Respite Care in Madison, SD: Breaks for Family Caregivers

Local figures

Respite Care in Madison, SD: the local picture

1,384

residents 65 or older (23% of Madison)

78%

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

48%

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

6

Medicare-certified hospices serve Madison ZIP codes

Most older adults in Madison live with someone: 78% 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 599 Madison residents aged 65 or older report a disability (48%) (39% in Lake County). Many of them rely on a spouse or adult child day to day.

Medicare lists 6 hospices serving Madison ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.

Madison compared with Lake County and South Dakota

Census figure	Madison	Lake County	South Dakota
Residents 65+ with a disability	48%	39%	31%
Residents 65+ in households who live alone	22%	21%	30%
Residents 65 or older	23%	24%	18%
Residents 85 or older	5.1%	3.4%	2.1%
Residents 65+ below the poverty line (approx.)	5.4%	5.0%	10%
Households with no vehicle	5.1%	3.5%	5.2%
Median income, households headed by someone 65+	$50,938	$61,289	—

Older residents in towns around Madison

Town	Distance	Residents 65+	65+ with a disability
Dell Rapids, SD	23 mi	703	27%
Brookings, SD	26 mi	2,888	33%
Hartford, SD	28 mi	614	33%
Sioux Falls, SD	37 mi	28,329	29%
Brandon, SD	39 mi	1,627	32%
Pipestone, MN	40 mi	812	43%

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

Nursing homes near Madison (ask about short stays)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Bethel Lutheran Home	Madison, SD	0.9 mi	2 of 5	59	(605) 256-4539
Good Samaritan Society Howard	Howard, SD	21 mi	5 of 5	45	(605) 772-4481
Dells Nursing And Rehab Center Inc	Dell Rapids, SD	23 mi	4 of 5	50	(605) 428-5478

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 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 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 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 Madison: common questions

Which hospices serve Madison?

Medicare lists 6 hospices for Madison ZIP codes, including Sanford Hospice, Aseracare Hospice, Avera @ Home.

How much does respite care 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).

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 Madison. 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 Madison

More senior care near Madison

Respite Care 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.

Respite Care in Madison, SD