South Dakota › Lawrence County › Spearfish
Spearfish Canyon Healthcare
1020 N 10th Street, Spearfish, SD 57783
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.
Spearfish Canyon Healthcare, in Spearfish, South Dakota, is certified for 105 beds under for-profit, limited liability company ownership and belongs to the Eduro Healthcare chain.
CMS gives it 2 of 5 stars overall, below the South Dakota median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (7, 8, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 20.0 per 100 beds, about the same as the state median of 23.9.
CMS lists 1 penalty in the period covered: fines totalling $10K.
Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the South Dakota median of 3.6; nursing staff turnover is 58.8%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Lawrence Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 21 | 16 | 28.7 |
| Citations per 100 beds | 20.0 | 20.0 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.6 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.8 | 0.7 |
| Nursing staff turnover | 58.8% | 58.8% | 46.6% | 45.8% |
| Fines listed | $9,718 | $9,718 | $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: 28 Aug 2025, 7 Feb 2024.
Severity mix: G ×1 D ×14 E ×5 F ×1
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 |
|---|---|---|---|---|---|
| 20 Apr 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 |
| 28 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Oct 2025 |
| 28 Aug 2025 | F0584 | Honor 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. | D | Standard survey | 10 Oct 2025 |
| 28 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Oct 2025 |
| 28 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Oct 2025 |
| 28 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 10 Oct 2025 |
| 28 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Oct 2025 |
| 9 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 31 Jul 2025 |
| 9 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 9 Jun 2025 |
| 19 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 17 Jun 2024 |
| 2 May 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Jun 2024 |
| 7 Feb 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | Standard survey | 15 Mar 2024 |
| 7 Feb 2024 | F0584 | Honor 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. | E | Standard survey | 15 Mar 2024 |
| 7 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Mar 2024 |
| 7 Feb 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 15 Mar 2024 |
| 7 Feb 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 15 Mar 2024 |
| 7 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 Mar 2024 |
| 2 Feb 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 6 Mar 2023 |
| 2 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Mar 2023 |
| 2 Feb 2023 | F0584 | Honor 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. | D | Standard survey | 1 Mar 2023 |
| 2 Feb 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 2 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 Jul 2025 | Fine | $9,718 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 58.8%, RNs 16.7%; 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 | 10.6% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.9% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.7% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.5% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.3% | 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: for-profit, limited liability company. Legal business name: Spearfish Nursing And Rehab Center Llc. Chain: Eduro Healthcare (34 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Eduro Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2019 |
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 Spearfish Canyon Healthcare been cited for?
21 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 Spearfish Canyon Healthcare been fined?
Yes. CMS lists fines totalling $10K in the period covered.
How does staffing at Spearfish Canyon Healthcare compare?
Reported total nurse staffing is 3.4 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Spearfish Canyon Healthcare?
It is part of the Eduro Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Eduro Healthcare LLC. Individual owners and managers are not listed on this site.
When was Spearfish Canyon Healthcare last inspected?
The most recent survey or investigation in the CMS record is dated 20 Apr 2026; the most recent standard health survey was 28 Aug 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.