Senior Care in South Dakota — Independent Report Cards
136 nursing homes, home-health agencies, hospices and assisted-living communities in South Dakota — 133 graded from public regulatory data. We take $0 from any facility we grade.
How these grades work. Every grade is computed from a fixed public rubric — safety inspections, staffing, clinical outcomes, enforcement actions and financial stability — using government data. No facility can pay to change its grade or placement. Providers with under 30% rubric coverage are shown as "Listed" with no letter grade rather than pretending thin data is comparable. Read the full methodology.
What senior care costs in South Dakota (2025 medians)
Care setting
South Dakota median
National median
Assisted living, private one-bedroom
$4,900/mo
$6,200/mo
Nursing home, semi-private room
$311/day
$315/day
Nursing home, private room
$335/day
$355/day
In-home care, non-medical (private pay)
$44/hr
$35/hr
Hospice isn't priced here: the Medicare hospice benefit covers it for eligible patients, typically at no cost for the care itself. Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.