Why we’re the most trusted home care service in Black Hills, SD:
We’ve been caring for Black Hills, SD for years, providing trusted senior in-home care to the local community. Many Home Instead clients begin receiving support within 48 hours, and in some cases the same day. Many also choose to stay with us long-term, a reflection of the relationships and confidence we build with those we serve.Here’s why so many families choose us:
Skilled & Trusted Caregivers
We handpick every Care Pro for their skills, compassion, and professionalism—each one thoroughly vetted, trained, and ready to deliver exceptional care.
Flexible & Consistent Care
Need help during the day? Overnight care? Weekend coverage? We offer flexible options, on-time visits, and reliable care from Care Pros you know and trust.
Matches Made to Last
Because strong relationships lead to better care, we take time to find a Care Pro who’s the right fit—not just for the job, but for the person.
Proven Expertise
Behind every Care Pro is a team of experienced home care advisors, gerontologists, and specialists working to ensure you receive care that’s thoughtful, informed, and personal.
Customized Care Plans
Care isn’t one-size-fits-all. We partner with you to create a personalized care plan that grows and adapts as your needs change.
Unmatched Experience
Founded in 1994, Home Instead has helped older adults around the world age safely and with dignity at home, using a time-tested approach built on connection and compassion.
Read our local Google reviews
Karen K.
Caregivers were WONDERFUL - they went above and beyond. Nicholas was very respectful and attentive to my mom, Amy was gentle and kind, and Sue was an absolute delight! Top notch caregivers that really came through for my family in a stressful time.
Brenda
Shout out to Misty! You make Helen's life better and as a result, mine too! Thorough, hardworking, thoughtful and a great companion, we appreciate you! We'd love to have her more days! Brenda
Katattack I.
I have been with Home Instead of the Black Hills for 2.5 years. The connection and support that is provided to Care Pros and Clients is unmatched. I could not imagine being part of any other team. Home Instead of the Black Hills truly encompasses caring and brings it to an entirely new level.
DENNIS
Beth is thw most caring person I know. very throught full brings cheer when she walks through the doorknows her stuff and shares her knowledge with client. very helpful and caring
Kristen W.
Mia is a wonderful caregiver. She brings a sense of calm and peace, and she is cheerful, gentle, conscientious, and willing to help in any way she can.After finishing her tasks, she takes the initiative to ask what else she can do. Misty is an outstanding caregiver. She’s remarkably attentive, happily steps in to help with anything, and thrives when she stays busy throughout her shift.
The care you need for the life you want.
From making a meal to helping a loved one with memory loss, our services and our approach to home care in Black Hills, SD help older adults in the area age comfortably and confidently at home.
In-Home Memory Care
When someone you love is living with cognitive changes, Alzheimer's, or dementia, our Care Pros can offer compassionate, trusted memory support in the familiarity of your loved one’s own home.
Respite Care
When family caregivers need a break, our Care Pros are ready to step in, providing seamless, quality care for older adults, while giving family members a chance to rest and recharge.
24-Hour Care
When you need care day and night, we’re there. Our Care Pros provide constant, compassionate support to help older adults stay safe, comfortable, and cared for at home around the clock.
Transitional Care
After surgery or a hospitalization, our Care Pros can help you home safely, get you settled comfortably, and provide the ongoing support and medication reminders needed for a smooth recovery.
Specialized Home Care
Health challenges shouldn't mean giving up the comfort of home. Whether it's adapting to changes from Parkinson's, a new diabetes-friendly diet, or finding balance with heart disease, our local Care Professionals can help.
End-of-Life Care
Working alongside palliative care teams or independently, we offer compassionate care to help families make the most of their time together during life’s final stages.
In-Home Companion Care
Sometimes the best care is conversation and quality time. Our Care Pros provide companionship and social engagement, whether it’s playing cards, going for a walk, or sharing lunch.
Nurse-Directed Care
Need a higher level of support? Our Care Pros can also support more medically focused tasks including medication management, glucose monitoring, and more.
All Home Care Services
Learn more about the full range of care we offer—from care for Alzheimers, Dementia, and companionship to hospital-to-home support, enhanced care, or chronic condition support.
Trusted help for everyday needs.
We know it’s the little things that often make life easier. That’s why our approach to senior care includes help with daily tasks and routines, like cooking meals, shopping, and even folding laundry.
Light Housekeeping & Meal Prep
We help with household tasks like laundry, vacuuming, and meal preparation to ensure a clean, safe, and nurturing environment.
Errands & Appointments
Have an appointment, or need groceries from the local store? We offer safe accompaniment to just about anywhere around town.
Serving Black Hills, SD and the surrounding area.
Since 2014, Home Instead has been part of the community, providing quick access to top-rated home care in the Black Hills.
Proudly caring for communities near you:
Rapid City, Hermosa, Custer, Keystone, Hill City, Box Elder, Blackhawk, Summerset, Piedmont, Sturgis, Whitewood, Deadwood, Lead, Spearfish, Belle Fouche
…to name a few.
