South Dakota › Dewey County › Eagle Butte
Medicine Wheel Village
24266 Airport Road, Eagle Butte, SD 57625
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Medicine Wheel Village is a Non-profit, other nursing home in Eagle Butte, South Dakota, certified for 50 beds and caring for about 27 residents a day.
CMS gives it 2 of 5 stars overall, below the South Dakota median of 3; the health inspection rating is 1, staffing 5 and quality measures 5.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (16, 8, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 54.0 per 100 beds, more than the state median of 23.9.
CMS lists 1 penalty in the period covered: fines totalling $23K.
Reported nurse staffing is 4.8 hours per resident per day (1.0 RN), above the South Dakota median of 3.6; nursing staff turnover is 31.4%.
CMS flags that the facility is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Dewey Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 27 | 27 | 16 | 28.7 |
| Citations per 100 beds | 54.0 | 54.0 | 23.9 | 26.8 |
| Total nurse hours per resident day | 4.8 | 4.8 | 3.6 | 3.9 |
| RN hours per resident day | 1.0 | 1.0 | 0.8 | 0.7 |
| Nursing staff turnover | 31.4% | 31.4% | 46.6% | 45.8% |
| Fines listed | $22,636 | $22,636 | $20,183 | — |
County and state figures are medians across facilities (1 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Nov 2025, 3 Oct 2024.
Severity mix: L ×1 D ×13 E ×8 F ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | Past Non-Compliance |
| 25 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | Past Non-Compliance |
| 20 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | Standard survey | 26 Dec 2025 |
| 20 Nov 2025 | F0732 | Post nurse staffing information every day. | F | Standard survey | 26 Dec 2025 |
| 20 Nov 2025 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | F | Standard survey | 26 Dec 2025 |
| 20 Nov 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 26 Dec 2025 |
| 20 Nov 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard survey | 31 Dec 2025 |
| 20 Nov 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 26 Dec 2025 |
| 20 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 Dec 2025 |
| 20 Nov 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 26 Dec 2025 |
| 20 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 26 Dec 2025 |
| 20 Nov 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 26 Dec 2025 |
| 20 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 26 Dec 2025 |
| 20 Nov 2025 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Standard survey | 31 Dec 2025 |
| 20 Nov 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 26 Dec 2025 |
| 20 Nov 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 26 Dec 2025 |
| 3 Oct 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | Standard survey | 2 Nov 2024 |
| 3 Oct 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 2 Nov 2024 |
| 3 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 2 Nov 2024 |
| 3 Oct 2024 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | Standard survey | 2 Nov 2024 |
| 3 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 2 Nov 2024 |
| 3 Oct 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 2 Nov 2024 |
| 3 Oct 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 2 Nov 2024 |
| 3 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 2 Nov 2024 |
| 3 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 20 Sep 2023 |
| 3 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Sep 2023 |
| 3 Aug 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 20 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Nov 2025 | Fine | $22,636 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 31.4%, RNs 37.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.8% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.8% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.6% | 4.8% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.0% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.3% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, other. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Medicine Wheel Village been cited for?
27 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Medicine Wheel Village been fined?
Yes. CMS lists fines totalling $23K in the period covered.
How does staffing at Medicine Wheel Village compare?
Reported total nurse staffing is 4.8 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Medicine Wheel Village?
Ownership type is non-profit, other. Individual owners and managers are not listed on this site.
When was Medicine Wheel Village last inspected?
The most recent survey or investigation in the CMS record is dated 25 Mar 2026; the most recent standard health survey was 20 Nov 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.