308 E Rushmore St, Spearfish, SD 57783
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Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Spearfish Canyon Healthcare
Spearfish, South DakotaMedicare inspection record
About Spearfish Canyon Healthcare
Spearfish Canyon Healthcare provides skilled nursing and rehabilitation services to South Dakota residents who need specialized medical care and recovery support. Our team focuses on helping patients regain strength and independence through personalized treatment plans in Spearfish.
Community at a glance
Capacity
105 residents
Location
Spearfish, SD
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1020 N 10TH STREET, Spearfish, South Dakota 57783
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Medicare flags Spearfish Canyon Healthcare for a citation related to abuse of residents in its recent inspections.
At its most recent standard inspection, on August 28, 2025, state inspectors cited 7 health deficiencies (the South Dakota average is 6.7).
Nurses and nurse aides spend 3 hours 22 minutes with each resident a day, below the South Dakota average of 3 hours 47 minutes.
Medicare fined Spearfish Canyon Healthcare once in the last three years, $9,718 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 22 minutesBelow the South Dakota average |
| Registered nurse time per resident, per day | 26 minutesBelow the South Dakota average |
| Nursing staff who left in the past year | 59%Above the South Dakota average |
Inspections
17 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
April 20, 2026 · Complaint investigation · 1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed before the inspection
August 28, 2025 · Standard inspection · 6 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Oct 10, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 10, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Oct 10, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 10, 2025Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 10, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Oct 10, 2025
July 9, 2025 · Complaint investigation · 2 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jul 31, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Jun 9, 2025
June 19, 2024 · Complaint investigation · 1 citation+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Jun 17, 2024
May 2, 2024 · Complaint investigation · 1 citation+
Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 16, 2024
February 7, 2024 · Standard inspection · 6 citations+
Ensure residents have reasonable access to and privacy in their use of communication methods.
Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Mar 15, 2024Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 15, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 15, 2024Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 15, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 15, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Mar 15, 2024
Fines and payment denials
1 fine totaling $9,718 in the last three years.
- July 9, 2025Fine: $9,718
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Spearfish Nursing and Rehab Center LLC
- Medicare-certified beds
- 105
- Average residents per day
- 76
- Accepts
- Medicare and Medicaid
- First certified
- February 10, 1990
- Part of a chain
- Eduro Healthcare, 34 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 435043
Location
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1020 N 10TH STREETSpearfish, SD 57783
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Questions about Spearfish Canyon Healthcare
How did Spearfish Canyon Healthcare do on its last inspection?+
State inspectors visited on August 28, 2025 and cited 7 health deficiencies, 1 of them from complaint investigations. The South Dakota average is 6.7.
How much nursing care does each resident get at Spearfish Canyon Healthcare?+
Nurses and aides spend 3 hours 22 minutes with each resident per day, including 26 minutes from registered nurses. 59% of nursing staff left over the past year.
Has Spearfish Canyon Healthcare been fined by Medicare?+
Yes. Medicare fined Spearfish Canyon Healthcare once in the last three years, totaling $9,718.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.