Get started with the most trusted home care in Black Hills, SD
We're here to listen and guide you through every step of the decision-making process. Our Rapid City caregivers make everyday life easier, safer, and more enjoyable, helping with errands, appointments, and the activities your loved one has always treasured.
Staying connected to the Black Hills community
Caregivers can help older adults stay active in your area, whether that's spending time outdoors at nearby parks such as Dinosaur Park, or participating in local senior programs. They can also offer safe accompaniment to errands or medical appointments at local hospitals such as Monument Health Rapid City Hospital or Black Hills Surgical Hospital.Call Home Instead Rapid City at (605) 716-9300 or request a free consultation to begin creating a personalized care plan.
Get to Know a Care Pro
Leah B., Home Instead Black Hills, SD
In Rapid City, Leah B has become a trusted companion for local seniors and their families. Leah comes to us with a background in in one way or another ive been caring for people since i graduated from college with my bachelor's. even in high-school i spent some time as a dietary aid in our local nursing home, where i learned to engage in fabulous conversations and remember with our clients there. after i graduated with my bachelor's i spent time helping the elderly understand their medicare d enrollment through my time as an extension educator. i worked on my masters and worked full time at the human services center, spending time on many of the units, some of the specialized units we had a unit dedicated to the elderly. spending time on that unit gave me the opportunity to hone my skills in understanding dementia and experience with changing things up and engaging in conversation even without a worded response. i was a counselor at this time as well and learned and received many trainings regarding being a trauma informed counselor. i changed my career path in 2023 and did in home caregiver with my uncle in his last year of life. i learned so much by helping my aunt and family prepare for and walk this path, just to listen to the clients energy and communicate this to the family.. With 1.5 years at Home Instead, Leah has built relationships rooted in trust, compassion, and shared joy.
For Leah, the reward is in the connection. "Being able to help them enjoy their life and tell their stories the way they want," Leah shares. Through these shared moments, Leah has learned valuable life lessons, noting, "How they want to live their life and story matters."
Leah's daily goal is simple: ensure every client feels safe, comfortable, and cared for. Skilled in the experiences i have, my flexibility, and abilities in detailed observation i am skilled in complex cases which include not just a declining dementia case but someone with physical demands., Leah finds joy in the details of each visit. "Its diversity," Leah says of a typical day.
Leah praises the local team for their dedication and communication. "The ability to jump in and help where needed, and use new technologies," Leah notes. "Take care of its carepros."
In every way, Leah reflects the heart of caregiving: consistency, connection, and the quiet pride of knowing you've made someone's life better today.
Helpful FAQs
Our approach is relationship first. We focus on matching each client with Care Pros who fit their needs, routines, and personality while finding ways to make care work even when circumstances are complicated.
Our approximately 70 Care Pros are backed by a local office team with more than 54 years of combined Home Instead experience. Several leaders have been with Home Instead for 8–11+ years, our Director is a Registered Nurse, and our owner spent nearly a decade supporting Home Instead franchises nationwide before becoming a local franchise owner.
Our strongest presence is in Rapid City, with experience serving older adults from Hot Springs and Custer in the Southern Hills to Sturgis, Spearfish, Belle Fourche, and surrounding Northern Hills communities.
Distance matters here. Many clients live in rural homes or small towns far from family, healthcare providers, transportation, and other services. Our team understands those realities and works to bring dependable support directly to clients wherever they call home.
Sometimes. When staffing is available, Home Instead Black Hills can coordinate a same-day start of care.
Our scheduling, Client Care, and after-hours teams work together to understand the situation, identify an appropriate Care Pro, and coordinate care. We’re accustomed to responding to urgent needs, including unexpected hospital discharges and sudden changes in a family’s circumstances.
This is a common situation in the Black Hills. Many older adults live significant distances from adult children who may be hours away or out of state.
Our local Care Pros can provide consistent support at home, while our team helps families stay connected as needs change. We also know resources throughout communities from Rapid City to the Northern and Southern Hills, which can help when a family is trying to coordinate support from a distance.
Every Care Pro completes at least 19 hours of training and supervised experience before providing care independently: seven hours of online education, eight hours of hands-on personal care training, and a four-hour shadow visit with an experienced Care Pro.
The final shadow experience is competency-based. Care Pros must demonstrate the skills needed to provide care safely and confidently before working independently.
Additional client-specific and service-specific training is provided when needed.
We sponsor and participate in the Rapid City Walk to End Alzheimer’s as a Promise Garden sponsor and support the local Parkinson’s Walk.
Our team also supports high school activities, churches, nonprofits, and other community programs throughout the year.
Community support sometimes means simply helping a family find the right resource. We regularly connect older adults with local programs, benefits, grants, and services—even when Home Instead isn’t the right care solution for them.