residents' individual care plans.
• Medication Management: Facilities may assist with medication administration, provided that staff are properly trained and follow established protocols.
• Health Monitoring: Regular health assessments must be conducted to ensure residents’ needs are being met.
• Nutritional Services: Facilities must provide three nutritionally balanced meals per day, along with snacks, while accommodating special dietary needs.

Admission and Retention Policies

Facilities must establish clear policies for admitting and discharging residents. They may not accept individuals whose care needs exceed what the facility is licensed to provide. Specifically:

• Residents must be capable of evacuating the facility in an emergency unless special arrangements are in place.
• Facilities cannot provide 24-hour skilled nursing care beyond a short-term basis.

Resident Rights

South Dakota regulations ensure that residents in assisted living facilities have specific rights, including:

• The right to dignity, privacy, and autonomy.
• The right to participate in care planning and make decisions regarding their care.
• The right to voice grievances without fear of retaliation.
• The right to access their medical records and receive full information about their care.

Reporting and Oversight

Facilities are required to report incidents of abuse, neglect, or exploitation to the appropriate authorities. The South Dakota Department of Health oversees the enforcement of these regulations and investigates complaints to ensure facilities maintain compliance. Facilities found in violation may face penalties, license suspension, or revocation.

South Dakota is located in both the Midwestern and the Great Plains regions of the United States and is named after the Lakota and Sioux Native American tribes who still compose a portion of the population of the state. The total area of the state is 78,116 square miles, making it the 17th largest state in the nation. Yet the population is less than one million - an estimated 865,500 people call South Dakota home, which is the 46th highest in the country. The population density in South Dakota is 11.08 people per square mile, also 46th in the nation.

The capital of the state is Pierre, although the largest city is Sioux Falls. On the north side of its border there is North Dakota, on the east side there are Iowa and Minnesota, on the south side you will find Nebraska, and the west border you will find Montana and Wyoming. The closest coastline to state of South Dakota is more than 1,000 miles away. However, the state has some amazing geography. The Missouri River, for example, is the longest and biggest river in the state, but the Cheyenne, James, Big Sioux, and White rivers are also major rivers in the state. The Eastern part of the state has natural lakes and damming of the Missouri River has created reservoirs: Lake Sharpe, Lake Oahe, Lewis and Clark Lake and Lake Francis Case. The geography that really sets South Dakota apart from other states in America is the area known as the “Black Hills” and the “Badlands.”

The Black Hills are in the southwestern part of the state and cover 6,000 square miles. They are low mountains whose peaks only rise from 2,000 to 4,000 feet above the bases. “Black Elk Peak” is the highest point in the South Dakota as well as the highest point east of the Rocky Mountains and it is 7,242 feet above sea level. East of the Black Hills lies the Badlands of South Dakota, which is not just a geographical feature, but also a national park protecting 242,756 acres of land and animals.

Although South Dakota is not typically the location that one thinks of when they imagine retirees, the state has the 12th highest percentage of seniors in the nation, with 14.3% of the residents who are senior citizens aged 65 or older. However, is “The Mount Rushmore State” a wise option for seniors looking to for senior living communities in South Dakota or assisted living options in the state?

Pros and Cons of Senior Living in South Dakota

When looking into senior living options in South Dakota, seniors must keep in mind:

• Cost of Living - On a 100-point scale, the cost of living in South Dakota is 96.00, which is below U.S. average.
• Crime Rate – the rate of violent and property crimes in the South Dakota are a bit lower than the national average. The crime rate for violent crimes is 3.83 and for property crimes it is 19.43, while the United States average is 3.8 for violent crimes and 26 for property crimes. The chances of become a victim of a violent crime in South Dakota is 1 in 261 and 1 in 51 for property crimes. South Dakota has a crime rate of 15 crimes per square mile, compared with the national median of 32.85;
• Taxes – South Dakota is very tax-friendly towards seniors. There are no taxes on retirement income or on any earned income. Furthermore, there are tax relief programs, refunds, and waivers on property;
• Affordable Housing – The largest difference in the Cost of Living in South Dakota versus nationwide is in housing. On a 100 point-scale South Dakota’s housing costs are at 88. There is also a South Dakota homestead exemption and bonus tax exemptions for those who are senior citizens age 65 and older;
• Unemployment – South Dakota has an unemployment rate of 4.3% and many local corporations and businesses enjoy low taxes which leads to more jobs and a better economy. Retirees don’t usually have problems finding work in larger cities such as Sioux Falls and Rapid City;
• Health – South Dakota has an average of 195 physicians per 100,000 residents while the US average is 210. Other health indexes that are rated (with 100 being the best): Air quality – 83.7 in South Dakota, 58.4 nationwide; Water Quality – 41 in South Dakota, 55 nationwide; Superfund sites – 86.1 in South Dakota, 86.9 nationwide; and Health Cost – 97.5 in South Dakota, 100 nationwide; and
• Weather – although when one thinks of South Dakota, warm weather is not typically on the list of things that would draw people to the state, yet in the Southern Hills area, an area known as the “Banana Belt,” has relatively mild temperatures – the 40s even in January. This allows year-round hiking and other outdoor recreational activities for senior citizens.

