In-Home Care for Veterans in Spearfish, SD

Local figures

Veterans’ Home Care in Spearfish, SD: the local picture

270

veterans aged 65 or older (10% of residents 65+)

2,676

residents 65 or older (21% of Spearfish)

30%

of residents 65+ report a disability (33% in Lawrence County)

35%

of residents 65+ in households live alone (28% in Lawrence County)

About 270 Spearfish residents aged 65 or older are veterans (10% of that age group; 16% in Lawrence County), out of 919 veterans of all adult ages in town.

30% of all residents 65 and older report a disability (33% in Lawrence County); ask the VA whether a veteran’s needs qualify for its home care programs before you hire privately.

Spearfish compared with Lawrence County and South Dakota

Census figure	Spearfish	Lawrence County	South Dakota
Residents 65+ who are veterans	10%	16%	17%
Residents 65+ with a disability	30%	33%	31%
Residents 65 or older	21%	25%	18%
Residents 65+ in households who live alone	35%	28%	30%
Residents 65+ with serious difficulty walking	19%	18%	18%
Residents 65+ below the poverty line (approx.)	12%	12%	10%
Median income, households headed by someone 65+	$57,813	$58,472	—

Older residents in towns around Spearfish

Town	Distance	Residents 65+	Veterans (65+)
Lead, SD	9.9 mi	818	17%
Belle Fourche, SD	12 mi	1,117	16%
Sturgis, SD	17 mi	1,375	22%
Summerset, SD	31 mi	248	27%
Blackhawk, SD	33 mi	550	15%
Colonial Pine Hills, SD	41 mi	793	23%

Hospitals near Spearfish

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Monument Health Spearfish Hospital	Spearfish, SD	2.4 mi	4 of 5	(605) 644-4000
Monument Health Lead-Deadwood Hospital	Deadwood, SD	9.0 mi	not rated	(605) 717-6000
Va Black Hills Healthcare System	Fort Meade, SD	19 mi	5 of 5	(605) 347-2511

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

What it covers

What a caregiver for a veteran can help with

Company and help around the house
Personal care: bathing, dressing, toileting
Rides to VA and other appointments
Meals and medication reminders

Cost

What veterans’ home care costs in Spearfish

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 33% of the $4,818 monthly median income of Spearfish 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 a veteran

The VA’s Homemaker and Home Health Aide program sends a trained aide, supervised by a registered nurse, to help eligible veterans with daily activities at home. The Aid and Attendance benefit adds monthly payments to a VA pension for veterans who need help with daily activities. The VA Caregiver Support Line is 1-855-260-3274.

Questions worth asking: Have you cared for veterans before? Can you drive to the VA medical center or clinic? Are you comfortable with the paperwork VA programs need? More in our veterans’ home care guide.

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

Questions

Veterans’ Home Care in Spearfish: common questions

How much does veterans’ home care cost in Spearfish?

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 33% of the $4,818 monthly median income of Spearfish 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 the VA pay for in-home care?

For eligible veterans, VA programs such as Homemaker and Home Health Aide care can provide help at home, and Aid and Attendance can add to a VA pension. Ask the VA about eligibility; the Caregiver Support Line is 1-855-260-3274 (caregiver.va.gov).

More near Spearfish

More senior care near Spearfish

Veterans’ Home Care in nearby cities

Other care in Spearfish

More for Spearfish 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.