South Dakota average 4.5
Last Health inspection on Aug 2025

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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.
Spearfish Canyon Healthcare is administrated by Charlotte Pentheny.
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.
Deficiencies
| This Facility | SD Average | vs. SD Avg |
|---|---|---|---|
|
Total deficiencies
| 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 year
| 7.7 | 6.3 | This facility has 22% more deficiencies per year than a typical South Dakota nursing home (7.7 vs. SD avg 6.3).↑ 22% worse |
|
Deficiencies per inspection
| 3.8 | 3.2 | This facility has 19% more deficiencies per inspection than a typical South Dakota nursing home (3.8 vs. SD avg 3.2).↑ 19% worse |
Inspections
| This Facility | SD Average | vs. SD Avg |
|---|---|---|---|
|
Total inspections
| 6 | 6 | This facility has total inspections in line with the South Dakota average (6 vs. SD avg 6).— At avg |
South Dakota average 4.5
Last Health inspection on Aug 2025
South Dakota average 14.8
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).
South Dakota average: 0.3
South Dakota average: 1.8
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
2,691 contractor hours this quarter
| 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 |
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)
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
74% of new residents, usually for short-term rehab.
21% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Spearfish Canyon Healthcare based on CMS SNF Cost Reports.
Most residents typically stay for a few weeks or months before returning home or moving on.
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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Spearfish Canyon Healthcare is located in Spearfish, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
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SD AVG
69
Rank
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60
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60
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39
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#39 / 159 | - | - | - | - | 435034 | ||||
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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. | Rapid City | 10
Facility
10
SD AVG
69
Rank
#116 / 117 | 87.3% | +9% | 3.82 | -2% | -12% | $32.3k | 11 | 1.6 | 2 | 86 |
16
Facility
16
SD AVG
39
Rank
#120 / 159 | - | $8.8M | $4.4M | 50.3% | 435110 | ||||
| Avera Mother Joseph Manor Retirement Community |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
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. | Aberdeen | 81
Facility
81
SD AVG
69
Rank
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31
Facility
31
SD AVG
39
Rank
#93 / 159 | - | - | - | - | 435042 | ||||
| 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
Facility
105
SD AVG
69
Rank
#17 / 117 | - | - | 3.37 | -54% | -22% | $3.3k | 20 | 3.3 | 1 | 76 |
76
Facility
76
SD AVG
39
Rank
#17 / 159 | - | $11.6M | $6.0M | 51.6% | 435043 |
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.
According to SD state health department records, Spearfish Canyon Healthcare's license number is 10686.
According to SD state health department records, Spearfish Canyon Healthcare's license expires on June 30, 2026.
Charlotte Pentheny is the administrator of Spearfish Canyon Healthcare.
Spearfish Canyon Healthcare has 105 beds.
Yes — there are 13 photos of Spearfish Canyon Healthcare in the photo gallery on this page.
Spearfish Canyon Healthcare is located at 1020 N. 10th St.
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