Assisted Living in South Dakota
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Families looking for assisted living in South Dakota (SD) have a wide array of communities to choose from, since estimated that there are more than 30,000 assisted living communities serving seniors across the U.S., and over 133 statewide. The state is also home to a rapidly growing number of senior citizens, with adults over 65 making up an estimated 16 percent of the population. A resident in an assisted living community in South Dakota will pay $3,500 per month on average.
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What You Should Know About Assisted Living in South Dakota
The South Dakota Department of Health licenses assisted living centers (ALCs) throughout the state; these are any premise, agency, boarding home or institution that offers personal care and services to adults.
While the term may be a catch-all, assisted living facilities can differ significantly based on the community type and licensing. Special approvals are needed to provide services such as:
- Medication administration
- Cognitive impairment care
- Physical impairment care
- Oxygen administration
- Special diets
- Hospice care
- Assistance with eating
- Assistance that requires two or more people
Financial Assistance for Assisted Living in South Dakota
South Dakota offers several programs that may help in covering costs for assisted living including a Medicaid HCBS waiver program and supplemental income for SSI recipients.
South Dakota CHOICES Home and Community-Based Services Waiver Program
This program is available to eligible South Dakotans who are intellectually and developmentally disabled. It provides benefits that include, among other things, residential support, nursing and specialized medical services. The CHOICES program does not provide funding for room and board.
Who Is Eligible?
There is no age requirement for eligibility; however, income is capped at 300 percent of the SSI Federal Benefit Rate (FBR), which is currently $750. This puts the income cap at $2,250 per month.
In addition, applicants must be determined to have an intellectual or developmental disability as defined by the state.
How to Apply
To apply for benefits through the CHOICES program, contact the Division of Developmental Disabilities, part of the Department for Human Services, or call 605-773-3438.
The HCBS HOPE waiver covers services that include help with the activities of daily living in assisted living centers as a means to help seniors who don’t need, but still qualify for, the more intensive setting of a nursing home. The waiver also sets a $693 maximum room and board fee that a facility may charge an enrolled participant.
Keep in mind, South Dakota does not allow family supplementation for those enrolled in the HCBS waiver program. This means that funds provided by family members to help cover expenses, or even extra spending money, could jeopardize eligibility or disbursement amount.
Who is Eligible?
To be eligible for a HOPE waiver, applicants must be at least 60 years old or have a qualifying disability. Applicants must also meet income guidelines, which are set at 300 percent of the current federal SSI benefit.
How to Apply
To apply, contact your local Division of Long-Term Services and Supports. There are offices assigned to cover each county.
South Dakota also provides an optional state supplement (OSS) to any individual receiving SSI benefits and residing in an assisted living facility. This supplement provides up to $765 per month based on an applicant’s SSI payment and other income.
More Ways to Finance Assisted Living
While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Visit our 9 Ways to Pay for Assisted Living page for more information.
Free Assisted Living Resources in South Dakota
In addition to the Medicaid programs, South Dakota has resources that can help seniors transition to long-term care or maintain independence in their communities. A network of state-funded agencies and private nonprofit organizations throughout the state can provide information, health care benefits, service-program referrals and financial assistance to those in need.
South Dakota Area Agencies on Aging
Area Agencies on Aging (AAA) provide support and services for elders that aim to promote independence and help seniors stay within their communities. In South Dakota, the Division of Long-term Services and Supports (LTSS) serves as the state's AAA.
The LTSS offers programs that can help qualified seniors with assisted living, nursing services, personal care, transportation and more.
PO Box 784, 2001 Main St., Eagle Butte, SD 57625
PO Box 108, Fort Thompson, SD 57339
PO Box 187, Lower Brule, SD 57548
700 Governors Drive, Pierre, SD 57501
PO Box 5011, Pine Ridge, SD 57770
PO Box 430, 1 Legion Ave., Red Log Bldg, Rosebud, SD 57570
PO Box 509, 100 Veterans Memorial Drive, Sisseton, SD 57262
Local VA facilities provide qualified veterans with health care, therapy and financial assistance for home adaptations. The South Dakota VA hosts the Michael J. Fitzmaurice Veterans Home, a 133,000-square-foot facility in Hot Springs that has 76 beds for those in need of skilled nursing care and 24 beds for those who aren't.
Below is a list of Vet Centers in South Dakota:
The Social Security Administration provides retired and disabled seniors with supplemental security income (SSI) and social security disability insurance (SSDI). There are six social security offices located throughout the state. South Dakota offers optional state supplementation (OSS) to those receiving SSI benefits whether they're in an independent- or assisted-living setting.
