Spearfish Canyon Healthcare
1020 N 10th Street, Spearfish, SD 57783 · (605) 642-2716
For profit - Limited Liability company · 105 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Spearfish Canyon Healthcare has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 6 citations (the South Dakota average is 6.7). It was fined 1 time in the last three years, $9,718 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. | ★★★★★ 2 out of 5 stars · 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. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 28, 2025 found 6 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.August 28, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.August 28, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 28, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 28, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.August 28, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.August 28, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 5 citations.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 20, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 9, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 9, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 19, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 2, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $9,718July 9, 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 | 3.37 | 3.79 | 3.86 |
| Registered nurses (RN) | 0.44 | 0.80 | 0.69 |
| Licensed practical nurses (LPN) | 0.55 | 0.47 | 0.86 |
| Nurse aides | 2.38 | 2.52 | 2.32 |
| Total nursing staff turnover | 58.8% | 48.2% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 105 |
| Average residents per day | 75.9 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Rolling Hills Healthcare Belle Fourche · ★★★★★ 1 out of 5 stars
- Custer Care and Rehab Center Custer · ★★★★★ 1 out of 5 stars
- Michael J Fitzmaurice South Dakota Veterans Home Hot Springs · ★★★★★ 4 out of 5 stars
- Seven Sisters Living Center Hot Springs · ★★★★★ 4 out of 5 stars
- Good Samaritan Society New Underwood New Underwood · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Spearfish Canyon Healthcare on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.