Compare monthly care rates across 364 cities and 96 CMS-certified nursing facilities in South Dakota.
Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.
At South Dakota's average caregiver rate of $26.25/hr, hiring in-home care equals the $4,650/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).
Saves $2,375/mo vs. Assisted Living (excludes home mortgage/utilities).
Full-time home care costs $355/mo more than Assisted Living (where meals & utilities are included).
Assisted Living saves $4,449/mo; Memory Care averages $5,670/mo.
Sorted by number of Medicare-certified care facilities and local market size.
| City | County | Assisted Living | Memory Care | Nursing Home (Semi) | Median Home Value | CMS Facilities |
|---|---|---|---|---|---|---|
| Rapid City | Pennington | $5,010/mo | $6,110/mo | $7,740/mo | $270,400 | 8 |
| Sioux Falls | Lincoln | $6,250/mo | $7,620/mo | $9,650/mo | $323,500 | 7 |
| Aberdeen | Brown | $4,340/mo | $5,290/mo | $6,710/mo | $212,900 | 4 |
| Brookings | Brookings | $4,390/mo | $5,360/mo | $6,780/mo | $246,300 | 2 |
| Flandreau | Moody | $4,340/mo | $5,290/mo | $6,710/mo | $206,300 | 2 |
| Hot Springs | Fall River | $4,340/mo | $5,290/mo | $6,710/mo | $176,300 | 2 |
| Milbank | Grant | $4,340/mo | $5,290/mo | $6,710/mo | $179,400 | 2 |
| Mitchell | Davison | $4,340/mo | $5,290/mo | $6,710/mo | $190,000 | 2 |
| Pierre | Hughes | $4,890/mo | $5,970/mo | $7,550/mo | $221,100 | 2 |
| Redfield | Spink | $4,340/mo | $5,290/mo | $6,710/mo | $117,400 | 2 |
| Watertown | Codington | $4,390/mo | $5,360/mo | $6,790/mo | $218,000 | 2 |
| Yankton | Yankton | $4,340/mo | $5,290/mo | $6,710/mo | $208,200 | 2 |
| Alcester | Union | $5,380/mo | $6,560/mo | $8,320/mo | $269,500 | 1 |
| Belle Fourche | Butte | $4,570/mo | $5,580/mo | $7,070/mo | $207,700 | 1 |
| Beresford | Union | $5,380/mo | $6,560/mo | $8,320/mo | $269,500 | 1 |
| Bowdle | Edmunds | $4,710/mo | $5,750/mo | $7,270/mo | $163,600 | 1 |
| Brandon | Minnehaha | $4,870/mo | $5,940/mo | $7,520/mo | $266,600 | 1 |
| Bridgewater | Mccook | $4,460/mo | $5,440/mo | $6,890/mo | $217,300 | 1 |
| Bristol | Day | $4,340/mo | $5,290/mo | $6,710/mo | $155,100 | 1 |
| Britton | Marshall | $4,340/mo | $5,290/mo | $6,710/mo | $147,200 | 1 |
| Canistota | Mccook | $4,460/mo | $5,440/mo | $6,890/mo | $217,300 | 1 |
| Canton | Lincoln | $6,250/mo | $7,620/mo | $9,650/mo | $323,500 | 1 |
| Centerville | Turner | $4,340/mo | $5,290/mo | $6,710/mo | $199,000 | 1 |
| Chamberlain | Brule | $4,340/mo | $5,290/mo | $6,710/mo | $205,500 | 1 |
| Clark | Clark | $4,340/mo | $5,290/mo | $6,710/mo | $141,900 | 1 |
| Custer | Custer | $5,480/mo | $6,690/mo | $8,470/mo | $327,200 | 1 |
| De Smet | Kingsbury | $4,340/mo | $5,290/mo | $6,710/mo | $159,600 | 1 |
| Dell Rapids | Minnehaha | $4,870/mo | $5,940/mo | $7,520/mo | $266,600 | 1 |
| Eagle Butte | Dewey | $4,340/mo | $5,290/mo | $6,710/mo | $75,400 | 1 |
| Estelline | Hamlin | $4,580/mo | $5,590/mo | $7,080/mo | $207,700 | 1 |
| Eureka | Mcpherson | $4,340/mo | $5,290/mo | $6,710/mo | $78,400 | 1 |
| Faulkton | Faulk | $4,340/mo | $5,290/mo | $6,710/mo | $124,100 | 1 |
| Freeman | Hutchinson | $4,340/mo | $5,290/mo | $6,710/mo | $160,500 | 1 |
| Garretson | Minnehaha | $4,870/mo | $5,940/mo | $7,520/mo | $266,600 | 1 |
| Gettysburg | Potter | $4,510/mo | $5,500/mo | $6,960/mo | $121,300 | 1 |
