State plate · SD
Assisted living in South Dakota
South Dakota licenses assisted living through DOH, Licensure & Certification, under the license types Assisted Living Center. South Dakota does not publish a downloadable list with capacity. CDC's 2020 survey estimated 140 residential care communities with 4,700 beds. HUD's active-loan file shows 4 FHA-insured assisted living loans in South Dakota with $65.4 million outstanding as of September 30, 2026.
Licensing
- Licensing agency
- DOH, Licensure & Certification
- License types
- Assisted Living Center
- Official program page
- doh.sd.gov
- Facility list
- no download (search form only)
Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.
CDC survey profile (2020)
The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.
| Measure | South Dakota | US |
|---|---|---|
| Communities | 140 | 30,600 |
| Beds | 4,700 | 1,197,600 |
| Average beds per community | 34 | 39 |
| For-profit | n/a% | 81.9% |
| Chain affiliated | 48.3% | 61.4% |
| Medicaid certified | 76.1% | 43.6% |
| Dementia-only communities | n/a | 10.5% |
| Dementia-only or with a dementia unit | n/a | 20.5% |
| Residents 85 and older | 64.0% | 49.9% |
| Residents with Alzheimer disease or other dementias | 28.2% | 42.1% |
Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.
HUD Section 232 assisted living loans
- Active FHA loans
- 4
- Outstanding
- $65.4 million
- Median note rate
- 4.34%
- Endorsed since FY2001
- 7
Since fiscal 2001 HUD has endorsed 7 FHA-insured assisted living loans in South Dakota for $84.5 million of original principal, and 3 since fiscal 2021. 2 of today's active loans carry a note rate of 5% or more.
| Property (HUD name) | City | Units | Endorsed | Rate | Balance | Matures |
|---|---|---|---|---|---|---|
| Legends on Lake LorraineFHA 09122042 | Sioux Falls | 307 | Jul 2025 | 5.93% | $36,119,923 | Aug 2060 |
| Village at Skyline PinesFHA 09122041 | Rapid City | 86 | Jun 2024 | 6.25% | $19,325,002 | Jul 2059 |
| Inn on WestportFHA 09122033 | Sioux Falls | 140 | Apr 2013 | 2.75% | $6,658,485 | Aug 2044 |
| Pine Hills Retirement CommunityFHA 09122037 | Hot Springs | 61 | Jun 2021 | 2.50% | $3,263,034 | Jul 2056 |
Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.
Own or are buying an assisted living or memory care building in South Dakota? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.
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ALF Atlas is operated by Janover Capital LLC and is not affiliated with HUD, FHA, CDC or any state agency. Methodology.