Financial Information for South Dakota Seniors

South Dakota is one of the few states in the nation that has no state income tax.

South Dakota’s state sales tax is 4%, although there may be additional municipal sales and use taxes. In 2012, the state of South Dakota repealed the refund of state taxes on food for residents with a lower-income. These funds are now used for emergency food assistance grants.

There are a few property tax relief programs that are designed to help the disabled and senior citizens. Unlike many other states, South Dakota does not tax intangible personal property.

There is no inheritance tax in South Dakota as of June 30, 2001. Due to the repeal of the federal estate tax, South Dakota has not imposed a state estate tax on those who have died since 2005.

South Dakota does not tax wages, retirement account withdrawals, public pension, private pension or income from Social Security.

South Dakota has a lower cost of living than most other states, with housing is the biggest factor in the cost of living difference. Out of 100 points, South Dakota ranked lower than the national average with a cost of living of 96. South Dakota rated lower than the average overall (96) and in the categories of: health (98), housing (88), transportation (93), and utilities (96). Only in the categories of groceries (102.6) and miscellaneous (104) South Dakota ranked higher than the national average.  

Places of Interest for Seniors Living in South Dakota

Here are some places that senior citizens in South Dakota should take note of:

• Mount Rushmore National Memorial – located in Keystone, South Dakota. This is a sculpture that is carved into the granite face of Mount Rushmore in the Black Hills in Keystone, South Dakota. It was sculpted by Gutzon Borglum and his son, Lincoln Borglum, along with 400 other workers. Mount Rushmore features 60-foot (18 meter) sculptures of the heads of George Washington, Theodore Roosevelt, Thomas Jefferson, and Abraham Lincoln. The carving took a total of 14 years to complete. In a canyon behind the faces is a chamber, cut only 70 feet into the rock, which contains a vault with 16 porcelain enamel panels. These panels include the text of the “Declaration of Independence,” the text of the “Constitution,” biographies of the four Presidents on the Memorial, Borglum, and the history of the United States. It was listed on the National Register of Historic Places on October 15, 1966, and in 1991 President George H.W. Bush officially dedicated Mount Rushmore. Borglum’s original plan was that the figures would be carved from head to waist but insufficient funding forced the project to end; however, even the scaled-back version cost $989,992.32 which is quite cheap for a project of that size and no workers died during the carving. Mount Rushmore welcomes more than 2.6 million visitors per year and is open from Sunday to Saturday from 5:00 am until 11:00 pm;
• Custer State Park – located in Custer, South Dakota. This is a 73,000-acre wilderness that is often compared to Yellowstone National Park due to its scenery and bountiful wildlife – a great place for seniors living in South Dakota to explore;
• Reptile Gardens – located in Rapid City, South Dakota. It is a world-renowned adventure park that has more species and subspecies of venomous reptiles than any other zoo or park in the world;
• Evans Plunge – located in Hot Springs, South Dakota. The world’s largest natural, indoor warm water pool is Evans Plunge in Hot Springs, South Dakota but Evans Plunge itself is not a “hot water spring.” Evans Plunge is 87° year-round. 5,000 gallons of water flow from the mineral springs each hour, meaning that the pool is completely refreshed several times a day. Evans Plunge Mineral Spring opened in 1890 and is the oldest attraction in the Black Hills and it is owned and operated by the city of Hot Springs. Evans Plunge is open year-round and has both an indoor and an outdoor swimming pool, as well as a health club, which is included in the admission price.
