Spearfish Canyon Healthcare

Nursing Home, Hospice Care & Skilled Nursing · Spearfish, SD

CMS overall rating

1020 N. 10Th St, Spearfish, SD 57783 View map

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Spearfish Canyon Healthcare accepts Medicaid, Medicare, and private pay.

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Spearfish Canyon Healthcare accepts Medicaid, Medicare, and private pay.

Overview of Spearfish Canyon Healthcare

Spearfish Canyon Healthcare is a nursing home in Spearfish, South Dakota, providing skilled nursing, short-term rehabilitation, long-term care, and a range of specialized medical services. The 105-bed community is administered by Charlotte Pentheny. Both Medicare and Medicaid are accepted, broadening access for a range of financial situations.

According to CMS data, the community holds an overall rating of 3 stars, placing it in the average tier compared to national baselines but above the local market average of 2.4 stars. The community also features an “Average” 3-star health inspection rating, with 8 citations recorded during its most recent standard health survey on August 28, 2025. This performance is slightly above the South Dakota statewide average of 6.9 citations but remains lower than the national average of 9.4.

A complaint survey was also completed in July 2025, which identified deficiencies related to care quality and accident prevention following an elopement incident. This finding was immediately addressed through corrective staff education. Its quality of care metrics are strong, particularly for long-stay residents, with significantly fewer hospitalizations and emergency department visits than state averages. However, its nursing staffing levels and turnover metrics currently hold a “Below Average” rating.

Confirmed services include rehabilitation services, long-term and short-term care, pain management, dental care, dialysis, podiatry, and licensed professional nursing staff on-site. The range of specialized services, particularly dialysis and dental care, is noteworthy for a community of this size and reflects a higher level of clinical capability than many similarly sized rural communities.

Spearfish Canyon Healthcare is ideal for older adults in the Spearfish area and broader Black Hills region seeking skilled nursing care, post-acute rehabilitation, or long-term residential support, particularly those with complex medical needs such as dialysis or chronic pain management.

Facility Direct Line (605) 642-2716

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to South Dakota state averages

Total nursing care / resident

3h 22m per day

This facility South Dakota avg (4h 20m per day)

vs South Dakota avg

-22%

4 of 6 metrics below state avg

Standout metric Physical Therapist is +90% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	22m per day	▼ 56% State avg: 49m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	36m per day	▲ 27% State avg: 29m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 23m per day	▼ 7% State avg: 2h 34m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 2m per day	▼ 10% State avg: 3h 23m per day · National avg: 3h 27m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	6m per day	▲ 90% State avg: 3m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	12m per day	▼ 61% State avg: 31m per day · National avg: 29m per day

Capacity and availability

164 days

105-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 76 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

71%

Lower than the South Dakota average: 79.9%

Occupied beds

75 / 105

Average occupied beds in South Dakota homes 51 beds

Facility TypeNursing Home

IssuanceJuly 1, 2025

CountyLawrence

License Number10686

CMS Certification Number435043

Spearfish Canyon Healthcare is administered by Charlotte Pentheny.

Accept Medicaid

Accept Medicare

Rehabilitation Services

Pets not allowed

Licensed Professional Staff

Specialized Services

Since 2023 · 3 years of data 23 deficiencies 6 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the South Dakota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. South Dakota state average

Overall vs. SD average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	SD Average	vs. SD Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	23	19	This facility has 21% more total deficiencies than a typical South Dakota nursing home (23 vs. SD avg 19).↑ 21% worse
Deficiencies per inspection Average deficiencies per inspection.	3.8	3.8	This facility has deficiencies per inspection in line with the South Dakota average (3.8 vs. SD avg 3.8).— At avg

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	SD Average	vs. SD Avg
Total inspections Combined count of all inspections conducted at this facility.	6	5	This facility has had 20% more total inspections than the South Dakota average (6 vs. SD avg 5). More inspections can mean more regulatory scrutiny rather than worse care.↑ 20% more

Show Inspection Reports

Inspections since 2023

Total health inspections 6

State average 4.5

Last Health inspection on Aug 2025

Total health citations

State average 14.8

Citations per inspection

3.33

State 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

100% better than State average

State average: 0.3

Serious health citations

44% better than State average

State average: 1.8

0 critical citations State average: 0.3

1 serious citation State average: 1.8

19 moderate citations State average: 12.6

0 minor citations State average: 0

Citations history (last 3 years)