115 4th Ave Se, Aberdeen, SD 57401
1-855-278-4196 or TTY: 1-800-325-0778
200 4th Street Sw, Huron, SD 57350
1-866-563-4604 or TTY: 1-605-352-6746
2200 North Maple Ave, Rapid City, SD 57701
1-866-964-7416 or TTY: 1-800-325-0778
5021 S Nevada Ave, Sioux Falls, SD 57108
1-877-274-5421 or TTY: 1-605-323-1923
514 Tenth Ave Se, Watertown, SD 57201
1-888-737-1763 or TTY: 1-800-325-0778
1818 Broadway Ave, Yankton, SD 57078
1-877-405-3522 or TTY: 1-605-665-0985
The U.S. Administration on Aging mandates that all states make available a long-term care (LTC) ombudsman program for seniors in assisted living communities, nursing homes and other long-term care facilities. Their services are confidential and free.
LTC ombudsman in South Dakota offer services to individual residents who are having difficulty resolving an issue with their provider. They also provide educational services to raise awareness within a community and referral services for seniors and their families.
The offices below can provide or locate support to those needing ombudsman services:
Aberdeen Long Term Services & Supports
3401 10th Avenue SE, Aberdeen, SD 57401
Belle Fourche Long Term Services & Supports
609 5th Avenue, Belle Fourche, SD 57717
Brookings Long Term Services & Supports
1310 Main Avenue South, Suite 101, Brookings, SD 57006
Chamberlain Long Term Services & Supports
320 Sorenson Drive, Chamberlain, SD 57325
Custer Long Term Services & Supports
1164 Mt. Rushmore Road #3, Custer, SD 57730
Deadwood Long Term Services & Supports
20 Cliff Street, Deadwood, SD 57732
Hot Springs Long Term Services & Supports
2500 Minnekahta Avenue, Bldg. 1, Hot Springs, SD 57747
Huron Long Term Services & Supports
110 3rd Street SW, Suite 200, Huron, SD 57350
Lake Andes Long Term Services & Supports
3rd & Lake, Lake Andes, SD 57356
Madison Long Term Services & Supports
223 South Van EPS, Suite 201, Madison, SD 57042
Mission Long Term Services & Supports
671 North Marge Lane, Mission, SD 57555
Mitchell Long Term Services & Supports
116 E 11th Street, Mitchell, SD 57301
Mobridge Long Term Services & Supports
920 6th Street West, Mobridge, SD 57601
Olivet Long Term Services & Supports
140 E Euclid, RM 127, Olivet, SD 57052
Pierre Long Term Services & Supports
912 East Sioux, Pierre, SD 57501
Rapid City Long Term Services & Supports
510 N Cambell, Rapid City, SD 57701
Redfield Long Term Services & Supports
210 East 7th Avenue, Spink County Courthouse, Suite 3, Redfield, SD 57469
Sioux Falls Long Term Services & Supports
811 E 10th Street, Dept. 4, Sioux Falls, SD 57103
Sisseton Long Term Services & Supports
10 East Hickory Street, Suite 2, Sisseton, SD 57262
Sturgis Long Term Services & Supports
2200 West Main, Sturgis, SD 57785
Vermillion Long Term Services & Supports
114 Market Street, Suite 102, Vermillion, SD 57069
Watertown Long Term Services & Supports
2001 9th Avenue SW, Suite 300, Watertown, SD 57201
Winner Long Term Services & Supports
649 West 2nd Street, Winner, SD 57580
Yankton Long Term Services & Supports
3113 N Spruce Street, Suite 200, Yankton, SD 57078
Assisted Living Laws and Regulations in South Dakota
Assisted Living Service Plan Requirements
A service plan documents the specific needs and services of any individual resident. It outlines the process of providing those services, including who performs the task and how frequently it occurs.
Service plans are drafted after the completion of an evaluation of the resident. Evaluations include determinations regarding a residents:
- Medication administration needs
- Cognitive abilities
- Ability to perform the activities of daily living and instrumental activities of daily living
- Mental health
- Nursing care needs
- Dietary needs and preferences
South Dakota mandates that residents be evaluated at move-in as well as at 30 days after admission and each following year to confirm that the facility can continue to meet the needs of the resident. Cognitive evaluations should also occur after any significant change in his or her condition.
