facebook tracking Spearfish Canyon Healthcare, Spearfish SD: CMS Ratings
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Spearfish Canyon Healthcare

All states › South Dakota › Spearfish › Spearfish Canyon Healthcare

1020 N 10th Street Spearfish, SD 57783 · Lawrence County

(605) 642-2716

Cited for abuse Accepts Medicare Accepts Medicaid 105 certified beds For profit

CMS certification number 435043 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on Care Compare.

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Spearfish Canyon Healthcare a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Spearfish Canyon Healthcare as of October 2026.

CMS rates it 2 out of 5 stars overall, below the South Dakota average of 3.0. Inspectors issued 21 citations in the last three years. CMS imposed 1 penalty, including $9,718 in fines, in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 3 out of 5. CMS currently shows its abuse icon for this home (see above).

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.67 hours per resident per day at Spearfish Canyon Healthcare, about the same as the South Dakota median of 3.69 (US median: 3.72). About 0.41 of those hours are from registered nurses. On weekends it falls to 3.19 hours, 13% below its all-week average. 58.7% of nursing staff left within a year (South Dakota median 46.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.67 hours
About the South Dakota median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.41 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.19 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 58.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 16.7% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds105
Residents per day 74 About 71% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 1990
Part of a chainEduro Healthcare
Legal business nameSPEARFISH NURSING AND REHAB CENTER LLC

Paying for care at Spearfish Canyon Healthcare: Medicare and Medicaid

Spearfish Canyon Healthcare is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet South Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 28, 2025 and found 6 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 21 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 21 citations at Spearfish Canyon Healthcare across 7 inspection dates, 5 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on July 9, 2025. The most common areas cited were resident rights (6) and quality of life and care (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, July 9, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.

April 20, 2026 · 1 citation · includes complaint inspection

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance

August 28, 2025 · 6 citations

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Oct 10, 2025)

DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Oct 10, 2025)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Oct 10, 2025)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Oct 10, 2025)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Oct 10, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Oct 10, 2025)

July 9, 2025 · 2 citations, includes actual harm · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jul 31, 2025)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Past Non-Compliance (Jun 9, 2025)

June 19, 2024 · 1 citation · includes complaint inspection

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Past Non-Compliance (Jun 17, 2024)

May 2, 2024 · 1 citation · includes complaint inspection

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Jun 16, 2024)

February 7, 2024 · 6 citations

FEnsure residents have reasonable access to and privacy in their use of communication methods.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0576 · Deficient, Provider has date of correction (Mar 15, 2024)

EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Mar 15, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Mar 15, 2024)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Mar 15, 2024)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Deficient, Provider has date of correction (Mar 15, 2024)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Mar 15, 2024)

February 2, 2023 · 4 citations

EHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Deficient, Provider has date of correction (Mar 6, 2023)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Mar 1, 2023)

DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Mar 1, 2023)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Mar 2, 2023)

Questions to ask on a tour of Spearfish Canyon Healthcare

  1. Inspectors cited the home at the actual-harm level on July 9, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on April 20, 2026. How are staff trained, and how are concerns reported?
  3. Nursing staff turnover was 58.7% a year. How many of the staff come from agencies?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $9,718 in fines.

DateTypeAmount or length
Jul 9, 2025 Fine $9,718

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 3/5 4/5
August 2026 2/5 2/5 3/5 4/5
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Location

Hospitals near Spearfish Canyon Healthcare

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Rolling Hills Healthcare Belle Fourche · 10.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 83 beds · Medicaid
Monument Health Sturgis Care Center Sturgis · 17.9 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 40 beds · Medicaid
Good Samaritan Society - St Martin Village Rapid City · 38.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 60 beds · Medicaid
Fountain Springs Healthcare Rapid City · 40.1 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 90 beds · Medicaid
Avantara North Rapid City · 41.0 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 68 beds · Medicaid

More nursing homes near Spearfish Canyon Healthcare ›   All nursing homes in Spearfish ›

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Other Eduro Healthcare nursing homes in South Dakota

Affiliation comes from CMS's affiliated-entity data, October 2026. All 34 Eduro Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/south-dakota/spearfish/spearfish-canyon-healthcare/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.