Sioux Falls, South Dakota

Home Health Aides in Sioux Falls, SD

Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in Sioux Falls for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Home Health Aides in Sioux Falls, SD: the local picture

17
Medicare-certified home health agencies list Sioux Falls ZIP codes in their service area
$18.15
median hourly wage of home care aides in South Dakota (BLS, May 2025)
28,329
residents 65 or older (14% of Sioux Falls)
29%
of residents 65+ report a disability

17 Medicare-certified home health agencies list Sioux Falls ZIP codes in their service area; the highest-rated are below, and 8 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.

Sioux Falls has about 28,329 residents aged 65 or older, 29% of whom report a disability.

Sioux Falls compared with South Dakota

Census figureSioux FallsSouth Dakota
Residents 65+ with a disability29%31%
Residents 65 or older14%18%
Residents 85 or older1.5%2.1%
Residents 65+ in households who live alone34%30%
Residents 65+ below the poverty line (approx.)7.9%10%
Residents 5+ who speak a language other than English at home11%7.1%
Median income, households headed by someone 65+$57,752—

Older residents in towns around Sioux Falls

TownDistanceResidents 65+65+ with a disability
Harrisburg, SD7.4 mi31261%
Tea, SD7.5 mi37137%
Brandon, SD8.2 mi1,62732%
Hartford, SD12 mi61433%
Canton, SD18 mi78630%
Dell Rapids, SD20 mi70327%

Medicare-certified home health agencies serving Sioux Falls

AgencyOfficeDistanceCMS quality starsServices listedPhone
Avera @ HomeAberdeen, SD159 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(605) 622-5200
Avera @ HomeYankton, SD57 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(605) 668-8327
State Home Care Services, IncRapid City, SD325 mi4.5 of 5nursing, physical therapy, occupational therapy, home health aides(605) 718-5004
Sanford Home HealthSioux Falls, SD0.8 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(605) 328-5900
Aveanna Home HealthSioux Falls, SD2.3 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(605) 335-3373
Avera @ HomeSioux Falls, SD4.6 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(605) 322-4663
Avera @ HomeMitchell, SD66 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(605) 995-2268
Avera @ HomeEstherville, IA96 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(712) 362-6169

Straight-line miles from the center of Sioux Falls. 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 Sioux Falls

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 33% of the $4,813 monthly median income of Sioux Falls 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 Sioux Falls: common questions

Which home health agencies serve Sioux Falls?

Medicare lists 17 certified agencies whose service area includes Sioux Falls ZIP codes. The highest-rated on Medicare’s quality stars include Avera @ Home (5 of 5), Avera @ Home (4.5 of 5), State Home Care Services, Inc (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Sioux Falls?

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 33% of the $4,813 monthly median income of Sioux Falls 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.

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.

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