24-Hour Home Care in Blackhawk, SD: Round-the-Clock Care

Local figures

24-Hour Home Care in Blackhawk, SD: the local picture

9.6%

of residents 65+ have difficulty dressing or bathing (4.4% in Meade County)

26

residents 85 or older (0.9% of all residents)

41%

of residents 65+ report a disability (28% in Meade County)

$57,589

median yearly income of households headed by someone 65+

53 Blackhawk residents 65 or older have difficulty dressing or bathing (9.6%; 4.4% in Meade County), and 178 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 26 residents are 85 or older (0.9% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Good Samaritan Society - St Martin Village in Rapid City (3.6 mi) and Fountain Springs Healthcare in Rapid City (5.3 mi).

Blackhawk compared with Meade County and South Dakota

Census figure	Blackhawk	Meade County	South Dakota
Residents 65+ with difficulty dressing or bathing	9.6%	4.4%	5.4%
Residents 65+ with serious difficulty walking	32%	17%	18%
Residents 65+ with serious difficulty remembering	4.7%	4.0%	5.9%
Residents 85 or older	0.9%	1.5%	2.1%
Residents 65+ in households who live alone	40%	26%	30%
Residents 65+ below the poverty line (approx.)	0.0%	7.8%	10%
Median income, households headed by someone 65+	$57,589	$56,959	—

Older residents in towns around Blackhawk

Town	Distance	Residents 65+	Self-care difficulty (65+)
Summerset, SD	2.9 mi	248	3.2%
Rapid City, SD	8.0 mi	16,108	6.5%
Colonial Pine Hills, SD	9.6 mi	793	12%
Rapid Valley, SD	12 mi	1,292	4.5%
Box Elder, SD	13 mi	963	4.2%
Sturgis, SD	20 mi	1,375	3.4%

Home health agencies serving Blackhawk

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Monument Health Home Plus Home Health	Rapid City, SD	5.3 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(605) 755-7710
Good Samaritan Soc-Home Health Of The Black Hills	Rapid City, SD	10 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(605) 342-0529
Monument Health Home Plus Home Health	Spearfish, SD	35 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(605) 644-4444
State Home Care Services, Inc	Rapid City, SD	6.4 mi	4.5 of 5	nursing, physical therapy, occupational therapy, home health aides	(605) 718-5004
Heartland Home Health LLC	Belle Fourche, SD	44 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(605) 723-4663

Nursing homes near Blackhawk (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Good Samaritan Society - St Martin Village	Rapid City, SD	3.6 mi	3 of 5	60	(605) 343-1919
Fountain Springs Healthcare	Rapid City, SD	5.3 mi	3 of 5	90	(605) 343-3555
Avantara North	Rapid City, SD	6.2 mi	3 of 5	68	(605) 343-4958
Avantara Mountain View	Rapid City, SD	6.6 mi	2 of 5	101	(605) 343-8577

Straight-line miles from the center of Blackhawk. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a 24-hour caregiver can help with

Someone awake and on duty at all hours
Personal care, meals and medication reminders through the day
Help at night without relying on one tired caregiver
Written handover notes between shifts

Cost

What 24-hour home care costs in Blackhawk

24-hour care is 168 paid hours a week. At $18.15 an hour (the South Dakota median aide wage) that is about $13,213 a month in wages before any overtime, 275% of the $4,799 monthly median income of Blackhawk households headed by someone 65+. Rates are agreed with each caregiver. South Dakota's minimum wage is $11.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a 24-hour caregiver

24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.

Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

24-Hour Home Care in Blackhawk: common questions

How much does 24-hour home care cost in Blackhawk?

24-hour care is 168 paid hours a week. At $18.15 an hour (the South Dakota median aide wage) that is about $13,213 a month in wages before any overtime, 275% of the $4,799 monthly median income of Blackhawk households headed by someone 65+. Rates are agreed with each caregiver. South Dakota's minimum wage is $11.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

How many caregivers does 24-hour care take?

A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.

More near Blackhawk

More senior care near Blackhawk

24-Hour Home Care in nearby cities

Other care in Blackhawk

More for Blackhawk families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

24-Hour Home Care in Blackhawk, SD