Hospice Support in Madison, SD: Caregivers at Home

Local figures

Hospice Support in Madison, SD: the local picture

6

Medicare-certified hospices serve Madison ZIP codes

308

residents 85 or older (5.1% of all residents)

22%

of residents 65+ in households live alone (21% in Lake County)

48%

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

Medicare lists 6 hospices whose service area includes Madison ZIP codes, the nearest offices being Sanford Hospice in Sioux Falls (37 mi) and Aseracare Hospice in Sioux Falls (37 mi).

270 Madison residents 65 or older live alone (22% of those in households). Someone on hospice who lives alone usually needs added hours of help between the hospice team’s visits.

Madison compared with Lake County and South Dakota

Census figure	Madison	Lake County	South Dakota
Residents 85 or older	5.1%	3.4%	2.1%
Residents 65+ in households who live alone	22%	21%	30%
Residents 65+ with a disability	48%	39%	31%
Residents 65+ with difficulty dressing or bathing	2.6%	3.0%	5.4%
Residents 65 or older	23%	24%	18%
Residents 65+ below the poverty line (approx.)	5.4%	5.0%	10%
Median income, households headed by someone 65+	$50,938	$61,289	—

Older residents in towns around Madison

Town	Distance	Residents 65+	Live alone (65+)
Dell Rapids, SD	23 mi	703	34%
Brookings, SD	26 mi	2,888	40%
Hartford, SD	28 mi	614	18%
Sioux Falls, SD	37 mi	28,329	34%
Brandon, SD	39 mi	1,627	26%
Pipestone, MN	40 mi	812	44%

Hospices serving Madison

Hospice	Office	Distance	Phone
Sanford Hospice	Sioux Falls, SD	37 mi	(605) 312-5500
Aseracare Hospice	Sioux Falls, SD	37 mi	(605) 338-2066
Avera @ Home	Sioux Falls, SD	39 mi	(605) 322-7705
St Croix Hospice	Sioux Falls, SD	42 mi	(605) 800-4050
Avera @ Home	Mitchell, SD	50 mi	(605) 995-2268
Prairie Lakes Hospice	Watertown, SD	62 mi	(605) 882-7745

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

What it covers

What a caregiver for hospice support can help with

Comfort, company and a calm presence
Gentle personal care and repositioning
Small meals and fluids as the person wants
Telling the hospice nurse about changes

Cost

What hospice support costs in Madison

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 37% of the $4,245 monthly median income of Madison 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 caregiver for hospice support

Under Medicare, hospice is for someone whose doctors certify a life expectancy of six months or less and who chooses comfort care instead of treatment to cure the illness. Medicare does not cover room and board for hospice care at home (Medicare.gov).

Questions worth asking: Have you cared for someone at the end of life? How do you work with a hospice nurse? Can you sit overnight in the last days if needed? More in our hospice support guide.

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

Questions

Hospice Support in Madison: common questions

How much does hospice support cost in Madison?

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 37% of the $4,245 monthly median income of Madison 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).

Who qualifies for hospice under Medicare?

Someone whose hospice doctor (and regular doctor, if they have one) certifies a life expectancy of six months or less, and who accepts comfort care instead of curative treatment (Medicare.gov).

More near Madison

More senior care near Madison

Hospice Support in nearby cities

Other care in Madison

More for Madison 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.

In-Home Hospice Support in Madison, SD