City · Fall River County, South Dakota
Hot Springs, South Dakota
Hot Springs is a city in Fall River County, South Dakota. It has 3,548 residents. Hot Springs, South Dakota has a quality-of-life score of 58 out of 100 (moderate), ranking #6,594 of 15,651 US cities and towns. Within South Dakota it ranks #60 of 75 cities and towns. It ranks best on property crime rate (low), restaurants and bars (high) and fine particulate matter (PM2.5) (low). It ranks worst on distance to an airport (high), flu vaccinations (low) and pharmacies (low).
- Quality-of-life score
- #6,594 of 15,651 cities and towns
- South Dakota
- #60 of 75 in SD
- Population
- 3,548 (2020-2024)
- Land area
- 4 mi²
- Density
- 813.4 /mi²
- FIPS code
- 4630220
Percentile-based score (100 is the best in the country) from 70 of 80 indicators, with the default “Explorer” weights.
Scores by category
Each category averages its indicators' percentile scores among US cities and towns.
- Safety71#4,461/15,637
- Economy34#10,312/15,631
- Housing91#1,304/14,977
- Health22#12,186/15,609
- Healthcare40#9,400/15,650
- Environment57#6,655/15,453
- Education54#7,134/15,649
- Infrastructure16#13,118/15,650
- Community81#3,012/15,651
- Leisure & amenities88#1,910/15,651
Strengths · Weaknesses
Indicators where Hot Springs, South Dakota ranks highest and lowest among US cities and towns (score = percentile, 100 = best). Values marked “Fall River County value” are the county’s: the source publishes no figure for this city or town, and the county holding most of its residents stands in.
Strengths
- Property crime rate · low55 /100k100/100South Dakota 1,312 /100kUnited States 1,535 /100k2025Federal Bureau of InvestigationFall River County value
- Restaurants and bars · high21.4 /10k99/100South Dakota 10.6 /10kUnited States 9.0 /10k2025U.S. Bureau of Labor StatisticsFall River County value
- Fine particulate matter (PM2.5) · low4.4 µg/m³98/100South Dakota 5.1 µg/m³United States 8.0 µg/m³2022Centers for Disease Control and Prevention · U.S. Environmental Protection AgencyFall River County value
- Grocery stores · high4.0 /10k98/100South Dakota 2.0 /10kUnited States 1.7 /10k2025U.S. Bureau of Labor StatisticsFall River County value
- Average commute time · low13.5 min
- Time spent in the emergency room · low98 min97/100South Dakota 115 minUnited States 170 minOct 2024–Sep 2025Centers for Medicare & Medicaid ServicesFall River County value
Weaknesses
- Distance to an airport · high251 mi0/100South Dakota 114 miUnited States 33 mi2025Federal Aviation Administration · Bureau of Transportation Statistics · U.S. Census BureauFall River County value
- Flu vaccinations · low17.0%0/100South Dakota 45.0%United States 44.0%2023University of Wisconsin Population Health InstituteFall River County value
- Pharmacies · low0.0 /10k1/100South Dakota 1.4 /10kUnited States 1.8 /10k2025U.S. Bureau of Labor StatisticsFall River County value
- Comfortable days · low21.8%2/100South Dakota 22.8%United States 26.8%2016-2025NOAA National Centers for Environmental InformationFall River County value
- Traffic deaths · high44.0 /100k2/100South Dakota 15.7 /100kUnited States 12.3 /100k2020-2024National Highway Traffic Safety AdministrationProvisional dataFall River County value
- Distance to an Amtrak station · high218 mi2/100South Dakota 185 miUnited States 43 mi2026Federal Aviation Administration · Bureau of Transportation Statistics · U.S. Census BureauFall River County value
Trends
The largest changes over about five years, next to the country's over the same periods.
- Child poverty rateWorsening
25.0% (2015-2019) → 42.3% (2020-2024)
+17 pts5 yearsCensus table B17001US 16.8% → 15.5%
- Uninsured residents (under 65)Worsening
10.8% (2015-2019) → 24.1% (2020-2024)
+13 pts5 yearsCensus table B27010US 10.8% → 9.8%
- Bachelor's degree or higherImproving
19.7% (2015-2019) → 28.9% (2020-2024)
+9.2 pts5 yearsCensus table B15003US 32.1% → 35.7%
- Median household incomeImproving
$46,071 (2015-2019) → $66,338 (2020-2024)
+44%5 yearsCensus table B19013US $65,712 → $81,604
- High school diploma or higherWorsening
94.7% (2015-2019) → 87.1% (2020-2024)
−7.7 pts5 yearsCensus table B15003US 88.0% → 89.6%
- New homes permittedWorsening
3.8 /1k (2021) → 2.5 /1k (Sep 2025–Aug 2026)
−34%5 yearsUS 5.2 /1k → 4.2 /1k
What changed in five years
How each measure moved between two periods about five years apart, read against whether more or less is better, the published margin of error and the same change in other places.
Cities and towns like Hot Springs, South Dakota five years ago that improved
The places whose measures looked most like those of Hot Springs, South Dakota in the earlier period, ranked by how many measures improved beyond the margin of error, minus how many declined. A comparison of published data, not a forecast and not advice.
Who lives here
Age, race and education of residents, from the American Community Survey. Shares are of all residents (age), residents of every origin (race) or adults 25 and over (education).
Income
How household income is spread, not just the middle: each bar is the share of households in that income range.
Homes
Who owns and who rents, what homes cost, and what the housing stock looks like.
Getting to work
How workers travel to their job and how long it takes them.
Local businesses
Employer businesses and sole proprietors by industry, per resident and against the state and the nation. Counts of businesses next to counts of people, not a measure of demand.
Federal contracts performed here
Grants and other federal assistance are counted by county here, not split among cities: Hot Springs is mostly in Fall River County.
See federal money in Fall River CountyRepresentation in Congress
Members serving today, with their record in the current Congress (party-unity votes cast with their caucus, roll calls missed). Not a grade.
County
A city can lie in several counties. Some indicators are published for counties only: the page marks them.
Other cities and towns in Fall River County
Largest first.
Similar cities and towns
Closest indicator profiles across the country (no model: score distances).
Data and sources
Latest published value of each indicator; periods differ by source. Values flagged by their publisher are marked.
- PLACES: Local Data for Better HealthCenters for Disease Control and Prevention · release 2025
- Local Area Unemployment StatisticsU.S. Bureau of Labor Statistics · release 2025
- American Community Survey 5-Year EstimatesU.S. Census Bureau · release 2017-2024
- Building Permits SurveyU.S. Census Bureau · release 2026-08
- Population Estimates ProgramU.S. Census Bureau · release 2025
- Small Area Health Insurance EstimatesU.S. Census Bureau · release 2024
- Small Area Income and Poverty EstimatesU.S. Census Bureau · release 2024
- County Health Rankings & RoadmapsUniversity of Wisconsin Population Health Institute · release 2022-2025+2026-03-supplement