The top markets for residential assisted living in South Dakota, ranked by demand versus supply — plus the cities where the homes are.
RAL Market Scout's opportunity score blends 75+ demand and projected senior growth against current bed supply — a saturated market is scored down even when demand is high. Higher means more room for a new small home.
| County | Pop 75+ | Demand | Homes | Market | Band |
|---|---|---|---|---|---|
| Minnehaha | 9,824 | 2.8 | 26 | 6.0 | Moderate |
| Pennington | 8,199 | 4.4 | 14 | 5.7 | Moderate |
| Lincoln | 3,974 | 5.3 | 11 | 4.8 | Moderate |
| Lawrence | 2,415 | 5.0 | 7 | 4.4 | Thin |
| Custer | 1,039 | 4.6 | 1 | 4.2 | Thin |
| Meade | 1,872 | 4.3 | 6 | 4.1 | Thin |
| Brookings | 1,962 | 4.3 | 5 | 3.6 | Thin |
| Hughes | 1,308 | 3.6 | 2 | 3.5 | Thin |
| Yankton | 2,120 | 4.4 | 7 | 3.4 | Thin |
| Union | 1,246 | 5.6 | 3 | 3.3 | Thin |
| Brown | 2,848 | 2.1 | 8 | 3.2 | Thin |
| Davison | 1,871 | 3.8 | 7 | 3.2 | Thin |
| Codington | 2,392 | 3.8 | 6 | 3.2 | Thin |
| Beadle | 1,523 | 3.1 | 4 | 3.1 | Thin |
| Ziebach | 84 | 1.3 | 0 | — | — |
| McCook | 431 | 3.5 | 4 | — | — |
| Miner | 233 | 3.1 | 2 | — | — |
| Aurora | 234 | 2.8 | 1 | — | — |
| Clark | 390 | 4.8 | 3 | — | — |
| Perkins | 398 | 3.3 | 2 | — | — |
| Walworth | 514 | 2.6 | 0 | — | — |
| Jackson | 196 | 2.3 | 0 | — | — |
| Butte | 823 | 2.8 | 3 | — | — |
| Kingsbury | 521 | 2.2 | 2 | — | — |
| McPherson | 340 | 2.9 | 3 | — | — |
| Turner | 749 | 3.4 | 4 | — | — |
| Deuel | 391 | 2.2 | 0 | — | — |
| Roberts | 908 | 3.4 | 3 | — | — |
| Fall River | 869 | 5.2 | 1 | — | — |
| Lake | 865 | 3.0 | 3 | — | — |
| Edmunds | 389 | 4.6 | 0 | — | — |
| Douglas | 354 | 4.9 | 3 | — | — |
| Grant | 800 | 5.8 | 2 | — | — |
| Hand | 341 | 3.4 | 2 | — | — |
| Clay | 739 | 3.6 | 2 | — | — |
| Spink | 696 | 4.2 | 2 | — | — |
| Tripp | 669 | 4.0 | 2 | — | — |
| Bon Homme | 690 | 3.1 | 2 | — | — |
| Day | 621 | 3.4 | 2 | — | — |
| Charles Mix | 785 | 2.8 | 2 | — | — |
| Faulk | 254 | 3.7 | 1 | — | — |
| Brule | 513 | 4.8 | 3 | — | — |
| Marshall | 401 | 2.6 | 1 | — | — |
| Bennett | 217 | 3.0 | 0 | — | — |
| Hutchinson | 734 | 3.4 | 3 | — | — |
| Moody | 522 | 3.0 | 1 | — | — |
| Haakon | 209 | 2.6 | 1 | — | — |
| Gregory | 471 | 2.8 | 2 | — | — |
| Todd | 252 | 1.1 | 0 | — | — |
| Oglala Lakota | 368 | 1.7 | 0 | — | — |
| Dewey | 138 | 1.8 | 1 | — | — |
| Potter | 357 | 5.4 | 0 | — | — |
| Jerauld | 225 | 3.8 | 0 | — | — |
| Mellette | 104 | 1.7 | 0 | — | — |
| Hamlin | 371 | 2.8 | 4 | — | — |
| Hyde | 148 | 3.1 | 1 | — | — |
| Sanborn | 170 | 3.1 | 0 | — | — |
| Jones | 99 | 2.2 | 0 | — | — |
| Corson | 159 | 1.1 | 0 | — | — |
| Lyman | 254 | 3.1 | 0 | — | — |
| Stanley | 353 | 5.5 | 1 | — | — |
| Sully | 133 | 1.8 | 0 | — | — |
| Buffalo | 67 | 4.7 | 0 | — | — |
| Campbell | 226 | 6.6 | 1 | — | — |
| Hanson | 133 | 1.1 | 0 | — | — |
| Harding | 33 | 2.8 | 0 | — | — |
Where the homes actually are. Each linked city has its own page with local supply and market context.
| City | County | Homes | Beds | Avg size |
|---|---|---|---|---|
| Sioux Falls | Minnehaha | 25 | 1,746 | 69.8 |
| Rapid City | Pennington | 14 | 606 | 43.3 |
| Aberdeen | Brown | 7 | 276 | 39.4 |
| Mitchell | Davison | 7 | 281 | 40.1 |
| Yankton | Yankton | 7 | 247 | 35.3 |
| Spearfish | Lawrence | 7 | 310 | 44.3 |
| Watertown | Codington | 6 | 281 | 46.8 |
| Huron | Beadle | 5 | 173 | 34.6 |
| Sturgis | Meade | 5 | 132 | 26.4 |
RAL Market Scout scores every county and ZIP in South Dakota on demand, supply gaps, and referral capacity — and builds a site-level report for any address you're evaluating.