The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
SPEARFISH CANYON HEALTHCARE
SPEARFISH, SD · Medicare-certified · 105 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
2 of 5 overall
SPEARFISH CANYON HEALTHCARE has a 2-star overall rating, with 2-star health inspection and 3-star staffing; its reported nurse staffing is 3.37 hours per resident per day, below the 4.1-hour federal benchmark. It also has a recent abuse citation, $9,718 in fines over the last 24 months, and inspection concerns related to accident hazards, resident privacy in communication, and food handling.
Facility ratings
Health inspections
Staffing
3.3737 hrs/resident/day
Quality measures
Last inspection: April 20, 2026Penalties, last 24 months: $9,718recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3737.
Staffing detail
- Registered nurses
- 0.44
- Licensed practical nurses
- 0.55
- Nurse aides
- 2.38
- Weekend nursing
- 2.94
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 17%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
28.6%25.6%Improving
Residents with a fall causing major injury
3%4.5%Worsening
Residents with pressure ulcers (bedsores)
5.6%2.3%Improving
Residents with a urinary tract infection
1.6%3.1%Worsening
Residents who lost too much weight
1.7%1.7%No change
Residents who were physically restrained
0%1.5%Worsening
Residents needing more help with daily activities
6.8%11.9%Worsening
Residents whose ability to walk got worse
15.3%15.4%No change
Long-stay residents on antianxiety or sleep medication
8.1%14.8%Worsening
Short-stay residents newly given an antipsychotic
4.9%8.1%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.6%33.6%Worsening
Residents with depressive symptoms
0%6.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—60.6%—
Short-stay residents given the pneumonia vaccine
98.6%98.6%No change
What the inspectors found
The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 576 — 42 CFR §483.10 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $9,718 was recorded.
- PENALTY
A federal fine of $14,950 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $9,718 in total fines.
- $9,718
Federal fine
Jul 9, 2025
Operator & ownership
Recent ownership change · Feb 1, 2019
Now operated by Spearfish Canyon Healthcare, previously David M Dorsett Healthcare Community.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EDURO HEALTHCARE · 35 homes · 2.4 stars avg
- Occupancy
- 75.9 residents on an average day (72% of 105 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 years
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.