Facility type
Nursing Home
Status
Active
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in South Dakota
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Spearfish Canyon Healthcare
Nursing Home in South Dakota
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Spearfish Canyon Healthcare
Spearfish Canyon Healthcare focuses on providing skilled nursing, short-term rehabilitation, and long-term care services in a compassionate environment. The facility emphasizes individual wellness and rehabilitation to ensure the best experience for residents. It offers a variety of personalized care services to meet healthcare needs.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
105
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
68.6%
Residents per day (avg)
76
Occupancy rate
68.6%
Residents per day (avg)
76
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
74% of new residents, usually for short-term rehab.
Typical stay
22 days
Private pay
21% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
5% of new residents, often for long-term daily care.
Typical stay
6 - 7 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$11.6M
Profit
$734.2K
Privately-owned community
Operated by a business corporation.
Home revenue
$11,632,982.00
Profit
$734,166.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.9M
105-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
License details
Issuance
July 1, 2025
Expiration
June 30, 2026
County:
Lawrence
Additional licensing details
License number:
10686
CMS Certification Number:
435043
Ownership & operating entity
Spearfish Canyon Healthcare is administrated by Pentheny, Charlotte.
Care Services
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation Therapy, Long & Short Term Care, Pain Management, Individualized Care Plans, Social Services, Care Coordination, Dental Care, Dialysis, Hospice Care, Podiatry Services
Pricing & Financial Information
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In South Dakota, the Department of Health, Office of Health Care Facilities Licensure is the state agency responsible for conducting unannounced surveys and monitoring facility quality.
Show Inspection Reports
Health Inspection History
Inspections
Total health inspections
6
South Dakota average 4.5
Last Health inspection on Aug 2025
Total health citations
20
South Dakota average 14.8
Citations per inspection
3.33
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 20 citations resulted from standard inspections; 4 of 20 resulted from complaint investigations; and 2 of 20 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
1
1
44% better than South Dakota averageSouth Dakota average: 1.8
0 critical citations
1 serious citation
19 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 28, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 28, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 28, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 28, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 28, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 28, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 28, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 28, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around South Dakota The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Filter by care type
Alcester Care and Rehab Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Alcester
39
94.9%
+19%
3.72
-14%
2
11
2.2
1
37
-
Stroschein Properties Iii Llc
$2.9M
$1.5M
51.8%
435062
Avantara Clark City
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Clark
38
79.4%
-1%
3.15
-27%
1
5
1.3
1
31
31
Schlomer, Tiffany
$6.0M
$1.5M
25.5%
435058
Aurora Brule Nursing Home Inc.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
White Lake
44
61.7%
-23%
3.45
-20%
2
16
3.2
1
40
-
Aurora-Brule Nursing Home
$2.8M
$1.5M
52.4%
435132
Spearfish Canyon Healthcare
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spearfish
105
68.6%
-14%
3.37
-22%
1
20
3.3
1
76
-
-
$11.2M
$4.4M
39.7%
435043
Avantara Arrowhead
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Rapid City
74
75.2%
-6%
2.80
-36%
5
34
3.8
9
61
12
Preston, Philip
$10.7M
$2.9M
27.3%
435051
Places of interest near Spearfish Canyon Healthcare
0.0 miles from city center
1020 N. 10th St, Spearfish, SD 57783
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
126
Employees
94
Contractors
32
Staff to resident ratio
1.68:1
12% worse than South Dakota averageSouth Dakota average ratio: 1.91:1
Avg staff/day
40
Average shift
8.2 hours
6% better than South Dakota averageSouth Dakota average: 7.7 hours
Total staff hours (quarter)
29,878
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
68
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
9.1%
2,711 contractor hours this quarter
Certified Nursing Assistant: 26
