10 home care communities across 6 cities in South Dakota. South Dakota's senior-care market is centered in Sioux Falls and Rapid City.
Home care brings personal-care services and companionship into the senior's own home rather than moving them into a community.
Pick a city to see communities, compare amenities, and request pricing.

Spearfish, SD

Mitchell, SD

Sioux Falls, SD

Sioux Falls, SD

Spearfish, SD

Baltic, SD

Lyons, SD

Sioux Falls, SD

Hartford, SD

Sioux Falls, SD
Home Care (typical US range)
$25 - $45 per hour (US, 2026)
Most agencies require a minimum number of hours per visit, often 4 hours. Round-the-clock home care can run $20,000-$30,000+ per month, often more than a private room in assisted living. Long-term care insurance and VA Aid and Attendance can offset costs; Medicare covers medically prescribed home health (a different service) but not non-medical home care.
The cost of living in South Dakota is slightly below the state average, going 0.2 below the national average. However, when it comes to groceries, it is slightly above. Meanwhile, housing is over 12 points higher. However, the median home cost and rent are lower than the national average. South Dakota excels in one area in its transportation costs, which can go over 10 below the national average. Overall, it's an affordable place to retire to, and while your face probably won't be the next on Mount Rushmore, you can carve yourself a wonderful little life during your golden years. South Dakota's cost-of-living index is 99.8 (100 = US average). The median home price is around $167,100. Average rent runs about $747 a month.
Home care fits seniors who can safely stay in their own home with some help, family caregivers who need respite, and households where moving to a community isn't the right answer (because of cost, preference, or a spouse who isn't ready). It's not appropriate for someone who needs 24-hour skilled nursing or active medical treatment - that's home health or a skilled-nursing facility.
Get matched
Tell us the city, budget, and care level you're considering. We'll send pricing for South Dakota home care communities that fit. No phone calls until you ask.
Loading the matching form…
Powered by SilverAssist. By submitting this form you agree to our privacy policy.