A steady presence at home for families in Black Hills, SD.
Here’s how your local Home Instead can help:
- Hands-on support – help with toileting, bathing, grooming, repositioning, and incontinence assistance.
- A steady presence – companionship, calm reassurance, and someone there when the house feels quiet, or when it feels very full.
- A break for the family – time to nap, take a shower, get a meal, or step outside, without worrying your loved one is alone.
- Help around the house – light housekeeping, laundry, meal prep, and tidying up as visitors come and go.

Support that honors your loved one, and your family.
End-of-life care is personal. It’s an emotional time. Sometimes heartfelt. Sometimes exhausting and unpredictable. With this in mind, our local team in Black Hills, SD takes time to understand what comfort means to your loved one. What brings a sense of calm? What doesn’t?We also want to get to know your family. How can we make it easier? How can we help you focus on being present as a family at a time when family matters most? Because while warmth and compassion are crucial, a steady presence and practical support can be just as important.
Care plans designed for comfort, dignity, and a sense of calm.
Whether you need a few hours a day, overnight support, or more continuous care, we’ll build a personalized care plan that supports your loved one’s comfort at home and provides some relief to you and your family caregivers.
If your family member is also receiving hospice care at home, we can work alongside that team to provide added support. In-home hospice care is an incredible service, but hospice professionals aren’t typically in the home around the clock. Our local Care Pros in Black Hills, SD can provide support between hospice visits, providing hands-on assistance with day-to-day care.End-of-Life Care services include:
- Activities of Daily Living
- Toileting & Incontinence Support
- Cognitive Engagement
- Bathing and Grooming
- Meal Preparation
- Transportation
- Light Housekeeping
- Companionship
- Medication Reminders

Trusted partner for compassionate end-of-life care at home in Rapid City.
Our trusted Care Pros have been helping families throughout Black Hills, SD navigate the challenges of end-of-life care since 2014.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.
End-of-Life Care FAQs
Home Instead provides additional non-medical support while hospice manages its role in the client’s end-of-life care.
Our Care Pros can assist with personal care, repositioning and comfort measures within their scope, companionship, meals, and everyday household needs. Extended or around-the-clock coverage can also give family members more opportunity to simply be with their loved one.
Every Care Pro completes six hours of Hospice and End-of-Life Care training.
Our team may be able to help families connect with local resources.
One Black Hills family came to us after struggling to find hospice support for a loved one. Our team helped connect them with hospice and then worked alongside the hospice team, supporting the client and family during the final six days of his life.
After he died, the family asked that memorial donations go to Home Instead and told our team those six days had changed their lives for the better.
Every Care Pro completes a six-hour Hospice and End-of-Life Care training.
They learn about the end-of-life process, the role of hospice, how Home Instead works alongside hospice, and how to support both the client and family.
That family focus matters. The goal isn’t simply completing tasks—it’s providing practical support so loved ones have more opportunity to be a spouse, child, or family member during an exceptionally difficult time.
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