Licensed Practical Nurse: 3
Physical Therapy Assistant: 1
Respiratory Therapy Technician: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 42 | 26 | 68 | 13,102 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 8 | 3 | 11 | 4,193 | 91 | 100% | 9.1 |
| Medication Aide/Technician | 11 | 0 | 11 | 2,970 | 91 | 100% | 8.6 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,521 | 71 | 78% | 7 |
| Registered Nurse | 6 | 0 | 6 | 1,369 | 81 | 89% | 10.6 |
| Speech Language Pathologist | 3 | 0 | 3 | 1,144 | 67 | 74% | 6.5 |
| Respiratory Therapy Technician | 3 | 1 | 4 | 853 | 71 | 78% | 5.6 |
| Physical Therapy Assistant | 1 | 1 | 2 | 783 | 64 | 70% | 7.5 |
| Other Dietary Services Staff | 5 | 0 | 5 | 727 | 81 | 89% | 6 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 486 | 63 | 69% | 7.7 |
| Dietitian | 1 | 0 | 1 | 475 | 60 | 66% | 7.9 |
| Qualified Social Worker | 2 | 0 | 2 | 402 | 55 | 60% | 7.3 |
| Dental Services Staff | 1 | 0 | 1 | 278 | 36 | 40% | 7.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 33 | 6 | 7% | 5.4 |
| Nurse Aide in Training | 1 | 0 | 1 | 8 | 1 | 1% | 8.4 |
| RN Director of Nursing | 1 | 0 | 1 | 8 | 1 | 1% | 8 |
68 Certified Nursing Assistant
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
11 Medication Aide/Technician
% of Days
100%
5 Physical Therapy Aide
% of Days
78%
6 Registered Nurse
% of Days
89%
3 Speech Language Pathologist
% of Days
74%
4 Respiratory Therapy Technician
% of Days
78%
2 Physical Therapy Assistant
% of Days
70%
5 Other Dietary Services Staff
% of Days
89%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 Mental Health Service Worker
% of Days
69%
1 Clinical Nurse Specialist
% of Days
69%
1 Dietitian
% of Days
66%
2 Qualified Social Worker
% of Days
60%
1 Dental Services Staff
% of Days
40%
1 Occupational Therapy Assistant
% of Days
7%
1 Nurse Aide in Training
% of Days
1%
1 RN Director of Nursing
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
75 residents
Residents by payment source
Medicare
6 residents (8%)
Medicaid
44 residents (58.7%)
Private pay or other
25 residents (33.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.4
13% better than South Dakota averageSouth Dakota average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.2
20% better than South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.4%
Percent of long-stay residents whose need for help with daily activities has increased
11.4%
49% better than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.0%
Percent of long-stay residents whose ability to move independently worsened
22.0%
In line with South Dakota averageSouth Dakota average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.2%
9% better than South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
7% worse than South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.2%
Percent of long-stay high risk residents with pressure ulcers
4.2%
7% better than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
7.8%
Percent of long-stay residents with a urinary tract infection
7.8%
126% worse than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.2%
Percent of long-stay residents who lose too much weight
9.2%
69% worse than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.8%
Percent of long-stay residents who have depressive symptoms
0.8%
80% better than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.6%
Percent of long-stay residents who received an antipsychotic medication
19.6%
20% better than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
In line with South Dakota averageSouth Dakota average: 96.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.8%
13% better than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
75% worse than South Dakota averageSouth Dakota average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.6%
23% worse than South Dakota averageSouth Dakota average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$3K
92% lower than South Dakota averageSouth Dakota average: $40K
Number of fines
1
51% fewer fines than South Dakota averageSouth Dakota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with South Dakota averageSouth Dakota average: 0.0
Fines amount comparison
Fines amount comparison
This facility
$3K
South Dakota average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 2, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 2, 2023
$3K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Spearfish Canyon Healthcare based on CMS SNF Cost Reports.
Occupancy Rate
68.6%
↓ 3.2pp vs 2022
Net Income
$734,166
↓ ~$874K vs 2022
Total Payroll
$6,001,396
↑ ~$140K vs 2022
Profit Margin
6.6%
↓ 6.5pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Financial Aid for South Dakota Seniors
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