| Gregory | Gregory | $4,340/mo | $5,290/mo | $6,710/mo | $129,000 | 1 |
| Groton | Brown | $4,340/mo | $5,290/mo | $6,710/mo | $212,900 | 1 |
| Highmore | Hyde | $4,720/mo | $5,760/mo | $7,300/mo | $134,500 | 1 |
| Howard | Miner | $4,340/mo | $5,290/mo | $6,710/mo | $114,100 | 1 |
| Huron | Beadle | $4,340/mo | $5,290/mo | $6,710/mo | $178,400 | 1 |
| Irene | Clay | $4,340/mo | $5,290/mo | $6,710/mo | $221,800 | 1 |
| Kadoka | Jackson | $4,340/mo | $5,290/mo | $6,710/mo | $111,500 | 1 |
| Lake Andes | Charles Mix | $4,340/mo | $5,290/mo | $6,710/mo | $169,200 | 1 |
| Lake Norden | Hamlin | $4,580/mo | $5,590/mo | $7,080/mo | $207,700 | 1 |
| Lemmon | Perkins | $4,340/mo | $5,290/mo | $6,710/mo | $105,900 | 1 |
| Madison | Lake | $4,570/mo | $5,580/mo | $7,050/mo | $231,000 | 1 |
| Marion | Turner | $4,340/mo | $5,290/mo | $6,710/mo | $199,000 | 1 |
| Menno | Hutchinson | $4,340/mo | $5,290/mo | $6,710/mo | $160,500 | 1 |
| Miller | Hand | $4,340/mo | $5,290/mo | $6,710/mo | $152,100 | 1 |
| New Underwood | Pennington | $5,010/mo | $6,110/mo | $7,740/mo | $270,400 | 1 |
| Parkston | Hutchinson | $4,340/mo | $5,290/mo | $6,710/mo | $160,500 | 1 |
| Philip | Haakon | $4,340/mo | $5,290/mo | $6,710/mo | $153,200 | 1 |
| Platte | Charles Mix | $4,340/mo | $5,290/mo | $6,710/mo | $169,200 | 1 |
| Roslyn | Day | $4,340/mo | $5,290/mo | $6,710/mo | $155,100 | 1 |
| Scotland | Bon Homme | $4,340/mo | $5,290/mo | $6,710/mo | $120,300 | 1 |
| Selby | Walworth | $4,480/mo | $5,470/mo | $6,930/mo | $130,000 | 1 |
| Sisseton | Roberts | $4,340/mo | $5,290/mo | $6,710/mo | $139,100 | 1 |
| Spearfish | Lawrence | $4,500/mo | $5,490/mo | $6,960/mo | $310,800 | 1 |
| Sturgis | Meade | $5,340/mo | $6,510/mo | $8,250/mo | $274,800 | 1 |
| Tyndall | Bon Homme | $4,340/mo | $5,290/mo | $6,710/mo | $120,300 | 1 |
| Vermillion | Clay | $4,340/mo | $5,290/mo | $6,710/mo | $221,800 | 1 |
| Viborg | Turner | $4,340/mo | $5,290/mo | $6,710/mo | $199,000 | 1 |
| Wagner | Charles Mix | $4,340/mo | $5,290/mo | $6,710/mo | $169,200 | 1 |
| Wakonda | Clay | $4,340/mo | $5,290/mo | $6,710/mo | $221,800 | 1 |
| Webster | Day | $4,340/mo | $5,290/mo | $6,710/mo | $155,100 | 1 |
| Wessington Springs | Jerauld | $4,340/mo | $5,290/mo | $6,710/mo | $127,000 | 1 |
| White Lake | Aurora | $4,340/mo | $5,290/mo | $6,710/mo | $129,000 | 1 |
| White River | Mellette | $4,340/mo | $5,290/mo | $6,710/mo | $63,000 | 1 |
| Wilmot | Roberts | $4,340/mo | $5,290/mo | $6,710/mo | $139,100 | 1 |
| Winner | Tripp | $4,340/mo | $5,290/mo | $6,710/mo | $137,100 | 1 |
| Woonsocket | Sanborn | $4,340/mo | $5,290/mo | $6,710/mo | $138,500 | 1 |
| Agar | Sully | $4,580/mo | $5,590/mo | $7,080/mo | $198,700 | 0 |
| Akaska | Walworth | $4,480/mo | $5,470/mo | $6,930/mo | $130,000 | 0 |
| Alexandria | Hanson | $4,580/mo | $5,590/mo | $7,080/mo | $192,400 | 0 |
| Allen | Bennett | $4,340/mo | $5,290/mo | $6,710/mo | $138,600 | 0 |
| Alpena | Jerauld | $4,340/mo | $5,290/mo | $6,710/mo | $127,000 | 0 |
| Amherst | Marshall | $4,340/mo | $5,290/mo | $6,710/mo | $147,200 | 0 |
| Andover | Day | $4,340/mo | $5,290/mo | $6,710/mo | $155,100 | 0 |
| Arlington | Kingsbury | $4,340/mo | $5,290/mo | $6,710/mo | $159,600 | 0 |
| Armour | Douglas | $4,690/mo | $5,720/mo | $7,240/mo | $125,000 | 0 |