Best In-Home Care in Sioux Falls: 2026 Guide
Seven agencies serving Sioux Falls, what each one actually does, and what to ask before you sign.
Sioux Falls has seven non-medical in-home care agencies taking new clients. One is locally owned. The rest are national franchises with local owner operators. That difference is the main thing families are choosing between, and almost nobody explains it.
Quick Match
Find yourself on the left.
| If this is you | Start with |
|---|---|
| I want a local owner I can actually reach | Kore Cares. The only locally owned agency here |
| I need someone starting this week | Right at Home or Village Caregiving. Deepest staffing |
| I am caring for a parent in Aberdeen, Mitchell, Yankton or Pierre | Kore Cares. Offices in all four |
| Dementia or Alzheimer's is the main issue | Kore Cares, Home Instead or Comfort Keepers |
| I am the spouse and I am worn out | Any of them. Ask for respite care by name |
| I need a few hours a week, not a full shift | Kore Cares. They schedule down to a few hours |
| Long-term care insurance is paying | Amada Senior Care. They handle the claim side |
| I want the biggest review history | Village Caregiving, then Kore Cares |
| I need overnight or 24 hour coverage | Kore Cares. Ask the others about current availability |
| Mom needs a nurse, not a caregiver | This is home health, not home care. Ask your physician |
Featured Provider
Kore Cares
The only locally owned agency in this guide. Everyone else here is a national franchise with a local owner operator, which is a real business model and not a criticism, but it is a different thing and families should know which one they are hiring.
Six verified offices across South Dakota: Sioux Falls, Aberdeen, Mitchell, Yankton, Pierre and Gregory. No other agency in this guide covers that footprint. If you live in Sioux Falls and your mother lives in Yankton, this is the one agency that can serve both of you under one account.
Services cover personal care, companionship, respite, dementia and Alzheimer's support, and help with the daily activities that let someone stay in their own home. Kore Cares does both non-medical caregiving and in-home skilled nursing.
The scheduling range is the widest here: 24 hour care at one end, a few hours a week at the other. Most families start small and add hours as needs change, and not every agency will take a client on at two or three hours a week. This one will.
Reviews consistently name caregiver quality and reliability. The agency is built around matching a specific caregiver to a specific client rather than sending whoever is free.
- Address: 3101 W 41st St, Unit 210, Sioux Falls, SD 57105
- Phone: (605) 275-2344
- Website: korecares.com
- Google rating: (59 reviews, as of 9/20/26)
Go here if you want a local owner, you are coordinating care for someone in another South Dakota town, or you need either round the clock cover or just a few hours a week.
Deepest Review History
The two agencies families have written about most.
Village Caregiving
The deepest review base of any home care agency in Sioux Falls, and the highest rating alongside Right at Home and Home Instead.
Part of a national network with a local office. Works heavily with veterans benefits and long-term care insurance, which is worth asking about if either applies.
- Address: 101 S Reid St, Ste 307, Office 331, Sioux Falls, SD 57103
- Phone: (605) 640-6670
- Website: villagecaregiving.com
- Google rating: (69 reviews, as of 9/20/26)
Go here if you want the most reviewed option in the market and staffing depth matters more than local ownership.
Right at Home
Broad service menu and the most resourced franchise operation in the metro. Holds Home Care Pulse "Employer of Choice" and "Caring Super Star" recognition, which are caregiver satisfaction awards rather than client outcome measures, but caregiver turnover is the thing families feel most.
Coordinates nursing alongside non-medical care, which shortens the handoff if needs escalate.
- Address: 1400 W Russell St, Sioux Falls, SD 57104
- Phone: (605) 275-0070
- Website: rightathome.net
- Google rating: (42 reviews, as of 9/20/26)
Go here if you need coverage starting soon and you want a large bench behind the schedule.
Other Agencies Taking Clients
All four are active in Sioux Falls and worth a call if the first two are at capacity.
Comfort Keepers Home Care
Built around what the company calls interactive caregiving, meaning the caregiver is meant to engage the client in the activity rather than do it for them. Whether that suits depends entirely on the person receiving care.
Carries an A+ BBB rating.
- Address: 4300 S Louise Ave, #302, Sioux Falls, SD 57106
- Phone: (605) 977-5513
- Website: comfortkeepers.com
- Google rating: (38 reviews, as of 9/20/26)
Go here if engagement and routine matter more than task completion, and the person still wants to do things for themselves.
Amada Senior Care
Distinctive for handling long-term care insurance claims directly, including filing and follow-up. If a policy is paying, that administrative help is worth real money and most families underestimate the paperwork.
Also advises on senior housing options if home stops being workable.
- Address: 3500 S Kiwanis Ave, Unit 101, Sioux Falls, SD 57105
- Phone: (605) 223-1970
- Website: amadaseniorcare.com
- Google rating: (20 reviews, as of 9/20/26)
Go here if there is a long-term care policy in the picture and nobody wants to fight the claim.
SYNERGY HomeCare
Full non-medical service menu with flexible scheduling, including shorter visits. Useful when the need is a few hours several times a week rather than a full shift.
- Address: 108 E 38th St, #600, Sioux Falls, SD 57105
- Phone: (605) 274-2191
- Website: synergyhomecare.com
- Google rating: (18 reviews, as of 9/20/26)
Go here if you need short, frequent visits rather than long blocks of coverage.
Home Instead
One of the oldest names in the category nationally, with deep published training material on dementia care specifically.
The Sioux Falls office has fewer than ten Google reviews, so no rating is shown here. That reflects review volume, not quality. Ask for local client references.
