Show Inspection Reports
Total health inspections
6
South Dakota average 4.5
Last Health inspection on Aug 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Spearfish Canyon Healthcare
Nursing Home in Rapid City
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 Rapid City
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, located in beautiful Spearfish, South Dakota, offers a range of skilled care services for seniors. With skilled nursing, long term & short term care, and a variety of therapies including physical, occupational, and speech, this community ensures comprehensive care. Seniors can enjoy the serene surroundings and the sense of community as they work on regaining their independence and well-being.
Fostering compassionate, individualized care to each resident, Spearfish Canyon Healthcare offers various amenities and programs designed for residents wellness and healing, such as pain management, wound care, and social services. With specialized therapies for post-surgical recovery, stroke recovery, and cardiac care, residents receive the support they need. Additional services like dental care, dialysis, and hospice care further enhance the quality of life, making Spearfish Canyon Healthcare a place where seniors can thrive.
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 41st out of 64 homes in South Dakota.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 41st out of 64 homes in South Dakota.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 22m per day
vs South Dakota avg
-10%
Standout metric
Physical Therapist is +100% above state avg
| Staff type | Hours / day | 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.
| 20m per day | ▼ 58% State avg: 48m per day · National avg: 41m 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 17m per day | ▼ 13% State avg: 2h 37m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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.
| 2h 50m per day | ▼ 15% State avg: 3h 19m per day · National avg: 3h 26m 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 | ▲ 100% State avg: 3m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 11m per day | ▼ 65% State avg: 31m per day · National avg: 29m per day |
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%
Avg. Length of Stay
164 days
Occupancy rate
68.6%
Avg. Length of Stay
164 days
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
$11.6M
Profit
$734.2K
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.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 50 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Facility TypeNursing Home
StatusActive
IssuanceJanuary 7, 2025
ExpirationJune 30, 2026
CountyLawrence
License Number10686
Spearfish Canyon Healthcare is administrated by Pentheny, Charlotte.
What does this home offer?
Building Type: Single-story
Fitness and Recreation
Types of Care at Spearfish Canyon Healthcare
Skilled Nursing
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.
6 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Latest inspection
Date
August 28, 2025
Routine23 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
South Dakota average: 19 deficiencies
Inspection Report Summary for Spearfish Canyon Healthcare
The most recent inspection on August 28, 2025, identified multiple deficiencies related to the environment, medication management, infection control, and resident care practices. Earlier inspections showed a pattern of issues including resident safety concerns such as elopement, falls, and burns, as well as lapses in infection prevention, communication, and investigation of complaints. Complaint investigations substantiated incidents involving resident elopement, injury from hot liquids, and inadequate repositioning and incontinence care, with corrective actions implemented. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history indicates ongoing challenges with safety and infection control, with no clear trend of improvement or worsening over time.
Health Inspection History
Inspections
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 Rapid City The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Filter by care type
| Fountain Springs Healthcare Center |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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). | Rapid City | 90 | 87.3% | +9% | 3.82 | -1% | -12% | 3 | 11 | 1.6 | 2 | 86 | - | 16 | - | $8.8M | $2.7M | 31% | 435110 | ||||
| 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). | Spearfish (North 10Th Street) | 105 | 68.6% | -14% | 3.37 | -56% | -22% | 1 | 20 | 3.3 | 1 | 76 | - | 50 | - | $11.2M | $4.4M | 39.7% | 435043 |
Financial Assistance for
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Places of interest near Spearfish Canyon Healthcare
48.0 miles from city center
Estimated distance in miles from Spearfish's city center to Spearfish Canyon Healthcare's address, calculated via Google Maps.
— 0.26 miles to nearest hospital (Spearfish Regional Surgery Center)
Calculate Travel Distance to Spearfish Canyon Healthcare
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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 residents
75
Medicare
6
8% of residents
Medicaid
44
58.7% of residents
Private pay or other
25
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.
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.72
Number of hospitalizations per 1,000 long-stay resident days.
0.72
52% better than South Dakota averageSouth Dakota average: 1.51
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.85
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.85
54% better than South Dakota averageSouth Dakota average: 1.85
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
11.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
11.8%
45% better than South Dakota averageSouth Dakota average: 21.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.0%
20% worse than South Dakota averageSouth Dakota average: 11.7%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.1%
Percentage of SNF residents who experience falls with major injury during their stay.
1.1%
45% worse than South Dakota averageSouth Dakota average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
37.5%
Percentage of residents at or above expected ability to care for themselves at discharge.
37.5%
30% worse than South Dakota averageSouth Dakota average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
57.1%
Rate of successful return to home or community from a skilled nursing facility.
57.1%
13% better than South Dakota averageSouth Dakota average: 50.6%
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
$734.2K
↓ ~$874.4K vs 2022
Total Payroll
$6.0M
↑ ~$140.1K vs 2022
Profit Margin
6.6%
↓ 6.5pp vs 2022
Loading trend charts...
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