Senior Care Costs in South Dakota (2026)
Complete guide to nursing home, assisted living, and home care costs in South Dakota. Costs are 12.7% below the national average.
Nursing Home (Private)
$8,304/mo
National avg: $9,514
Nursing Home (Semi-Private)
$7,452/mo
National avg: $8,582
Assisted Living
$4,000/mo
National avg: $4,612
Home Health Aide
$26.00/hr
$4,576/mo (8hr/day)
Adult Day Care
$1,517/mo
National avg: $1,692
Homemaker Services
$24.00/hr
$4,224/mo (8hr/day)
Senior Care Costs by City in South Dakota
| City | Nursing Home | Assisted Living | Home Health Aide | Adult Day Care |
|---|---|---|---|---|
| Aberdeen | $8,297/mo | $3,997/mo | $25.98/hr | $1,516/mo |
| Brookings | $7,985/mo | $3,846/mo | $25.00/hr | $1,459/mo |
| Rapid City | $7,321/mo | $3,526/mo | $22.92/hr | $1,337/mo |
| Sioux Falls | $6,759/mo | $3,256/mo | $21.16/hr | $1,235/mo |
| Watertown | $9,021/mo | $4,346/mo | $28.25/hr | $1,648/mo |
Medicaid & Medicare Coverage in South Dakota
South Dakota Medicaid covers nursing facilities. HOPE waiver for community-based alternatives.
Medicare Coverage (Federal)
- Up to 100 days skilled nursing after hospital stay
- Home health services if homebound
- Does NOT cover custodial/long-term care
How to Pay for Care in South Dakota
- Long-term care insurance
- Medicaid (income/asset eligible)
- VA benefits for veterans
- Personal savings and investments
- Reverse mortgage proceeds
South Dakota Senior Demographics
17.2%
Population 65+
$63,920
Median Household Income
$99,648
Annual Nursing Home Cost
Elder Care Cost Calculator
Estimate senior care costs based on your state, care type, and duration needs.
Nursing Home (Private Room) in South Dakota
Monthly Cost
$8,304
Annual Cost
$99,648
5-Year Projection
$498,240
Total (12mo)
$99,648
vs. National Average
$1,237/mo lower than national average (-13.0%)
Medicare & Medicaid Coverage
- Medicare: Covers up to 100 days of skilled nursing facility care after a qualifying hospital stay (first 20 days fully covered, days 21-100 with copay).
- Medicaid: May cover nursing home and some home care costs for eligible individuals. Income and asset limits apply and vary by state.
- Long-Term Care Insurance: Can cover costs not paid by Medicare or Medicaid. Premiums depend on age and coverage level.
- VA Benefits: Veterans may qualify for Aid and Attendance benefits to help cover care costs.
* Estimates based on Genworth Cost of Care Survey data. Actual costs may vary by facility, location, and level of care needed. Consult a certified elder care advisor or financial planner specializing in senior care for personalized guidance.
More About South Dakota
Frequently Asked Questions
How much does a nursing home cost in South Dakota?
What is the cost of assisted living in South Dakota?
Does South Dakota Medicaid cover nursing home care?
How much does a home health aide cost in South Dakota?
What percentage of South Dakota's population is 65 or older?
Was this data helpful?
Data verified March 2026 · Source: Genworth Cost of Care Survey