City rankings

Wellbeing Cities in South Dakota

Pierre ranks #1 in South Dakota for community wellbeing score at 71.4.

This ranking orders all 11 qualifying South Dakota cities by a disclosed Community Wellbeing Score: 55% CDC health outcomes, 30% Census economic stability, and 15% healthcare access. It does not measure crime or personal safety. Compare Pierre's standing against every other South Dakota city ranked below.

Data updated 2026-08-21

11
Cities ranked
71.4
#1 Pierre
61.3
Lowest, Vermillion

What this South Dakota ranking shows

According to the U.S. Census Bureau's American Community Survey (ACS) 5-year estimates, the CDC PLACES population-level health analysis, and the CMS Hospital Compare quality data, Areazine ranks U.S. cities across more than 19,000 incorporated places, census-designated places, and consolidated city-county governments. State-level city rankings combine these federal datasets to produce intra-state comparisons across demographics, economics, health outcomes, and hospital quality.

Pierre leads 11 South Dakota cities at 71.4, while Vermillion sits at the bottom with 61.3 - a total spread of 10.1 on wellbeing score. The top 5 occupy 37% of that range, indicating a moderate distribution with meaningful steps between rungs.

The median South Dakota city in this list sits at 67.5, 3.9 behind Pierre. See our methodology for ranking construction, data vintage, refresh cadence, and the federal upstream tables we join, and triangulate via the 8 other South Dakota rankings below, cities that lead on multiple lenses are the most robust signals.

Top 5 - Community Wellbeing Score

Top 5 South Dakota cities ranked by wellbeing score
Rank City wellbeing score Population
#1 Pierre 71.4 14K
#2 Sioux Falls 70.0 172K
#3 Watertown 69.6 22K
#4 Spearfish 68.6 11K
#5 Aberdeen 67.7 28K

Does wellbeing score track with city size?

Community Wellbeing Score vs. population, top 25 ranked cities

Source: U.S. Census Bureau (population), wellbeing score per methodology 2×2 strategic matrix plotting 11 entities by Population (X) and wellbeing score (Y), with a crosshair dividing the plot into four quadrants. Large & strongSmall & strongLarge & weakSmall & weak 050,000100,000150,000200,000 60657075 Population wellbeing score PierreSioux FallsWatertownSpearfishAberdeenMitchellRapid CityYanktonBrookingsHuronVermillion
Source: U.S. Census Bureau (population), wellbeing score per methodology

Community Wellbeing Score 11

More South Dakota Rankings 8

Reading this South Dakota ranking responsibly

Single-metric rankings are useful precisely because they are honest about what they measure. A "highest income" ranking does not tell you that the top-ranked city is the best place to live in South Dakota; it tells you that, among cities of population ten thousand and above in South Dakota that have a published median household income field in the most recent American Community Survey five-year estimates, this city has the highest such value. That precise definition matters, because composite "best places" lists from real-estate marketing sites and lifestyle magazines often combine income with subjective weights on schools, walkability, and amenities, producing a score whose components are not disclosed and whose ordering is not reproducible. Areazine's editorial commitment is to keep the underlying field, source, and vintage visible so the reader can audit any rank in this list against the canonical federal record.

Cross-checking against other rankings is a useful sanity test. A city that appears in the top ten on three or more different rankings, for example, highest income, most educated, and lowest poverty, is showing a robust signal across multiple independent dimensions. A city that appears in the top ten on only one ranking and middling on the others is showing a narrower signal, often driven by a single statistical artifact (a small population pulling the per-capita measure, a recent acquisition spike inflating median home value, an outlier survey year). The other nine South Dakota rankings linked above provide that cross-check at zero extra effort.

Data Sources

Population and economic data from the Census Bureau American Community Survey (2024 5-year estimates). Health data from the CDC PLACES (2023). Ranking computations use U.S. Census Bureau reference geographies. Crime statistics, where referenced, originate from the FBI Uniform Crime Reporting program (also accessible via the Crime Data Explorer).