Home Health Aides in Hot Springs, SD: Hire In-Home Help

Local figures

Home Health Aides in Hot Springs, SD: the local picture

3

Medicare-certified home health agencies list Hot Springs ZIP codes in their service area

$18.15

median hourly wage of home care aides in South Dakota (BLS, May 2025)

1,338

residents 65 or older (38% of Hot Springs)

42%

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

3 Medicare-certified home health agencies list Hot Springs ZIP codes in their service area; the highest-rated are below, and 3 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.

Home health and personal care aides in South Dakota earn a median $18.15 an hour (BLS, May 2025), with the middle half between $17.50 and $20.96.

Hot Springs has about 1,338 residents aged 65 or older, 42% of whom report a disability.

Hot Springs compared with Fall River County and South Dakota

Census figure	Hot Springs	Fall River County	South Dakota
Residents 65+ with a disability	42%	39%	31%
Residents 65 or older	38%	33%	18%
Residents 85 or older	5.7%	3.6%	2.1%
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+	65+ with a disability
Colonial Pine Hills, SD	42 mi	793	42%
Rapid City, SD	47 mi	16,108	33%
Newcastle, WY	47 mi	610	38%
Chadron, NE	47 mi	805	55%
Rapid Valley, SD	48 mi	1,292	37%
Blackhawk, SD	51 mi	550	41%

Medicare-certified home health agencies serving Hot Springs

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Monument Health Home Plus Home Health	Rapid City, SD	46 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(605) 755-7710
State Home Care Services, Inc	Rapid City, SD	52 mi	4.5 of 5	nursing, physical therapy, occupational therapy, home health aides	(605) 718-5004
Interim Healthcare	Rapid City, SD	52 mi	3 of 5	nursing, physical therapy, occupational therapy, home health aides	(605) 348-5885

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 home health aide can help with

Bathing, grooming, dressing and toileting
Transfers, walking and positioning
Meals and help with eating
Medication reminders

Cost

What home health aides 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 home health aide

Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.

Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.

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

Questions

Home Health Aides in Hot Springs: common questions

Which home health agencies serve Hot Springs?

Medicare lists 3 certified agencies whose service area includes Hot Springs ZIP codes. The highest-rated on Medicare’s quality stars include Monument Health Home Plus Home Health (5 of 5), State Home Care Services, Inc (4.5 of 5), Interim Healthcare (3 of 5). Compare them on Medicare Care Compare.

How much does home health aides 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).

What is the difference between a home health aide and a CNA?

Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.

More near Hot Springs

More senior care near Hot Springs

Home Health Aides in nearby cities

Other care in Hot Springs

More for Hot Springs 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.

Home Health Aides in Hot Springs, SD