Senior care in South Dakota.
From Sioux Falls to Rapid City, we recommend home care agencies near you. Free for families.

Example
Your care match
Personalized for Mom · near 57104
Harbor Home Care
Home care agency · 2.1 mi away
Offers personal care
Serves 57104
Available weekday mornings
Home care agency
Only this agency gets your request
Home care across South Dakota.
Pick your city for local phone numbers, ways to pay and answers. If your city is not listed, enter your ZIP code and we’ll look for care near you.
South Dakota does not license agencies that only provide non-medical help at home, so ask any agency about its insurance, background checks and caregiver training before care starts.
Ways to pay in South Dakota.
Private pay
Most families pay the provider directly. You agree on hours and rates before care starts.
Long term care insurance
Many policies cover in home care or assisted living after a waiting period.
VA benefits
Veterans and surviving spouses may qualify for Aid and Attendance or VA home care programs.
Medicaid
Your state’s Medicaid program may pay for some care at home for people who qualify.
HOPE Waiver
South Dakota’s HOPE Waiver may pay for in-home help, respite, meals, adult day services and assisted living. It is for people 65 and older, or adults with a qualifying disability, who need a nursing home level of care. Call Dakota at Home, the state’s aging and disability resource line, at 833-663-9673 (press option 1) to ask about the HOPE Waiver.
All ways to payYour first consultation with the agency is free, and so is our help finding it. Tell us what you need in South Dakota and the agency reaches out to set it up.
Get my free consultationFree help in South Dakota.
These services are free, whether or not you use Hailo Care.
Dakota at Home
The South Dakota Department of Human Services line for older adults, people with disabilities and caregivers looking for help at home.
833-663-9673HOPE Waiver, Division of Long Term Services and Supports
The state Medicaid waiver for care at home, run by the Department of Human Services in Pierre. Call Dakota at Home and press option 1.
833-663-9673Consumer Home Health Hotline
South Dakota Department of Health line for questions and complaints about licensed home health agencies and hospice, weekdays 8 a.m. to 5 p.m. Central.
800-738-2301Alzheimer’s Association 24/7 Helpline
Free, confidential help for people living with dementia and their families, any time of day.
800-272-3900Do home care agencies need a license in South Dakota?
South Dakota does not license agencies that only provide non-medical help at home, so ask any agency about its insurance, background checks and caregiver training before care starts.
Does South Dakota Medicaid pay for home care?
It can. South Dakota’s HOPE Waiver may pay for in-home help, respite, meals, adult day services and assisted living. It is for people 65 and older, or adults with a qualifying disability, who need a nursing home level of care. Call Dakota at Home, the state’s aging and disability resource line, at 833-663-9673 (press option 1) to ask about the HOPE Waiver.
How much does home care cost in South Dakota?
It depends on the type of care, the hours and where you live. Agencies share their rates before care starts, and the first consultation is free.
Which South Dakota cities do you serve?
Every South Dakota ZIP code. We have local pages for the 4 largest cities, including Sioux Falls, Rapid City and Aberdeen.
Is a home care consultation free in South Dakota?
Yes. Your first consultation with the home care agency is free, and so is our help finding the agency. There is no obligation to start care.
Let’s find care that feels like home.
Enter your ZIP code for a free consultation with a home care agency anywhere in South Dakota. We match you with one local agency.
- Free for families
- Free first consultation
- No obligation