Senior care in Spearfish, SD
7 verified senior living communities in Spearfish, SD across 2 care types. Compare ratings, read family reviews, and request pricing for free.
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Senior living snapshot
What to know about senior living in Spearfish
- Communities
7
Listed in Spearfish
- Avg rating
4.0 / 5
1 family reviews
- Verified
0
Operator-managed listings
- Care types
2
Available locally
Public records and government data for families
Five sources we recommend when researching Spearfish. All free, all government-published.
Crime + safety data
Verified crime statistics for Spearfish, sourced from local law enforcement.
FBI Crime Data Explorer
Hospitals + nursing-home quality
Star ratings, inspection reports, and complaint history for nursing facilities in South Dakota.
Medicare Care Compare
VA medical centers
Locate the nearest VA medical center, community-based outpatient clinic, or VA-approved provider in South Dakota.
U.S. Department of Veterans Affairs
South Dakota Medicaid + senior services
Eligibility, Home and Community Based Services waivers, and Area Agency on Aging contacts for South Dakota.
Eldercare Locator (ACL.gov)
HUD Fair Market Rent
Federally-published rent benchmarks for the Spearfish area, used to price subsidized senior housing.
U.S. Department of Housing and Urban Development
Browse by care type in Spearfish
Pick the level of care first. Pricing, amenities, and the services available all vary by care type.
AL
Top assisted living in Spearfish
Assisted living provides personal care, meals, and daily support for seniors who need help with everyday tasks but not full medical supervision.
HC
Top home care in Spearfish
Home care brings personal-care services and companionship into the senior's own home rather than moving them into a community.
Cost of living near Spearfish
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.
- Overall
- 99.8
- Grocery
- 101.8
- Housing
- 112.7
- Utilities
- 91.2
- Transport
- 89.7
- Misc.
- 91.1
100 = US average. South Dakota statewide; Spearfish-specific data may vary.
Senior living guides
All articles
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Best GPS Trackers for Seniors with Dementia in 2026: Tested for Real-World Use

Best Walk-in Tubs for Seniors in 2026: What We Found After Testing 7 Models

The $2,000 Medicare Drug Cap Explained: What It Covers, Who Saves the Most, and How to Spread the Cost in 2026
Common questions about senior living in Spearfish
- How many senior living communities are in Spearfish, SD?
- Spearfish, SD has 7 senior living communities across 2 care types including assisted living, home care.
- What care types are available in Spearfish?
- Local options include assisted living, home care. Choose the care level first; pricing, amenities, and required services all vary by care type.
- How much does senior living cost in Spearfish?
- 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. Pricing in Spearfish varies by apartment size and care level; request a written cost breakdown from each community on your shortlist.
- Does Medicare or Medicaid cover senior living in Spearfish?
- Medicare doesn't cover assisted living, independent living, or senior apartments. It does cover medically necessary short-term skilled nursing care after a qualifying hospital stay. Medicaid programs in South Dakota may cover some services for eligible residents; coverage and eligibility vary by program.
- How do I tour senior living communities in Spearfish?
- Request pricing through SeniorSite and we'll send you availability and tour information from the communities you're considering. Most communities welcome both scheduled tours and drop-in visits during business hours.
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