Spearfish Canyon Healthcare
1020 N 10th Street, Spearfish, SD 57783
Spearfish Canyon Healthcare, a 105-bed for profit - limited liability company nursing facility in Spearfish, SD, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #56 of 93 rated homes in SD on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 6056422716
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- 2 / 5
- Below average · CMS overall · nat'l 3.0
- #56 of 93
- In-state rank among rated SD homes
- 3.37
- Below average · nurse hrs/day · nat'l 3.86
- 21
- Inspection findings · 1 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Spearfish Canyon Healthcare, a 105-bed for profit - limited liability company nursing facility in Spearfish, SD, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #56 of 93 rated homes in SD on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 2 / 5
- CMS overall · national 3.0
- #56 of 93
- In-state rank among rated SD homes
- 3.37
- Nurse hrs/resident-day · national 3.86
- 21
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 96 SD nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 435043
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 105
- Residents
- 76
- In Hospital
- No
- County
- Lawrence
- Last Inspection
- Aug 28, 2025
Staffing Data
How the 3.37 total nursing hours per resident-day are staffed:
- RN Hours
- 0.44 (nat'l avg: 0.69)
- LPN Hours
- 0.55
- CNA Hours
- 2.38
- Total Nursing Hours
- 3.37 (nat'l avg: 3.86)
- PT Hours
- 0.09
- Nursing Turnover
- 58.8%
- RN Turnover
- 16.7%
What the CMS Record Reveals About Spearfish Canyon Healthcare
According to CMS Nursing Home Compare, Spearfish Canyon Healthcare ranks #56 of 93 rated nursing homes in SD on overall stars (tie-broken by health+staffing+quality, then fewer fines). Spearfish Canyon Healthcare operates 105 certified beds in Spearfish, SD with approximately 76 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 3★ · quality 4★).
The inspection file contains 21 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $10K levied against this facility. Staffing is reported at 3.37 total nursing hours per resident day (national average 3.86), with RN coverage at 0.44 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Spearfish Canyon Healthcare falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 58.8% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (21 most recent)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Oct 10, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Oct 10, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 10, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 10, 2025
Honor 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.
Category: Resident Rights Deficiencies
Corrected: Oct 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Oct 10, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 9, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 31, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 17, 2024
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 16, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 15, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 15, 2024
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Mar 15, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 15, 2024
Honor 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.
Category: Resident Rights Deficiencies
Corrected: Mar 15, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Category: Resident Rights Deficiencies
Corrected: Mar 15, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 2, 2023
Honor 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.
Category: Resident Rights Deficiencies
Corrected: Mar 1, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 1, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Category: Resident Rights Deficiencies
Corrected: Mar 6, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.9% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.5% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.7% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 1.6% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 2.8% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.4% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 12.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 98.6% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 31.4% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 98.9% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 60.6% | No |
Penalty History 1 penalties totaling $10K
| Date | Type | Amount |
|---|---|---|
| Jul 9, 2025 | Fine | $10K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Spearfish Canyon Healthcare, both outside SD so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside SD (105 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside SD (3.56 here).
Nearby Nursing Homes in SD
95 other nursing homes are on record in SD; 6 are shown here.
Aberdeen Health and Rehab
Aberdeen, SD
Alcester Care And Rehab Center, Inc
Alcester, SD
Aurora Brule Nursing Home INC
White Lake, SD
Avantara Arrowhead
Rapid City, SD
Avantara Clark City
Clark, SD
Avantara Groton
Groton, SD
Understanding Nursing Home Data
What the CMS records show for Spearfish Canyon Healthcare
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The SD registry aggregates state averages and the highest-rated homes in this cohort. View SD registry
- Peer homes near 105 beds show how CMS stars vary at a similar scale in SD. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Spearfish Canyon Healthcare?
Where does Spearfish Canyon Healthcare rank among nursing homes in SD?
What are the staffing levels at Spearfish Canyon Healthcare?
How many beds does Spearfish Canyon Healthcare have?
Does Spearfish Canyon Healthcare have any deficiencies on record?
Has Spearfish Canyon Healthcare received any fines or penalties?
Who owns Spearfish Canyon Healthcare?
When was Spearfish Canyon Healthcare last inspected?
What quality measures are tracked for Spearfish Canyon Healthcare?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
