Nursing home report
EAGLE BUTTE, SD · Medicare-certified · 50 beds
Medicine Wheel Village in Eagle Butte, SD has a 2-star overall rating, with a 1-star health inspection score but 5-star staffing and quality measures. It is a special focus candidate/facility, had $22,636 in fines in the last 24 months, and reported nurse staffing of 4.79 hours per resident per day, above the 4.1 federal benchmark.
Health inspections
Staffing
4.7944 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7944.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
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
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-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 met or exceeded the federal recommendation.
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 $22,636 was recorded.
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 · $22,636 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.
