Respite Care in Hot Springs, SD for Caregivers

Local figures

Respite Care in Hot Springs, SD: the local picture

1,338

residents 65 or older (38% of Hot Springs)

65%

of residents 65+ in households live with someone, often a family caregiver

42%

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

2

Medicare-certified hospices serve Hot Springs ZIP codes

Most older adults in Hot Springs live with someone: 65% of residents 65 and older in households do. When one of them needs care, the person they live with usually provides most of it, and respite is what keeps that sustainable.

About 475 Hot Springs residents aged 65 or older report a disability (42%) (39% in Fall River County). Many of them rely on a spouse or adult child day to day.

Medicare lists 2 hospices serving Hot Springs ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.

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+ in households who live alone	35%	28%	30%
Residents 65 or older	38%	33%	18%
Residents 85 or older	5.7%	3.6%	2.1%
Residents 65+ below the poverty line (approx.)	8.9%	8.3%	10%
Households with no vehicle	11%	6.6%	5.2%
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%

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

Nursing homes near Hot Springs (ask about short stays)

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

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 respite caregiver can help with

Taking over the usual routine while you are away
Meals, medication reminders and personal care
Company and activities
Overnight cover for a weekend or a trip

Cost

What respite 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 respite caregiver

Family caregivers carry most long-term care in the U.S., and burnout is a common reason a home arrangement breaks down. The federal National Family Caregiver Support Program funds respite through local Area Agencies on Aging, and the ARCH National Respite Locator lists respite programs by state.

Questions worth asking: Can you do a short paid visit first, while I am home? Are you available at short notice if I am ill? Can you stay overnight, and what do you charge for it? More in our respite care guide.

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

Questions

Respite Care in Hot Springs: common questions

Which hospices serve Hot Springs?

Medicare lists 2 hospices for Hot Springs ZIP codes, including Stillwater Hospice Of South Dakota, Monument Health Home Plus Hospice.

How much does respite 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).

Does Medicaid or Medicare pay for respite care?

Medicare pays for short inpatient respite stays only for people on its hospice benefit (Medicare.gov); the hospices on this page serve Hot Springs. Many state Medicaid home and community-based programs, veterans’ programs and the National Family Caregiver Support Program fund respite. Our guide Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers South Dakota.

More near Hot Springs

More senior care near Hot Springs

Respite Care 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.

Respite Care in Hot Springs, SD