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Provides nutrition and supportive services for the aging population with a primary focus on the elderly. These include assisted living, case management, congregate meals, employment services, financial assistance, government assisted housing, home delivered meals, home modification/repair, information and referral/assistance, legal assistance, personal care, respite care, telephone reassurance, transportation, and volunteer services.

Provides long-term nursing facility and short-term rehabilitation care with 24/7 personalized nursing care. Services provided include licensed therapies, social and spiritual activities, nutrition program, and care planning. Also provides memory care and outpatient rehabilitation.

Elementary School Program: Shows students the relationship between what they learn now and how it will impact their success later in life. This supplement to regular grade school curriculum is presented by a volunteer in five 30-45 minute sessions. Middle and High School Programs: Build on concepts learned in elementary programs; supplement standard social studies curriculum; help students make informed, intelligent decisions about how to prepare for educational, professional and financial futures; help students develop communication skills essential to the business world; and teach students about micro- and macro-economics as well as standard business practices.

Services include skilled nursing, physical therapy, occupational therapy, speech therapy, personal care, dressing, medication assistance, lab draws, and home infusion therapy. Also specializes in providing home care after surgery.

Clinic services offered include Preventative Care, Pediatrics, Pregnancy Care, Women's Health, 3D Mammograms, Lab Work, and Imaging.

Services Offered: Individual psychotherapy for PTSD, trauma, depression, anxiety, loss-grief, addictions, communications, self-esteem, and behavioral issues and group therapy (Survivor Strong Groups for female survivors of sexual, physical and psychological abuse) through the following modalities: Eye movement desensitization and reprocessing (EMDR), motivational interviewing (MI), cognitive behavior therapy (CBT), rational emotive behavioral therapy (REBT), and dialectical behavior therapy (DBT).

Water Division: Delivers of a clean potable water product in ample supplies that meets or exceeds all federal and state drinking water regulations for the customers on the Rapid City water system. Operates 4 separate groups: Water Supply, Water Billing/Service, Utility Maintenance, and Administration. Handles calls re. water conversation measures (watering restrictions). Utilities: Offers water, garbage and sewage service (dependent on the area of Rapid City) Handles inquiries to set-up/start service or billing questions For more information, visit website. For questions about non-pick of garbage, contact the Solid Waste Department at 605- 355-3496.

Provides worship services.

Assesses the emergency situation and then dispatches appropriate responding agencies including; police, sheriff, fire, ambulance services, and / or highway patrol.

Programs and services available at the public library include - books, eBooks, audio books, magazines, DVDs, interlibrary loans, activities for adults, young adults, children, and families, summer reading programs, computers with internet access, genealogy, young adult and children's areas, Karen and Spanish collections, reference desk, Online Card Catalog, On-line full-text reference databases, Color copier, Meeting space, and Used book sales.

The County Extension Office is the base of the 4-H Youth Program Advisor. It provides youth development education via the South Dakota 4-H program and other youth enrichment learning experiences at the community level as well as information including fact sheets, feature articles, podcasts, webinars and more is accessible to constituents through website www.igrow.org.

Food pantry and Senior Food Box Program (CSFP) for Buffalo County. This institution is an equal opportunity provider.

Personal Care, refers to non-medical home care that helps individual maintain independence and improve their quality of life at home. Services offered are assistance with daily living activities (ADLs), meal preparation, light housekeeping, medication reminders, companionship, and transportation for errands, attend appointments, and participate in community activities.

Works with Union County residents to develop individual disaster recovery plans, including support with food, building materials, appliances, rehousing services and emotional support.

The American Red Cross provides the following fire prevention services - Free smoke alarms to any home owner who needs them. Request online for free; In-house home fire safety presentations and Fire safety preparedness material.

Municipality with the following departments: finance, public works, maintenance, police, and volunteer fire department.

Gas vouchers transportation to medical appointments. Vouchers can only be given once in a calendar year.

South Dakotans age 60 and older who have an approved application will receive a monthly box of non-perishable food at no cost. Packages include a variety of foods, such as cheese, juice, oats, ready-to-eat cereal, rice, pasta, peanut butter, dry beans, canned meat, poultry, or fish, canned fruits and vegetables, and many times a canned entree such as beef stew or chili. Menus change monthly. This institution is an equal opportunity provider.

Offers medication adherence, mail delivery to customers, medication therapy management, long-term care services, and private consultation. Sells over-the-counter drug items such as pain, cold, & allergy medications plus vitamins and supplements; personal hygiene supplies, and school supplies. Customers can also download the RxLocal app or access by computer to manage their own and other family member's prescriptions, order refills, and set medication reminders.

Mission is to protect lives, property and the environment through coordination of state and local government through the preparation, mitigation, response and recovery from damages sustained by emergency or disaster events. County Emergency Managers can make contact with volunteer fire departments in their County. Community Storm Shelter Locations: 108 E. 6th Street, Oelrichs 715 Mogul Way, Edgemont, School Gym Hot Springs: Case Auditorium, Bison Center, or Mueller Center

The US Attorney Office prosecutes federal crimes and defends or represents the United States in civil cases.

Provides reasonably sized, affordable homes to income-qualified individuals and families. This low maintenance, energy efficient home is designed to provide ownership opportunities where income levels may have prevented previous home ownership. The simplified home design, in conjunction with the Governor's Inmate Training Program, keeps the cost of these homes affordable.

Adult Basic Education, GED Test Credential preparation, GED Credential Exam, English as a Second Language, Basic and advanced computer training, can also earn a Microsoft Office Specialist Certification for all Microsoft Office programs. Offers a Driver's Education program. Has a case manager involved in the National Farmworker Jobs Program to help support past or current agricultural workers to attain more skills and/or pursue higher education. Community Education of the Black Hills with over 150 class offerings each fall and spring in 10 communities in the Black Hills area.

Providing free lunch for children 18 years old or younger. Meals on Wheels Western South Dakota are funding lunch at no charge for seniors (60+) accompanying their grandchildren. ​The Black Hills Area Community Foundation will fund lunch for adults (19-59 years old) accompanying their children. Meals are either a hot or cold lunch including a grain, protein, fruit/vegetable, and milk. This institution is an equal opportunity provider. All sites will be closed Wednesday, July 1 - Friday, July 3rd, 2026. Please note: sites and times may change with little notice due to weather, participation, or other circumstances. Updates and menus are available on the website.

Provides a monthly Diabetes Support Group in the Yankton area. Everyone is welcome and snacks are provided.