- Address: 5421 W 41st St, Ste 208, Sioux Falls, SD 57106
- Phone: (605) 937-6384
- Website: homeinstead.com
- Google rating: shown only at 10 reviews or more
Go here if dementia support is the main need and you want a company with a long published track record in it.
What This Guide Does Not Cover
Many Sioux Falls listings that show up under "home care" are something else. Avera@Home and similar hospital-affiliated services provide home health and hospice, which is skilled medical care ordered by a physician. St. Croix Hospice provides end of life care. Good Samaritan and Trail Ridge are senior living communities, not in-home services.
All of those serve real needs. None of them is what a family means when they say they want someone to come help Mom at home. They are named here so you can tell them apart, and they are not ranked in this guide.
Featured on the Dialed In Health Podcast
Episode 2
22 Surgeries Later, This Marine Asked for Help
A Marine veteran on the hardest fight of all, asking for help, and how caregivers get matched to clients across South Dakota.
Episode 9
Signs Your Aging Parent Needs In-Home Care
The warning signs families miss, what a caregiver actually does day to day, and the Medicare and private pay reality.
Five Questions to Ask Before You Sign
Ask every agency the same five. The differences show up fast.
- What is the hourly rate, and what is the minimum visit? Almost nobody publishes this. Most have a two to four hour minimum, which changes the math completely if you only need an hour.
- Will it be the same caregiver every time? This is the single biggest driver of whether the arrangement lasts. Ask what happens when that person is sick.
- Are caregivers your employees or contractors? Employees mean the agency carries the insurance, the taxes and the background checks. Ask to see proof either way.
- What happens if needs escalate? Some agencies can add skilled nursing. Others have to hand you off. Better to know now.
- How do I cancel? Notice period, any minimum term, any fee. Get it in writing before the first visit.
Frequently Asked Questions
What is the best in-home care agency in Sioux Falls?
It depends on what you are optimizing for. Kore Cares is the only locally owned agency, with six offices across South Dakota, and it is the one to call if you want a local owner or you are coordinating care in more than one town. Village Caregiving has the deepest review history in the market at 69 reviews. Right at Home has the broadest service menu and coordinates nursing alongside caregiving. Amada Senior Care is the one that handles long-term care insurance claims for you. Match the agency to the actual problem rather than taking a single number one.
What is the difference between home care and home health?
Home care is non-medical: bathing, dressing, meals, companionship, errands, respite for a family caregiver. Home health is skilled or medical care ordered by a physician, such as wound care, injections or physical therapy at home. Home care is usually private pay or long-term care insurance. Home health is usually billed to Medicare or insurance when a doctor orders it. This guide covers home care.
How much does in-home care cost in Sioux Falls?
No agency in this guide publishes rates, which is standard for the category. Expect an hourly rate quoted after an in-home assessment, and expect a minimum visit length of roughly two to four hours. Ask for the rate, the minimum, and whether overnight or weekend hours cost more. Get all three before the assessment if you can.
Does Medicare pay for in-home care?
Generally no, not for non-medical home care. Medicare covers home health when a physician orders skilled care and the person is homebound. Non-medical caregiving is usually private pay, long-term care insurance, veterans benefits, or a state waiver program. Ask each agency which of these they accept and which they will help you file.
Can I get 24 hour care, or is there a minimum number of hours?
Both ends exist in Sioux Falls, but not at every agency. Kore Cares covers the full range, from 24 hour care down to a few hours a week, which matters because most families start with a couple of visits and add hours as things change. Other agencies in this guide commonly apply a minimum visit length, often somewhere between two and four hours. Ask three things on the call: the minimum visit, whether overnight and 24 hour cover is available now, and whether the rate changes for nights or weekends.
Does Kore Cares serve areas outside Sioux Falls?
Yes. Kore Cares has verified offices in Sioux Falls, Aberdeen, Mitchell, Yankton, Pierre and Gregory, and serves surrounding eastern South Dakota communities from them. It is the only agency in this guide with a multi-city South Dakota footprint.
How do I know when it is time for in-home care?
The common signals are missed medications, unsafe driving, unexplained weight loss, a fall, growing isolation, or a spouse who is doing the caregiving and running out of road. The last one is the most overlooked. Dialed In Health Episode 9 walks through the full list.
Should I hire an agency or a private caregiver?
An agency carries the insurance, runs the background checks, handles payroll taxes and sends a replacement when your caregiver is sick. A private hire usually costs less per hour and you take on all of that yourself, including liability. Families who hire privately most often get caught out by the sick day, not the paperwork.
What does respite care mean?
Short-term coverage so the family caregiver can rest, work, travel or go to their own appointments. Every agency in this guide offers it. Ask for it by name, because it is often scheduled and priced differently from ongoing care.
How We Ranked These Providers
Seven non-medical in-home care agencies serving Sioux Falls were reviewed for this guide.
Agencies are grouped by what families are actually choosing between, not ranked one through seven. Local ownership, review depth, and specialty capability are different things and no single order captures all three.
Google ratings are shown for reference with the date captured. They are not a ranking input. Ratings are shown only where an agency has at least 10 reviews.
Featured Providers are disclosed as Featured, and Featured status is never the reason a provider is recommended. Kore Cares is a Featured Provider and a client of Vitality Growth Labs. The case made for it here rests on facts you can check yourself: it is the only locally owned agency in this guide, and it has six verified South Dakota offices. Where another agency is stronger on a measure, this guide says so.
We do not accept payment to alter rankings within a tier.
Hospice agencies, home health services and senior living communities are excluded by scope and named separately above.
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