• Crazy Horse Memorial – located in Crazy Horse, South Dakota. Here, seniors will find a mountain monument under construction on privately held land which will depict an Oglala Lakota warrior called Crazy Horse riding a horse and pointing his hand into the distance. The sculpture has been in progress since 1948 and is not completed. When finished, it may become the world’s largest sculpture at 641 feet (195 m) wide and 563 feet (172 m) high. The head alone will be 87 feet (27 m) high. At completion, the sculpture/monument/memorial will be the first non-religious statue to hold the record since 1967. Ziolkowski, the man who began the sculpture, died in 1982 but his widow, Ruth, took charge and oversaw work on the sculpture from the 1980s to the 2010s. Ruth died in 2014 at the age of 87. It is under the control of the Crazy Horse Memorial Foundation, a non-profit and does not receive any funding. There is some controversy over this statue as Crazy Horse refused to be photographed and was purposely buried where his grave would not be found;
• Adams Museum – located in Deadwood, South Dakota. Here, SD senior citizens will find the oldest history museum in the Black Hills of South Dakota. It was founded in 1930 by the pioneer businessman W.E. Adams to preserve and display the history of the Black Hills. Some of the treasures that are found in this museum are “Potato Creek Johnny’s Gold Nugget,” a pencil sketch drawing of Wild Bill Hickock by American illustrator N.C. Wyeth, the Theon Stone record of the Ezra Kind party’s discovery of gold in the Hills in the 1830s, and a marine reptile called a plesiosaur.
• Wounded Knee Massacre Monument – located in Wounded Knee, South Dakota. Seniors can explore this monument to the natives that were killed in the Wounded Knee Massacre which occurred on December 29, 1980 on the Lakota Pine Ridge Indian Reservation in South Dakota. At least 20 U.S. soldiers received the Medal of Honor for their part in the massacre. In 1965, the Wounded Knee Battlefield became a U.S. National Historic Landmark and in 1966 it became part of the U.S. National Register of Historic Places;
• USS South Dakota Battleship Memorial – located in Sioux Falls, South Dakota. This is a memorial which honors the most decorated battleship of World War II and the memorial is a full-size outline of the ship with historical artifacts from the ship inside of it. The USS South Dakota participated in every major battle in the Pacific from 1942-1945. The memorial is open daily from Memorial Day through Labor Day;
• Mt. Roosevelt Tower – also called Friendship Tower, located in Deadwood, South Dakota. Seniors living in South Dakota can visit this 31-foot stone tower with a six-foot-high platform built to honor President Theodore Roosevelt. It was the first tribute to President Roosevelt and was dedicated on July 4, 1919. Before becoming President, Theodore Roosevelt was a Medora, ND deputy sheriff in 1884 where he met and established a life-long friendship with Seth Bullock – the Sheriff of Deadwood at that time. When Roosevelt passed away, Bullock desired to create a monument to his friend which he did with support from the Society of the Black Hills Pioneers. In 1966, the Tower was donated to the United States Forest Service; and
• Wall Drug Store – located in Wall, South Dakota. This tourist attraction is known around the world and a worthy place for South Dakota senior citizens to visit. The Wall Drug Store (or simply Wall Drug) is a shopping mall containing a gift shop, drug store, restaurants, and other various stores. It is unusual in that it is owned by a single entity. It was purchased in 1931 by Ted Hustead who was looking for a small town with a Roman Catholic Church where he could start a business. He purchased Wall Drug, in a town with a population of 231 people. Business was slow in the beginning until his wife, Dorothy, began offering free ice water to those who were traveling to the newly opened Mount Rushmore which is 60 miles west of Wall. By 1981, Wall Drug claimed that they were giving away 20,000 free glasses of water during the peak of the tourist season. Since then, billboards for Wall Drug are found throughout a 650-mile long stretch of Interstate 90 from Minnesota to Montana. Wall Drug still offers free ice water along with bumper stickers “Where the heck is Wall Drug?”, “How many miles to Wall Drug?”, and “Where in the world is Wall Drug?” further aiding in the promotion. Fans of the store have contributed by adding their own billboards which state the distance to Wall Drug – one is in Antarctica and there have been pictures of soldiers in Afghanistan and Iraq holding signs as well.

Some cities to consider for South Dakota Senior Living

When researching the best South Dakota senior living communities, the following cities may be worth your consideration:

