Medicine Wheel Village
24266 Airport Road, Eagle Butte, SD 57625 · (605) 964-8155
Non profit - Other · 50 certified beds
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
Medicine Wheel Village has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in November 2025, found 13 citations, 1 for actual harm or immediate jeopardy (the South Dakota average is 6.7). It was fined 1 time in the last three years, $22,636 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 5 out of 5 stars · Much above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on November 20, 2025 found 13 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.November 20, 2025 · F0812 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many
- Post nurse staffing information every day.November 20, 2025 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.November 20, 2025 · F0808 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.November 20, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.November 20, 2025 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.November 20, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.November 20, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to organize and participate in resident/family groups in the facility.November 20, 2025 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.November 20, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.November 20, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.November 20, 2025 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyNovember 20, 2025 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Implement a program that monitors antibiotic use.November 20, 2025 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 4 citations.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 25, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.March 25, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.November 20, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 3, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $22,636November 20, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | South Dakota average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.79 | 3.79 | 3.86 |
| Registered nurses (RN) | 1.00 | 0.80 | 0.69 |
| Licensed practical nurses (LPN) | 1.11 | 0.47 | 0.86 |
| Nurse aides | 2.69 | 2.52 | 2.32 |
| Total nursing staff turnover | 31.4% | 48.2% | 45.8% |
About this home
| Ownership | Non profit - Other |
| Certified beds | 50 |
| Average residents per day | 27.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Five Counties Nursing Home Lemmon · ★★★★★ 1 out of 5 stars
Larger cities in South Dakota: Nursing homes in Rapid City, SD · Nursing homes in Sioux Falls, SD · Nursing homes in Aberdeen, SD
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Data from Medicare (CMS), updated October 2026, from Medicine Wheel Village on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.