Dementia Care in Hot Springs, SD: In-Home Alzheimer's Care

Local figures

Dementia Care in Hot Springs, SD: the local picture

203

residents 85 or older (5.7% of all residents)

1,338

residents 65 or older (38% of Hot Springs)

42%

of residents 65+ report a disability (39% in Fall River County)

2

Medicare-certified nursing homes within 25 miles

Hot Springs has about 203 residents aged 85 or older among 1,338 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.

42% of residents 65 and older report a disability (39% in Fall River County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

35% of older Hot Springs residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.

Hot Springs compared with Fall River County and South Dakota

Census figure	Hot Springs	Fall River County	South Dakota
Residents 85 or older	5.7%	3.6%	2.1%
Residents 65 or older	38%	33%	18%
Residents 65+ with a disability	42%	39%	31%
Residents 65+ in households who live alone	35%	28%	30%
Residents 65+ below the poverty line (approx.)	8.9%	8.3%	10%
Residents 5+ who speak a language other than English at home	6.6%	4.1%	7.1%
Median income, households headed by someone 65+	$59,000	$59,142	—

Older residents in towns around Hot Springs

Town	Distance	Residents 65+	Residents 85+
Colonial Pine Hills, SD	42 mi	793	13
Rapid City, SD	47 mi	16,108	2,099
Newcastle, WY	47 mi	610	96
Chadron, NE	47 mi	805	211
Rapid Valley, SD	48 mi	1,292	118
Blackhawk, SD	51 mi	550	26

Nursing homes near Hot Springs

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Seven Sisters Living Center	Hot Springs, SD	0.7 mi	4 of 5	52	(605) 745-8910
Michael J Fitzmaurice South Dakota Veterans Home	Hot Springs, SD	1.8 mi	4 of 5	78	(605) 745-5127

Hospices serving Hot Springs

Hospice	Office	Distance	Phone
Stillwater Hospice Of South Dakota	Rapid City, SD	41 mi	(605) 745-4967
Monument Health Home Plus Hospice	Rapid City, SD	46 mi	(605) 755-7710

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

What it covers

What a dementia caregiver can help with

Keeping a predictable daily routine
Gentle help with bathing, dressing and toileting
Meals, hydration and medication reminders
Calming approaches for sundowning, agitation and repeated questions

Cost

What dementia care costs in Hot Springs

At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 32% of the $4,917 monthly median income of Hot Springs households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 dementia caregiver

An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.

Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.

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

Questions

Dementia Care in Hot Springs: common questions

What nursing homes are near Hot Springs?

The closest Medicare-certified nursing homes are Seven Sisters Living Center in Hot Springs (0.7 mi, 4 of 5 overall); Michael J Fitzmaurice South Dakota Veterans Home in Hot Springs (1.8 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Hot Springs?

At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 32% of the $4,917 monthly median income of Hot Springs households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Dakota's minimum wage is $11.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

When does someone with dementia need care at home?

Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.

More near Hot Springs

More senior care near Hot Springs

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.

In-Home Dementia and Alzheimer's Care in Hot Springs, SD