• Rapid City, South Dakota – a city, and the county seat of, Pennington County, South Dakota. Rapid City is the second-largest city in South Dakota after Sioux Falls and it is set against the eastern slope of the Black Hills mountains range. The city, which is also known as the “Gateway to the Black Hills” and the “City of Presidents,” is split by a low mountain range into the western and eastern parts. The town of Deadwood, South Dakota is nearby, as are the famous South Dakotan monuments of “Mount Rushmore,” “Custer State Park,” the “Crazy Horse Memorial,” and “Wind Cave National Park.” The population of Rapid City, South Dakota is approximately 74,500 residents, of which around 14.5% are age 65 or older;
• Huron, South Dakota – a city in, and the county seat of, Beadle County, South Dakota. Huron was named after the Huron Indians and the first settlement was made there in 1880. Although it was at one point the fourth largest city in the state of South Dakota, it is the now the ninth. It is home to the South Dakota State Fair, the Huron Area Community Theater, and the statue known as “The World’s Largest Ring-necked Pheasant.” The population of Huron is approximately 13,500 residents, of which around 17.9% belong to the 65+ senior living community;
• Hartford, South Dakota – a city in Minnehaha County, South Dakota. It is a suburb of Sioux Falls, and lies only a few miles northwest of the city. Hartford is also within close proximity to Brookings, South Dakota. The city was named after Hartford, Connecticut and it was incorporated in 1896. The population of Hartford, South Dakota is approximately 3,100, with around 8% of residents who are part of the senior living community of 65 years or older;
• Brookings, South Dakota – a city located in, and the county seat of, Brookings County, South Dakota. Brookings is the fourth-largest city in the state and is home to South Dakota State University, the largest University in the state. Other things to do in Brookings include: South Dakota State Art Museum, the Children’s Museum of South Dakota, the annual Brookings Summer Arts Festival, McCrory Gardens and South Dakota Arboretum, South Dakota Agricultural History Museum, Coughlin Campanile, Frost Arena, Coughlin-Alumni Stadium. Brookings, South Dakota has a crime rate that is a staggering 72% lower than the state average and is full of recreation activities that senior citizens can take advantage of, such as camping, horseback riding, and fishing. Brookings is one of the safest and most vibrant cities in the state with both recreational areas as well as dining and shopping choices where seniors and all others should be able to find what they enjoy and need. The median age in Brookings is 24 (remember that it is the home of South Dakota State University) and the median household income is $45,175. The population of Brookings, South Dakota is estimated to be around 23,000 residents, of which approximately 8.5% belonging to the 65+ senior living community. Some years ago, Brookings was rated #5 on the list of the Top 10 Best Small Towns.
• Aberdeen, South Dakota – a city in Lawrence County, South Dakota. Located in northeastern South Dakota, in the James River valley, there are two dams of the James River which form reservoirs that are northeast of Aberdeen. The city itself is bisected by Moccasin Creek which flows south to northeast and into the James River. It is third-largest city in the state of South Dakota. Aberdeen is home to both Northern State University and Presentation College. The major employer in Aberdeen is Avera Saint Luke’s Hospital and other events that have occurred there recently are the plane crash that killed golfer Payne Stewart in October of 1999 as well as the town being the founding place of Super 8 Motels. Aberdeen is home to the Aberdeen Community Theatre, Storybook Land Theater productions, the South Dakota Film Festival, the nationally recognized theme park Storybook Land Theme Park, and four art galleries – Presentation College’s Wein Gallery, Northern State University’s Lincoln Gallery, the Aberdeen Recreation & Cultural Center (ARCC) Gallery, and the ArtWorks Cooperative Gallery. Six months of the year the Brown County Speedway hosts dirt track racing on Saturday nights. The population of Aberdeen, South Dakota is approximately 28,500, with around 16% of residents who are part of the 65+ senior living community;
• Lead, South Dakota – a city in Lawrence County, South Dakota which is in Western Wyoming near the Wyoming state line. Lead is located close to the town of Deadwood, leading to the two cities often being called “Lead-Deadwood.” Two of the prominent man-made features in Lead’s geography are the “open cut,” which was used for surface gold mining, and the nearby ridge that was built from the material that was not used for production from the mine. Much of Lead, over 400 buildings and 580 acres, were added to the National Register of Historic Places in 1974. The George S. Mickelson trail, which runs through the center of the city, is just one of the nearby trails available to seniors for hiking, mountain biking, and horseback riding. There are man-made lakes, Sheridan Lake which allows for fishing and swimming, and Spearfish Canyon, north of Lead, is a popular rock-climbing destination. Two ski areas are popular in the winter that are only a few miles from Lead – Terry Peak and Deer Mountain. The population of Lead has been hovering around 3,000 for the last 20 years and 13 % of the residents are part of the 65+ senior living community;
