Respite Care in Pierre, SD
A few hours, a day or a weekend of cover so the family member doing the caring can rest, work, see a doctor or travel. Post what you need in Pierre for free and hire a caregiver directly, with no agency mark-up.

Respite Care in Pierre, SD: the local picture
Most older adults in Pierre live with someone: 63% 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 511 Pierre residents aged 65 or older report a disability (22%) (23% in Hughes County). Many of them rely on a spouse or adult child day to day.
Medicare lists 5 hospices serving Pierre ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.
Pierre compared with Hughes County and South Dakota
| Census figure | Pierre | Hughes County | South Dakota |
|---|---|---|---|
| Residents 65+ with a disability | 22% | 23% | 31% |
| Residents 65+ in households who live alone | 37% | 35% | 30% |
| Residents 65 or older | 18% | 18% | 18% |
| Residents 85 or older | 2.3% | 2.2% | 2.1% |
| Residents 65+ below the poverty line (approx.) | 8.7% | 10.0% | 10% |
| Households with no vehicle | 7.2% | 7.8% | 5.2% |
| Median income, households headed by someone 65+ | $48,900 | $50,137 | — |
Hospices serving Pierre
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Avera @ Home | Pierre, SD | 0.4 mi | (605) 224-3218 |
| Stillwater Hospice Of South Dakota | Rapid City, SD | 153 mi | (605) 745-4967 |
| Prairie Lakes Hospice | Watertown, SD | 161 mi | (605) 882-7745 |
| Avera @ Home | Yankton, SD | 179 mi | (605) 668-8327 |
| Avera @ Home | Sioux Falls, SD | 190 mi | (605) 322-7705 |
Nursing homes near Pierre (ask about short stays)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Avera Maryhouse Long Term Care | Pierre, SD | 1.4 mi | 5 of 5 | 80 | (605) 224-3163 |
| Avantara Pierre | Pierre, SD | 1.5 mi | 2 of 5 | 65 | (605) 224-8628 |
Straight-line miles from the center of Pierre. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What respite care costs in Pierre
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 39% of the $4,075 monthly median income of Pierre 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 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.
Respite Care in Pierre: common questions
Which hospices serve Pierre?
Medicare lists 5 hospices for Pierre ZIP codes, including Avera @ Home, Stillwater Hospice Of South Dakota, Prairie Lakes Hospice.
How much does respite care cost in Pierre?
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 39% of the $4,075 monthly median income of Pierre 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 Pierre. 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 senior care near Pierre
Respite Care in nearby cities
Other care in Pierre
- Companion Care in Pierre
- Dementia Care in Pierre
- Live-In Caregivers in Pierre
- Post-Surgery Care in Pierre
- Senior Transportation in Pierre
- Home Health Aides in Pierre
- Nursing Assistants in Pierre
- Personal Care in Pierre
- Overnight Caregivers in Pierre
- 24-Hour Home Care in Pierre
- Mobility Assistance in Pierre
- Parkinson’s Care in Pierre
- Stroke Recovery Support in Pierre
- Disability Care for Adults in Pierre
- Hospice Support in Pierre
- Senior Meal Preparation in Pierre
- Senior Housekeeping in Pierre
- Medication Reminders in Pierre
- Veterans’ Home Care in Pierre
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.
Find respite care in Pierre
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