Lynne A. Valenti
Cabinet Secretary

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Assisted Living

Assisted living is a residential alternative promoting maximum independence for each resident through a combination of supportive services and assistance. The definition of assisted living from one state to another may vary and so will the cost and types of service.

Assisted living centers vary in size, style and the optional services they may offer. Small family style living or the larger complex of units can be found in South Dakota. Some facilities are operated by nonprofit organizations, while others are proprietary. In addition, some facilities may be co-located or affiliated with a hospital or nursing facility. Assisted living centers may accept certain restricted admissions if they meet additional licensing requirements under South Dakota Administrative Rules 44:70:04:13.

In South Dakota, the Department of Health is responsible for the licensure and inspection of assisted living centers. The Administrative Rules of South Dakota, Article 44:70, Assisted Living Centers, specifies the requirements for staffing, operating and resident care.

Assisted living services are provided to people who reside in a homelike, non-institutionalized setting that includes 24-hour on-site response capability to meet scheduled or unpredictable resident needs and to provide supervision, safety and security.

In general terms, an assisted living center is required to provide assistance with daily living activities, including eating, bathing, dressing and personal hygiene; three meals a day; supervision of self-administration of medications; laundry service including personal laundry; housekeeping; and 24 hour staffing.

  • Learn about assisted living in South Dakota, through the New Assisted Living Consumer Guide developed by the Department.
  • The Department provides financial assistance for eligible people in assisted living facilities. For information on eligibility requirements and how to apply, click here.