Spearfish Canyon Healthcare
Nursing Home & Hospice Care · Spearfish, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Spearfish Canyon Healthcare

Nursing Home & Hospice Care · Spearfish, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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
Rank #44 / 65Nurse hours — State benchmarkedThis home is ranked 44th out of 65 homes in South Dakota. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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
LPN / LVN Info 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
Nurse Aide Info 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
Weekend Total Nursing Info 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
Physical Therapist Info 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
Weekend RN Info 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

Capacity and availability

Avg. Length of Stay
164 days
Bed community size
105-bed community Rank #17 / 117Bed count — State benchmarkedThis home is ranked 17th out of 117 homes in South Dakota. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 76 / 100 Rank #17 / 159Walk Score — State benchmarkedThis home is ranked 17th out of 159 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
69%
Rank #47 / 62Occupancy rate — State benchmarkedThis home is ranked 47th out of 62 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the South Dakota average: 79.9%
Occupied beds
72 / 105
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
ExpirationJune 30, 2026 Expires in 4 days
CountyLawrence
License Number10686
CMS Certification Number435043

Ownership & Operating Entity

Spearfish Canyon Healthcare is administered by Charlotte Pentheny.

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Amenities & Lifestyle

Licensed Professional Staff
Specialized Services
Specific ProgramsLong & Short Term Care, Pain Management, Dental Care, Dialysis, Podiatry Services

Contact Spearfish Canyon Healthcare

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.

Since 2023 · 3 years of data 23 deficiencies 6 inspections

Inspection Scorecard Info 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 3 Worse Metrics worse than South Dakota average:
• Total deficiencies (21% above)
• Deficiencies per year (22% above)
• Deficiencies per inspection (19% above)
1 At Avg Metrics at South Dakota average:
• Total inspections (at SD avg)
0 Better No metrics in this bucket.
Latest Inspection August 28, 2025 Routine

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilitySD Averagevs. SD Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 2319 This facility has 21% more total deficiencies than a typical South Dakota assisted living residence (23 vs. SD avg 19).↑ 21% worse
Deficiencies per year Info Average deficiencies per year since 2023. 7.76.3 This facility has 22% more deficiencies per year than a typical South Dakota assisted living residence (7.7 vs. SD avg 6.3).↑ 22% worse
Deficiencies per inspection Info Average deficiencies per inspection. 3.83.2 This facility has 19% more deficiencies per inspection than a typical South Dakota assisted living residence (3.8 vs. SD avg 3.2).↑ 19% worse

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

This FacilitySD Averagevs. SD Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 66 This facility has total inspections in line with the South Dakota average (6 vs. SD avg 6).— At avg

Health Inspection History

Inspections since 2023
Total health inspections 6

State average N/A


Last Health inspection on Aug 2025

Total health citations
20 Rank #41 / 67Health citations — State benchmarkedThis home is ranked 41st out of 67 homes in South Dakota. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 67 SD facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3.33 Rank #36 / 67Citations per inspection — State benchmarkedThis home is ranked 36th out of 67 homes in South Dakota. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 67 facilities with citation data. Lower is better.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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
In line with State average

State average: N/A


Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

19 moderate citations State average: N/A

0 minor citations State average: N/A
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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 118
Employees 86
Contractors 32
Staff to resident ratio 1.57 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 41
Average shift 8.2 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 30,767

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 6 total: 5 full-time employees and 1 contractor. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 8 total: 7 full-time employees and 1 contractor. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 67 total: 39 full-time employees and 28 contractors. 67
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

8.7%

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

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant39286713,06492100%8.6
Licensed Practical Nurse7184,16992100%9
Medication Aide/Technician100103,21892100%8.7
Registered Nurse5161,5518997%10.6
Speech Language Pathologist5051,4867379%6.3
Physical Therapy Aide5051,4827480%6.5
Other Dietary Services Staff3031,26492100%7.8
Physical Therapy Assistant1127816470%7.5
Respiratory Therapy Technician2026667278%5.6
Administrator1015126470%8
Nurse Practitioner1015126470%8
Dietitian1014886166%8
Mental Health Service Worker1014725964%8
Clinical Nurse Specialist1014045257%7.8
Qualified Social Worker1013995964%6.8
Nurse Aide in Training2021391921%7.3
Dental Services Staff1011392022%7
Occupational Therapy Assistant01122910%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%

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 Rank #30 / 67Federal fines — State benchmarkedThis home is ranked 30th out of 67 homes in South Dakota. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 67 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
92% lower than State average

State average: $40K

Number of fines 1
51% fewer fines than State average

State average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
In line with State average

State average: 0.0

Fines amount comparison
Fines amount comparison
This facility $3K
State average $40K

No penalties in the past 3 years

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

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 Info 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 State average

State average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 19.2
20% better than State average

State average: 23.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.4%
49% better than State average

State average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 22.0%
In line with State average

State average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 24.2%
9% better than State average

State average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.4%
7% worse than State average

State average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.2%
7% better than State average

State average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 7.8%
126% worse than State average

State average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 9.2%
69% worse than State average

State average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.8%
80% better than State average

State average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 19.6%
20% better than State average

State average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
5% better than State average

State average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.6%
In line with State average

State average: 96.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.8%
13% better than State average

State average: 84.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.1%
75% worse than State average

State average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 60.6%
23% worse than State average

State 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

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.

Finances and operations

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

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.5M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$281.2K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.5M Rank #18 / 63Revenue — State benchmarkedThis home is ranked 18th out of 63 homes in South Dakota. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$281.2K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$452.9K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #17 / 63Payroll — State benchmarkedThis home is ranked 17th out of 63 homes in South Dakota. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.3M 55.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #22 / 63Payroll % — State benchmarkedThis home is ranked 22nd out of 63 homes in South Dakota. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.2M

Who this home usually serves

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.

Admissions
148 total

Coverage residents most often arrive under.

Medicare 74%
Private pay 21%
Medicaid 5%
Discharges
160 total

Coverage residents most often leave under.

Medicare 60%
Private pay 24%
Medicaid 16%

Places of interest near Spearfish Canyon Healthcare

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

Calculate Travel Distance to Spearfish Canyon Healthcare

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Frequently Asked Questions about Spearfish Canyon Healthcare

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.

When does Spearfish Canyon Healthcare's license expire?

According to SD state health department records, Spearfish Canyon Healthcare's license expires on June 30, 2026.

What is the occupancy rate at Spearfish Canyon Healthcare?

Spearfish Canyon Healthcare's occupancy is 69%.

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.

How many beds does Spearfish Canyon Healthcare have?

Spearfish Canyon Healthcare has 105 beds.

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