• Yankton, South Dakota – a city located in, and the county seat of, Yankton County, SD. Yankton is the main city of the Yankton Micropolitan Statistical Area which contains all of Yankton County and it is often called the “River City” due to its closeness to the Missouri River. Yankton was the first capital of the Dakota Territory and is the location for the United States National Park Service’s headquarters for the “Missouri National Recreational River.” Here, seniors will find 26 properties and six districts that are listed on the National Register of Historic Places. Additionally, there are 14 municipal parks, two golf courses, and the Summit Activities Center, which is open to the public, all within the city limits. Mount Mary College, located in Yankton, operates the “Bede Art Gallery” and the “Marion Auditorium” as well as being the home to the Great Plains Writers’ Tour. Yankton is home to the Dakota Territorial Museum and an annual celebration in August called “Yankton’s Riverboat Days” which attracts over 130,000 people. Yankton, South Dakota has approximately 14,500 residents, with around 17% of residents belonging to the senior living community of 65 years of age or older. Yankton was previously named as one of the Top 100 Best Small Towns.
• Vermillion, South Dakota – a city in, and the county seat of, Clay County, South Dakota in the southeastern corner of the state. Vermillion is the eleventh largest city in the state of South Dakota and home to the University of South Dakota which has the only law and medical school in the state, as well as being the only AACSB (Association to Advance Collegiate Schools of Business) accredited business school. Vermillion has plenty of green space, public parks, two swimming pools, a disc golf course, a baseball diamond, a bike trail along the Vermillion River and an 18-hole championship golf course which overlooks the bluffs in the city. The “National Music Museum” at the University of South Dakota is recognized and accredited by the American Alliance of Museums and the National Music Council. The population of Vermillion, South Dakota is around 10,900 residents, with approximately 8.5% of the community who are senior citizens age 65 or older;
• Sioux Falls, South Dakota – a city in, and the County Seat of, Minnehaha County, South Dakota, although the city also extends into Lincoln County to the south. Sioux Falls is the largest city in the state, the 47th fastest-growing city in the United States, and the fastest-growing metro area in South Dakota. It is the primary city of the Sioux Falls-Sioux City Designated Market Area (DMA) which covers four states and has a population of almost 1,050,000. The Sioux Falls Metropolitan Statistical Area comprises four counties – Lincoln, McCook, Minnehaha, and Turner with Lincoln County being the fastest growing county of that group and the ninth-fastest growing county percentage-wise in the United States. There are more than 70 parks and greenways in Sioux Falls that senior citizens living there can explore, including a paved 16-mile path that follows the Big Sioux River. The “South Dakota Department of Game, Fish and Parks” has an Outdoor Campus at Sertoma Park in Sioux Falls which hosts outdoor activities throughout the year, including star-gazing and snowshoeing. During the winter months, Giant Bear Recreation Park offers skiing, snowboarding, and tubing. Sioux Falls is home to many financial companies, probably due to the lack of a state corporate income tax. In addition, seniors will be delighted to know that it is a major healthcare center with four hospitals: Sanford Health, Avera McKennan Hospital, the South Dakota Veterans Affairs Hospital, and the Avera Heart Hospital of South Dakota. Regarding higher education, Sioux Falls has a number of colleges included the Augustana University (formerly Augustana College), University of Sioux Falls, Sioux Falls Seminary and many others. With so many colleges and universities, there should be plenty of cultural activities and classes for seniors to take, should one be inclined to do so. Every summer Sioux Falls is host to a SculptureWalk and “First Fridays” are held the first Friday of every summer month with local business and associations in Downtown Sioux Falls, where they take part creating a major evening event, including concerts held at the EastBank. Annually, there is the “Downtown Riverfest,” the “Festival of Bands,” “The Sioux Empire Spectacular,” “Party in the Park,” “Sioux Falls Jazzfest” at Yankton Trail Park, and the “Sioux Empire Fair” held at the W.H. Lyon Fairgrounds. Landmarks in Sioux Falls include the Great Plains Zoo & Delbridge Museum, the U.S.S. South Dakota Battleship Memorial, the USS South Dakota, the 114th Fighter Wing located at Joe Foss field, and a replica of the famous statue “David” by Michelangelo is at Fanwick Park. The population of Sioux Falls is approximately 174,500, with approximately 11% of residents belonging to the 65+ senior living community in this college town; and
• Belle Fourche, South Dakota – a city in, and the county seat of Butte County, South Dakota. Belle Fourche (French for “beautiful fork”) is near the geographic center of the 50 United States (including Alaska and Hawaii) and that name was given to it by French explorers who came from New France in reference to the meeting of the rivers of what are now called the Belle Fourche and the Hay Creek and Redwater Rivers. Today, Belle Fourche still serves as a trade area for ranches and farms in the area as well as a gateway to the northern Black Hills. The population of Belle Fourche is approximately 6,000 residents with approximately 15.6% of the population part of the 65+ senior living community.

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