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 · South Dakota, SD
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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 · South Dakota, SD
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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 accepts Medicaid, Medicare, and private pay.
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.
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 39th out of 62 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 39th out of 62 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
Rank #39 / 62Nurse hours — state benchmarkedThis home is ranked 39th out of 62 homes in South Dakota.Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 62 South Dakota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs South Dakota avg
-10%
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
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 54m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
68.6%
Rank #44 / 59Occupancy rate — state benchmarkedThis home is ranked 44th out of 59 homes in South Dakota.Shows this facility's occupancy rate versus the South Dakota average, with its statewide rank out of 59. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
164 days
Occupancy rate
68.6%
Rank #44 / 59Occupancy rate — state benchmarkedThis home is ranked 44th out of 59 homes in South Dakota.Shows this facility's occupancy rate versus the South Dakota average, with its statewide rank out of 59. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
164 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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 Rank #18 / 59Revenue — state benchmarkedThis home is ranked 18th out of 59 homes in South Dakota.Shows this facility's annual revenue compared to the South Dakota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
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.
Rank #13 / 59Payroll — state benchmarkedThis home is ranked 13th out of 59 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.
$6.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #13 / 59Payroll — state benchmarkedThis home is ranked 13th out of 59 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.9M
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.
Walk Score: 76 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
ExpirationJune 30, 2026
CountyLawrence
License Number10686
CMS Certification Number435043
Spearfish Canyon Healthcare is administrated by Charlotte Pentheny.
Accept Medicaid
Accept Medicare
Rehabilitation Services
Licensed Professional Staff
Specialized Services
Specific ProgramsLong & Short Term Care, Pain Management, Dental Care, Dialysis, Podiatry 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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
20
Rank #35 / 64Health citations — state benchmarkedThis home is ranked 35th out of 64 homes in South Dakota.Shows this facility's total health deficiency citations benchmarked to the South Dakota state average, with a ranking across all 64 SD SNFs. Lower citation counts earn a better rank.
South Dakota average 14.8
Citations per inspection
3.33
Rank #34 / 64Citations per inspection — state benchmarkedThis home is ranked 34th out of 64 homes in South Dakota.Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 64 SNFs with citation data. Lower is better.
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
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.
Financial Assistance for
Nursing Home in South Dakota
Spearfish Canyon Healthcare is located in Spearfish, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
Places of interest near Spearfish Canyon Healthcare
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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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
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Compare Nursing Home 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).
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| 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 | 35 | 79.4% | -1% | 3.15 | -22% | -27% | 1 | 5 | 1.3 | 1 | 31 | 31 | Tiffany Schlomer | $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 (White Lake Township) | 50 | 61.7% | -23% | 3.45 | +29% | -20% | 2 | 16 | 3.2 | 1 | 40 | 17 | Aurora-Brule Nursing Home | $2.9M | $1.5M | 51.8% | 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 | -56% | -22% | 1 | 20 | 3.3 | 1 | 76 | 76 | - | $11.6M | $4.4M | 38.2% | 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 (Broadmoor Subdivision) | 68 | 75.2% | -6% | 2.80 | +52% | -36% | 5 | 34 | 3.8 | 9 | 61 | 12 | Philip Preston | $10.7M | $2.9M | 27.3% | 435051 |
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
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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.
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.
Are there photos of Spearfish Canyon Healthcare?
Yes — there are 21 photos of Spearfish Canyon Healthcare in the photo gallery on this page.
What is the address of Spearfish Canyon Healthcare?
Spearfish Canyon Healthcare is located at 1020 N. 10th St.
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