Assisted Living Admission Requirements
Assisted living community applicants are responsible for providing the facility with the documented results of a physical examination by a physician prior to admission. It must certify that an applicant:
- Is in reasonably good health and has no communicable diseases
- Does not have a chronic illness
- Does not have a disability that requires more than limited physical assistance
Assisted living communities are also restricted from admitting residents who require a certain level of physical, medical or behavioral care including:
- Residents who need more than intermittent nursing care
- Residents who are unable to perform self-preservation
- Residents with behavioral conditions that could result in harm to themselves or others
Communities may not discharge a resident unless it is determined that the facility is unable to meet their needs, or if their condition improves to the point that they no longer require services.
Assisted Living Scope of Care
In addition to assistance with the activities of daily living, assisted living facilities must provide services for activities and the spiritual needs of individual residents. Facilities must coordinate at least annual access to a medical professional such as a physician or nurse practitioner. Assisted living communities are permitted to administer skilled care, through a licensed provider, when needed, if it’s for a limited time with a scheduled end date.
Assisted living facilities in South Dakota serve three meals per day at regular times, and they must ensure that meals and snacks are in line with recommended allowances. For residents with special dietary needs, assisted living facilities must work with dieticians to plan and provide meals.
Assisted Living Medicaid Policy
South Dakota covers some of the costs and services associated with assisted living through its Medicaid HCBS waiver programs such as HOPE and CHOICES. The state caps room and board fees for waiver recipients at $693.
The state does not allow for family supplementation for those with HCBS waivers.
Please note: Not all assisted living facilities accept Medicaid as a form of payment. Contact your prospective communities for their policy on Medicaid programs.
Assisted Living Facility Requirements
South Dakota does not require assisted living facilities to provide apartment-style units; however, they do make provisions concerning occupancy, toilets and sinks.
For assisted living facilities built after January 9, 2012, each residential room must include a bathroom with sink, though no specific guidelines are set for showers. The state allows for double-occupancy rooms but does not allow for larger units. No more than two people may reside in a double-occupancy room.
Facilities with residents who are unable to walk independently must have a call system in place.
Medication Management Regulations
South Dakota assisted living facilities may provide medication administration under these guidelines:
- A licensed nurse must review resident care weekly
- A pharmacist must evaluate medication regimen monthly
- A registered nurse or pharmacist must provide staff training
Staff members who pass training may then administer medications to residents.
Medication self-administration is allowed, as long as the resident has been deemed able by an interdisciplinary team, and those residents may then instruct others to administer medication for them.
A physician or registered nurse must evaluate any resident who self-administers medications to confirm their continuing capability. These evaluations must take place every 90 days.
South Dakota does not set a minimum staff-to-resident ratio for assisted living facilities; however, it does set a daily standard for minimum staff contact time at 48 minutes per resident. Additionally, at least two staff members must be on duty at all times unless the assisted living community has fewer than 10 residents. In those instances, at least one staff member is required.
Assisted living facilities must have an awake staff member during regular sleeping hours, but waivers are granted if certain facility criteria are met.
Assisted living communities must employ or contract:
- An administrator to manage daily operations
- Assistive staff to provide personal care
- A licensed nurse to review care and conditions
- A registered nurse to train staff (for those offering medication administration)
Staff Training Requirements
South Dakota does not have specific provisions that address continuing education for administrators as some other states do, but it does set guidelines for all assisted living community staff.
Facilities must provide an orientation program and ongoing training that covers:
- Safety protocols and accident prevention
- Emergency procedures
- Resident rights
- Caring for unique needs
- Hydration needs and nutritional risks for seniors
- Fire prevention
- Infection control
- Restraint usage
- Reporting policies
Any assisted living facility that has hospice services or is home to residents who use supplemental oxygen or have cognitive impairments must also hold training in those areas.
Background Checks for Staff
Background-check procedures vary by facility. South Dakota does not allow assisted living communities to employ anyone that has been convicted of crimes involving abuse of another person.
Requirements for Reporting Abuse
Assisted living community staff members, as well as any medical or mental health professional in South Dakota, are required by law to report 'knowledge or reasonable suspicion of abuse, neglect or exploitation of elders' to their facility administrator within 24 hours. Administrators must report incidents to state authorities within an additional 24 hours.
If you have reason to suspect abuse or neglect of an elder, please contact the South Dakota Adult Protective Service.
Assisted Living Facilities in South Dakota
Top-Rated Caring Stars Winners in South Dakota
Caring.com’s Caring Stars award program recognizes the best assisted living facilities across the U.S. based on reviews from family caregivers and older adults. This award is meant to help older adults and their loved ones find the best assisted living or in-home care option in their area. The list below shows up to 10 listings that have won the most Caring Stars annual awards in their state, sorted by their current overall average rating. For a complete list of Caring Stars winners for each year, please visit our Caring Stars info center.