Infection Control moderate citation Aug 28, 2025

Corrected

Nutrition moderate citation Aug 28, 2025

Corrected

Pharmacy moderate citation Aug 28, 2025

Corrected

Quality of Care moderate citation Aug 28, 2025

Corrected

Total staff 118

Employees 86

Contractors 32

Staff to resident ratio 1.57 : 1

18% fewer staff per resident than South Dakota average

Avg staff/day 41

Average shift 8.2 hours

6% better than South Dakota average

Total staff hours (quarter) 30,767

Nursing staff breakdown

10.6 hours

9 hours

8.6 hours

Contractor staffing

2,691 contractor hours this quarter

Certified Nursing Assistant: 28 Physical Therapy Assistant: 1 Registered Nurse: 1 Licensed Practical Nurse: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	39	28	67	13,064	92	100%	8.6
Licensed Practical Nurse	7	1	8	4,169	92	100%	9
Medication Aide/Technician	10	0	10	3,218	92	100%	8.7
Registered Nurse	5	1	6	1,551	89	97%	10.6
Speech Language Pathologist	5	0	5	1,486	73	79%	6.3
Physical Therapy Aide	5	0	5	1,482	74	80%	6.5
Other Dietary Services Staff	3	0	3	1,264	92	100%	7.8
Physical Therapy Assistant	1	1	2	781	64	70%	7.5
Respiratory Therapy Technician	2	0	2	666	72	78%	5.6
Administrator	1	0	1	512	64	70%	8
Nurse Practitioner	1	0	1	512	64	70%	8
Dietitian	1	0	1	488	61	66%	8
Mental Health Service Worker	1	0	1	472	59	64%	8
Clinical Nurse Specialist	1	0	1	404	52	57%	7.8
Qualified Social Worker	1	0	1	399	59	64%	6.8
Nurse Aide in Training	2	0	2	139	19	21%	7.3
Dental Services Staff	1	0	1	139	20	22%	7
Occupational Therapy Assistant	0	1	1	22	9	10%	2.4

67 Certified Nursing Assistant

% of Days 100%

8 Licensed Practical Nurse

% of Days 100%

10 Medication Aide/Technician

% of Days 100%

6 Registered Nurse

% of Days 97%

5 Speech Language Pathologist

% of Days 79%

5 Physical Therapy Aide

% of Days 80%

3 Other Dietary Services Staff

% of Days 100%

2 Physical Therapy Assistant

% of Days 70%

2 Respiratory Therapy Technician

% of Days 78%

1 Administrator

% of Days 70%

1 Nurse Practitioner

% of Days 70%

1 Dietitian

% of Days 66%

1 Mental Health Service Worker

% of Days 64%

1 Clinical Nurse Specialist

% of Days 57%

1 Qualified Social Worker

% of Days 64%

2 Nurse Aide in Training

% of Days 21%

1 Dental Services Staff

% of Days 22%

1 Occupational Therapy Assistant

% of Days 10%

View All Staffing Data

Total fines amount $3K

92% lower than South Dakota average

South Dakota average: $40K

Number of fines 1

51% fewer fines than South Dakota average

South Dakota average: 2.0

Payment Denials 0

In line with South Dakota average

South Dakota average: 0.0

Fines amount comparison

This facility $3K

South Dakota average $40K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 10.4

13% better than South Dakota average

South Dakota average: 12.0

Functional decline score 19.2

20% better than South Dakota average

South Dakota average: 23.9

Long-stay resident measures

Need for Help with Daily Activities Increased 11.4%

49% better than South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened 22.0%

In line with South Dakota average

South Dakota average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence 24.2%

9% better than South Dakota average

South Dakota average: 26.7%

Falls with Major Injury 5.4%

7% worse than South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers 4.2%

7% better than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection 7.8%

126% worse than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight 9.2%

69% worse than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms 0.8%

80% better than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use 19.6%

20% better than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine 100.0%

5% better than South Dakota average

South Dakota average: 95.7%

Influenza Vaccine 98.6%

In line with South Dakota average

South Dakota average: 96.9%

Short-stay resident measures

Pneumococcal Vaccine 95.8%

13% better than South Dakota average

South Dakota average: 84.4%

Antipsychotic medication increase 3.1%

75% worse than South Dakota average

South Dakota average: 1.8%

Influenza Vaccine 60.6%

23% worse than South Dakota average

South Dakota average: 78.2%

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

Total residents 75

Medicare

8% of residents

Medicaid

58.7% of residents

Private pay or other

33.3% of residents

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.

