Nursing home report
EAGLE BUTTE, SD · Medicare-certified · 50 beds
Medicine Wheel Village in Eagle Butte, SD has a 2-star overall rating, with very low health inspection and staffing ratings, though quality measures are 5 stars. It is a Special Focus Facility candidate with $34,825 in fines over the last 24 months, and reported nurse staffing of 4.06 hours per resident per day is slightly below the federal benchmark of 4.1.
Health inspections
Staffing
4.0585 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0585.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — widespread issue, immediate jeopardy to residents.
F-Tag 812 — 42 CFR §483.60(i) — S/S: L
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited November 2025 — widespread issue, potential for harm.
F-Tag 732 — 42 CFR §483.35(i) — S/S: F
The home failed to ensure residents’ therapeutic diets were properly prescribed and managed by qualified staff. Cited November 2025 — widespread issue, potential for harm.
F-Tag 808 — 42 CFR §483.60 — S/S: F
The home failed to make sure each resident got a nourishing, balanced diet that met daily nutrition and special dietary needs. Cited October 2024 — widespread issue, potential for harm.
F-Tag 800 — 42 CFR §483.60 — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited October 2024 — widespread issue, potential for harm.
F-Tag 851 — 42 CFR §483.70 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
A federal fine of $34,825 was recorded.
Health inspection found 14 health deficiencies.
Health inspection found 8 health deficiencies.
On record with Medicare: 1 fine · $34,825 in total fines.
Federal fine
Nov 20, 2025
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
