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Home care costs · SD

South Dakota home care costs: 2026 guide

In South Dakota, the median rate for a non-medical caregiver is $44 an hour. Full-time help at 44 hours a week comes to about $8,437 a month. That hourly rate is 26% above the US median.

Source: CareScout Cost of Care Survey 2025, fielded July to November 2025, published March 2026. These are the most recent published medians. Actual quotes vary by city, agency and care needs.

Home care, monthly
$8,437
44 hr/week at $44/hr
Assisted living, monthly
$4,900
Private one-bedroom
Nursing home, monthly
$9,444
Semi-private room · private $10,190
Adult day care, daily
Not published
Daytime supervised setting

Part-time home care in South Dakota

Most families start with fewer than 44 hours. Monthly cost at the South Dakota median rate:

Hours per weekMonthlyYearlyvs. assisted living
10 hours$1,918$23,016$2,982/mo less
20 hours$3,835$46,020$1,065/mo less
30 hours$5,753$69,036$853/mo more
44 hours$8,437$101,244$3,537/mo more
60 hours$11,505$138,060$6,605/mo more

Stay home or move? The South Dakota break-even point

At the median rates, in-home care costs less than assisted living up to about 26 hours of paid help a week. Beyond that, assisted living is usually cheaper on cost alone, though many families still weigh independence, safety and what their parent wants.

Try the calculator with South Dakota numbers

Adjust hours to match the help your family actually needs.

What option are you weighing?
South Dakota
Stay home with help
$8,437
per month
≈ $101,244 per year
Home-care hourly$44
Assisted living$4,900/mo
Nursing home$9,444/mo
Adult day carenot published

Medians from the CareScout Cost of Care Survey 2025. Home care is scaled from the published 44-hour monthly median. The sensor link is an affiliate link.

Common questions

How much does home care cost per hour in South Dakota?
The median hourly rate for a non-medical caregiver in South Dakota is $44, according to the CareScout Cost of Care Survey 2025. The US median is $35.
How much is full-time home care per month in South Dakota?
At 44 hours a week, the median is about $8,437 a month, or $101,244 a year.
Is home care cheaper than assisted living in South Dakota?
Below roughly 26 hours of paid help a week, in-home care costs less than the South Dakota assisted living median of $4,900 a month. Above that, assisted living is usually cheaper on cost alone.
What does a nursing home cost in South Dakota?
A semi-private room has a median cost of $9,444 a month, and a private room $10,190.

Next steps families often take

Trust & Will

Will Plan from $199, Trust Plan from $499 (trustandwill.com/compare)

Online wills and revocable living trusts, state-specific, with optional attorney support.

Often a fit when: you need a South Dakota-specific will, power of attorney and living will in place before care decisions get urgent.

Compare Trust & Will plans

Affiliate link. We may earn a commission. We have not tested this service ourselves.

envoyatHome

$99/month plus a one-time $399 equipment package (envoyathome.com)

Passive home monitoring for seniors living alone: small motion and door sensors that alert family to falls, missed routines and night wandering. No cameras or wearables.

Often a fit when: paid help covers only part of the week and you want to know about falls or missed routines in the gaps.

See how envoyatHome works

Affiliate link. We may earn a commission. We have not tested this service ourselves.

Planning care in South Dakota?

Five short emails over three weeks: what to compare first, the paperwork to do early, and real numbers for part-time help.