We list 40 sober living homes in South Dakota, based on SAMHSA's FindTreatment.gov data, with the most in Sioux Falls (10), Rapid City (8), and Minnehaha (5). Compare services, insurance accepted and accreditation, or call for free help choosing.
Sober Living / Transitional Housing: the basics
A sober living home, also called a recovery residence, is a shared, substance-free house where people in recovery live together and support each other. Residents pay rent, follow house rules and often attend outpatient treatment or support meetings. Sober living is not treatment itself, but it gives you a stable place to practice recovery skills. Search below to find sober living homes near you. Read the full guide →
2026 rankings
Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank
Best for: Veterans (VA care)Joint Commission
Why it made our list: Joint Commission accredited; offers residential care, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Veterans (VA care)Joint Commission
Why it made our list: Joint Commission accredited; offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Detox and residential care
Why it made our list: Offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and Medicare.
Best for: Outpatient care with MATJoint Commission
Why it made our list: Joint Commission accredited; offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Residential treatment
Why it made our list: Offers residential care, PHP, IOP, and outpatient care; accepts private insurance and self-pay.
Best for: Residential treatment
Why it made our list: Offers residential care, IOP, and outpatient care; accepts Medicaid, self-pay, and sliding-scale fees.
Best for: Sober living
Why it made our list: Offers outpatient care and dual diagnosis care; accepts Medicaid and self-pay.
Best for: Residential treatment
Why it made our list: Offers residential care, IOP, and outpatient care.
Madison, SD 57042
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Hot Springs, SD 57747
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Rapid City, SD 57701
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Sisseton, SD 57262
Levels of care
Payment accepted
Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Fort Meade, SD 57741
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Rapid City, SD 57701
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale
“Get help” calls our free helpline, not this facility.
Lake Andes, SD 57356
Levels of care
“Get help” calls our free helpline, not this facility.
Sturgis, SD 57785
Levels of care
Payment accepted
Medicaid · Self-pay
“Get help” calls our free helpline, not this facility.
Yankton, SD 57078
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57105
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Rapid City, SD 57701
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57103
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57103
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Brookings, SD 57006
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57106
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57106
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Aberdeen, SD 57401
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57105
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Rapid City, SD 57701
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57106
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57103
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Minnehaha, SD 57103
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57105
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Minnehaha, SD 57105
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Minnehaha, SD 57105
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Aberdeen, SD 57401
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Rapid City, SD 57701
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57105
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Yankton, SD 57078
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Huron, SD 57350
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
We list 40 sober living homes in South Dakota, based on SAMHSA's FindTreatment.gov data (updated October 2026).
The most listings are in Sioux Falls (10), Rapid City (8), and Minnehaha (5).
Look for state licensing and accreditation (The Joint Commission or CARF), the right level of care for your needs, evidence-based therapies, and insurance compatibility. Read our guide to choosing a rehab or call (833) 589-6933 to talk it through.
Most private plans and Medicaid cover substance use treatment when it's medically necessary, but benefits vary by plan and network. Call (833) 589-6933 for a free, confidential benefits check.
Source: SAMHSA FindTreatment.gov, data updated October 2026. Listings are not endorsements.
