Local supply and market context for residential assisted living in Spearfish.
Updated July 2026
Spearfish, SD has 7 licensed assisted living homes (310 beds, averaging 44.3 per home). It sits in Lawrence County, a thin RAL market scoring 4.4/10, with 2,415 seniors 75+ growing 10.7%.
Licensed homes
7
Spearfish
Licensed beds
310
total
Avg home size
44.3 beds
per home
County opportunity
4.4/10
Thin
The Spearfish assisted living market
Spearfish has 7 licensed assisted living homes totaling 310 beds — an average of 44.3 beds per home, skewing toward larger communities. As part of Lawrence County, it draws on a 75+ population of 2,415 growing 10.7%, with a senior median income of $58,472. See the full Lawrence County market or all South Dakota top markets.
Frequently asked questions
How many assisted living homes are in Spearfish, SD?
Spearfish has 7 licensed assisted living homes with about 310 total beds.
Is Spearfish a good place to open an assisted living home?
Spearfish is in Lawrence County, which scores 4.4/10 (Thin) on RAL Market Scout; its 75+ population is growing 10.7%. Current local supply is 7 homes.
What county is Spearfish in?
Spearfish is in Lawrence County, South Dakota.
Evaluate a Spearfish site
RAL Market Scout builds a full demand-and-supply report for any specific address in Spearfish.
Sources: Home and bed counts from the South Dakota licensing roster (RAL Market Scout pipeline). County demand, growth, and income from U.S. Census ACS. Snapshot: 2026-07. Informational only — not legal, financial, or investment advice.