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Home Care Services in Black Hills, SD


Personalized in-home care services to help older adults stay safe and independent at home.

4.4 star rating on Google (37 reviews)
Who is the care for?

Find the right care and cost with a no‑pressure, free consultation.

A Home Instead Care Pro with an adult.

The right care, right at home.

Every family’s needs are different. That’s why Home Instead offers a full range of home care services—from a few hours of help each week to around-the-clock support.

Whether you’re planning ahead or need care right away, we’ll help you find the right solution for your situation.

Our Care Pros can help with a wide range of day-to-day needs—always tailored to your routines and preferences.

Care tasks may include:

  • Personal care (bathing, dressing, grooming)
  • Meal preparation and nutrition
  • Light housekeeping
  • Medication reminders
  • Transportation and errands
  • Mobility support
  • Companionship and engagement

Explore our home care services.

At Home Instead, our services are thoughtfully designed to meet your needs—today and in the days to come. Services can vary by location. Talk to a Home Instead care consultant about what’s available in the Black Hills, SD area.

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.


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    Light Housekeeping & Meal Prep

    We help with household tasks like laundry, vacuuming, and meal preparation to ensure a clean, safe, and nurturing environment.

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    Errands & Appointments

    Have an appointment, or need groceries from the local store? We offer safe accompaniment to just about anywhere around town.

    Support for Daily Activities

    Our Care Pros are ready to help with those all-important activities of daily living, whether it's giving a hand with bathing or getting out for some fresh air.

    Medication Reminders

    We provide gentle, timely reminders to help clients stick to their routines and avoid missed doses. It's a simple way to support health, comfort, and safety at home.

Why local families choose us for in-home care.

At Home Instead, care is built on relationships. We take the time to understand what matters to you and your family—then provide support that feels consistent, thoughtful, and personal.

What sets us apart? We don’t just show up. We build trust. We get to know your family, listen to what matters, and create a plan that fits your life. And because we’re locally owned, you can count on care that’s rooted in the community.

Where we provide care:

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.

Learn more about care options

Home Care Services FAQs

Personal care is hands-on help with daily routines while encouraging clients to keep doing what they can safely do themselves.

That might include bathing, dressing, grooming, toileting, meals, mobility, or transfers.

For one client who dreaded showering, her Care Pro learned what made the experience enjoyable and transformed shower time into her own personal ‘spa day.’ Something that had caused stress became an activity she looked forward to while still supporting her hygiene, dignity, and independence.

Before working independently, every Care Pro completes at least 19 hours of training and supervised experience.

That includes eight hours of hands-on personal care training where Care Pros practise skills such as personal care, safe transfers, mobility assistance, and use of common durable medical equipment. They also complete seven hours of online education and a four-hour shadow visit.

The shadow experience is competency-based, so the Care Pro must demonstrate they can safely provide the required support.

Yes. Home Instead Black Hills provides Nurse Directed Care and specialized home care for needs that require additional oversight, preparation, or training.

Depending on the care plan and appropriate scope, that can include medication management, wound care, durable medical equipment, and other complex needs alongside everyday assistance.

Care Pros can also receive client-specific training for equipment such as Hoyer lifts, sit-to-stand devices, and shower benches.

Our Black Hills office team brings more than 54 years of combined Home Instead experience.

Our Director is a Registered Nurse with more than 11 years of experience, and other team members bring backgrounds in client care, training, quality assurance, scheduling, nursing, and home care operations.

Our owner also spent nearly a decade working with Home Instead’s corporate organization, supporting franchise operations and implementation across the country before becoming a local owner.

Yes. Our team regularly helps families identify local resources, benefits, grants, and support programs, even when Home Instead services aren’t the right answer.

Serving a large area like the Black Hills has helped us develop relationships and familiarity with healthcare providers, senior living communities, hospice organizations, and other aging-service resources throughout the region.

Finding the right care starts with understanding your options. Explore helpful articles and guidance about home care, healthy aging, caregiving, safety, and planning for changing needs so you can make informed decisions with confidence.