Certified Nursing Assistants (CNAs) for Home Care in Box Elder, SD
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Box Elder for free and hire a caregiver directly, with no agency mark-up.

Nursing Assistants in Box Elder, SD: the local picture
The nearest Medicare-certified nursing homes to Box Elder are Avantara North in Rapid City (7.4 mi), Avantara Saint Cloud in Rapid City (7.9 mi), Westhills Village Health Care Facility in Rapid City (8.1 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.
Aides in South Dakota earn a median $18.15 an hour (BLS, May 2025, home health and personal care aides). South Dakota's minimum wage is $11.85 an hour (U.S. Department of Labor table, updated July 1, 2026).
Box Elder has about 19 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Box Elder compared with Pennington County and South Dakota
| Census figure | Box Elder | Pennington County | South Dakota |
|---|---|---|---|
| Residents 85 or older | 0.1% | 2.2% | 2.1% |
| Residents 65+ with a disability | 45% | 33% | 31% |
| Residents 65 or older | 7.5% | 20% | 18% |
| Residents 65+ in households who live alone | 22% | 29% | 30% |
| Residents 65+ below the poverty line (approx.) | 16% | 8.9% | 10% |
| Households with no vehicle | 1.3% | 5.6% | 5.2% |
| Median income, households headed by someone 65+ | $47,727 | $56,451 | — |
Older residents in towns around Box Elder
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Rapid Valley, SD | 3.6 mi | 1,292 | 118 |
| Rapid City, SD | 7.3 mi | 16,108 | 2,099 |
| Blackhawk, SD | 13 mi | 550 | 26 |
| Colonial Pine Hills, SD | 13 mi | 793 | 13 |
| Summerset, SD | 14 mi | 248 | 29 |
| Sturgis, SD | 29 mi | 1,375 | 187 |
Nursing homes near Box Elder
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Avantara North | Rapid City, SD | 7.4 mi | 3 of 5 | 68 | (605) 343-4958 |
| Avantara Saint Cloud | Rapid City, SD | 7.9 mi | 2 of 5 | 78 | (605) 343-4738 |
| Westhills Village Health Care Facility | Rapid City, SD | 8.1 mi | 5 of 5 | 44 | (605) 342-0255 |
| Fountain Springs Healthcare | Rapid City, SD | 8.4 mi | 3 of 5 | 90 | (605) 343-3555 |
| Avantara Mountain View | Rapid City, SD | 8.7 mi | 2 of 5 | 101 | (605) 343-8577 |
| Avantara Arrowhead | Rapid City, SD | 10 mi | 1 of 5 | 68 | (605) 348-0285 |
Home health agencies serving Box Elder
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Monument Health Home Plus Home Health | Rapid City, SD | 12 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 | 16 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (605) 342-0529 |
| State Home Care Services, Inc | Rapid City, SD | 6.5 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, home health aides | (605) 718-5004 |
| Heartland Home Health LLC | Belle Fourche, SD | 54 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (605) 723-4663 |
Straight-line miles from the center of Box Elder. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a nursing assistant can help with
- Bathing, dressing, grooming and toileting
- Safe transfers, repositioning and walking
- Help with eating and fluids
- Taking and noting vital signs if asked
What CNAs costs in Box Elder
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 40% of the $3,977 monthly median income of Box Elder 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.
What to know before hiring a nursing assistant
To be certified, a nurse aide completes a state-approved training program of at least 75 hours, including 16 hours of supervised practical training, and passes a competency exam (42 CFR 483.152). The state then lists them on its nurse aide registry, which you can search online in most states.
Questions worth asking: Which state certified you, and is it current? Where have you worked as a CNA? Are you comfortable with lifts, catheters and incontinence care? More in our nursing assistants guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Nursing Assistants in Box Elder: common questions
What nursing homes are near Box Elder?
The closest Medicare-certified nursing homes are Avantara North in Rapid City (7.4 mi, 3 of 5 overall); Avantara Saint Cloud in Rapid City (7.9 mi, 2 of 5 overall); Westhills Village Health Care Facility in Rapid City (8.1 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Box Elder?
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 40% of the $3,977 monthly median income of Box Elder 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).
Can a CNA give medication?
Generally no. A CNA can remind someone to take medication. Giving medication is usually reserved for licensed nurses, or for aides with a separate state medication certification.
More senior care near Box Elder
Nursing Assistants in nearby cities
- Nursing Assistants in Rapid Valley, SD
- Nursing Assistants in Rapid City, SD
- Nursing Assistants in Blackhawk, SD
- Nursing Assistants in Colonial Pine Hills, SD
- Nursing Assistants in Summerset, SD
- Nursing Assistants in Sturgis, SD
- Nursing Assistants in Lead, SD
- Nursing Assistants in Spearfish, SD
- Nursing Assistants in Hot Springs, SD
- Nursing Assistants in Belle Fourche, SD
- Nursing Assistants in Newcastle, WY
Other care in Box Elder
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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