Financial Trends

Historical financial and operational data for Spearfish Canyon Healthcare from 2012–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 68.6% ↓ 3.2pp vs 2022

Net Patient Income $281.2K ↓ ~$928.8K vs 2022

Payroll Costs $5.3M ↓ ~$50.6K vs 2022

Operating Margin 3.0% ↓ 9.0pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2020	2021	2022	2023
Occupancy %	94.1%	89.3%	93.3%	92.6%	91.9%	89.3%	73.7%	68.7%	71.8%	68.6%
Beds	95	100	100	100	100	105	105	105	105	105
Net Income	$595,610	$481,601	$917,137	$967,433	$934,961	$943,216	$587,180	$2,573,288	$1,608,576	$734,166
Gross Revenue	$8,983,239	$9,542,433	$10,224,387	$10,269,958	$10,465,348	$11,911,384	$11,045,512	$10,688,704	$12,283,666	$11,180,050
Operating Expenses	$6,493,837	$6,868,326	$6,970,490	$6,900,099	$7,204,327	$7,303,761	$8,351,812	$7,847,858	$8,941,634	$9,212,898
Net Patient Income	$486,822	$385,831	$844,047	$934,132	$893,966	$924,155	$279,812	$424,132	$1,210,053	$281,234
Net Patient Revenue	$6,980,659	$7,254,157	$7,814,537	$7,834,231	$8,098,293	$8,227,916	$8,631,624	$8,271,990	$10,151,687	$9,494,132
Payroll Costs	$3,556,935	$3,640,139	$3,562,694	$3,685,071	$3,793,760	$3,693,750	$4,506,401	$4,619,699	$5,306,823	$5,256,251
Operating Margin %	7.0%	5.3%	10.8%	11.9%	11.0%	11.2%	3.2%	5.1%	11.9%	3.0%
Medicare %	11.0%	12.8%	10.4%	11.6%	11.6%	11.9%	10.8%	13.8%	9.3%	9.2%
Medicaid %	61.8%	59.8%	56.9%	54.7%	52.1%	56.7%	64.2%	62.3%	63.4%	66.6%
Private %	27.2%	27.5%	32.8%	33.7%	36.3%	31.4%	25.0%	23.9%	27.3%	24.2%
Net Patient Revenue/Day	$213	$223	$230	$232	$241	$249	$305	$314	$369	$361
Cost/Day	$198	$211	$205	$204	$214	$221	$295	$298	$325	$350
Avg Length of Stay	311.7 days	246.9 days	239.7 days	266.0 days	193.3 days	196.7 days	232.1 days	235.0 days	305.7 days	164.4 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$9.5M

Net patient income

$281.2K

For-profit Operated by a single business entity.

Net patient revenue

$9.5M

Net patient income

$281.2K

Other income

$452.9K

Payroll costs

$5.3M 55.4% of net patient revenue

Other operating costs

$4.0M

Total costs

$9.2M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (74% of admissions), and a typical Medicare stay runs around 22 days.

Coverage residents most often arrive under.

Medicare 74%

Private pay 21%

Medicaid 5%

Coverage residents most often leave under.

Medicare 60%

Private pay 24%

Medicaid 16%

0.0 miles from city center Estimated distance in miles from Spearfish's city center to Spearfish Canyon Healthcare's address, calculated via Google Maps.

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Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.

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Nursing Home Explorer

Is Spearfish Canyon Healthcare in a walkable area?

Spearfish Canyon Healthcare has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Spearfish Canyon Healthcare?

According to SD state health department records, Spearfish Canyon Healthcare's license number is 10686.

What is the occupancy rate at Spearfish Canyon Healthcare?

Spearfish Canyon Healthcare's occupancy is 71%.

How long has Spearfish Canyon Healthcare been in business?

Spearfish Canyon Healthcare has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Spearfish Canyon Healthcare?

No, Spearfish Canyon Healthcare has a no-pet policy.

Does Spearfish Canyon Healthcare operate as a for-profit or non-profit?

Spearfish Canyon Healthcare is registered as a for-profit in SD.

Who is the administrator of Spearfish Canyon Healthcare?

Charlotte Pentheny is the administrator of Spearfish Canyon Healthcare.

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Spearfish Canyon Healthcare

Overview of Spearfish Canyon Healthcare

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Additional Policies & Features

Amenities & Lifestyle

Contact Spearfish Canyon Healthcare

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the South Dakota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

67 Certified Nursing Assistant

8 Licensed Practical Nurse

10 Medication Aide/Technician

6 Registered Nurse

5 Speech Language Pathologist

5 Physical Therapy Aide

3 Other Dietary Services Staff

2 Physical Therapy Assistant

2 Respiratory Therapy Technician

1 Administrator

1 Nurse Practitioner

1 Dietitian

1 Mental Health Service Worker

1 Clinical Nurse Specialist

1 Qualified Social Worker

2 Nurse Aide in Training

1 Dental Services Staff

1 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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