SPEARFISH CANYON HEALTHCARE
1020 N 10TH STREET, Spearfish, SD 57783
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
CMS Abuse/Neglect Flag
This facility has been flagged by CMS for abuse or neglect concerns. Please research carefully and contact the facility for current information.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask SPEARFISH CANYON HEALTHCARE, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How SPEARFISH CANYON HEALTHCARE Compares
SPEARFISH CANYON HEALTHCARE is a 105-bed for-profit nursing facility in Spearfish, South Dakota. It holds an overall CMS rating of 2 out of 5 stars, below the South Dakota average of 2.9 stars. Its strongest area is quality measures (4 stars), while health inspections (2 stars) is its weakest. Its rate of short-stay residents returning to the hospital (12.9%) is below the South Dakota average of 19.9%, a favorable sign for resident care. With 105 certified beds, it maintains moderate occupancy at roughly 72% occupied.
By the numbers vs. South Dakota average
- Long-stay antipsychotic medication use: 26.3% — worse than the South Dakota average of 24.6%.
- Falls with major injury: 4.1% — better than the South Dakota average of 5.5% (25% lower).
- High-risk pressure ulcers: 3.6% — better than the South Dakota average of 4.6%.
- Short-stay rehospitalization: 12.9% — better than the South Dakota average of 19.9% (35% lower).
CMS has flagged this facility with an abuse icon, indicating a recent citation involving abuse, neglect, or misappropriation of resident property. This is an important point to raise directly during any tour or call.
Comparisons use CMS Care Compare data (updated September 5, 2026) measured against South Dakota averages across 96 facilities tracked by ElderVoice.
Questions to Ask SPEARFISH CANYON HEALTHCARE
Use these facility-specific questions when calling admissions, touring the building, or comparing SPEARFISH CANYON HEALTHCARE with other nursing homes in Spearfish.
What incident led to the CMS abuse icon for SPEARFISH CANYON HEALTHCARE, and what changed afterward?
Ask for the citation date, plan of correction, staff retraining steps, and how leadership monitors for repeat issues.
How is SPEARFISH CANYON HEALTHCARE addressing its health inspections rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What practices help SPEARFISH CANYON HEALTHCARE keep falls with major injury below the state average?
Falls with major injury is 4.1% here versus 5.5% across South Dakota. Lower is generally better for this CMS measure.
What practices help SPEARFISH CANYON HEALTHCARE keep high-risk pressure ulcers below the state average?
High-risk pressure ulcers is 3.6% here versus 4.6% across South Dakota. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at SPEARFISH CANYON HEALTHCARE?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at SPEARFISH CANYON HEALTHCARE?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Spearfish
Spearfish sits in Lawrence County, where adults 65 and older make up about 21.8% of the population — a higher share of seniors than South Dakota as a whole (16.7% statewide). The area's median household income is lower than the state average, reflecting a more affordable area.
- Residents 65+
- 5,631 (21.8%)
- Median age
- 42.3 years
- Median household income
- $52,146
- Median home value
- $224,200
Demographics for Lawrence County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Spearfish.
Facility Details
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