Spearfish Canyon Healthcare
1020 N 10th Street · Spearfish, SD · 57783 · 6056422716
105 certified beds For profit - Limited Liability company Chain: Eduro Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 3.04 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $14,950 |
Inspection citations (21 in the current record)
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Potential for harm · D April 20, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 28, 2025
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.
Corrected October 10, 2025 · Resident Rights
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Potential for harm · D August 28, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 10, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 10, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 10, 2025 · Pharmacy Service
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Potential for harm · E August 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 10, 2025 · Nutrition and Dietary
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Potential for harm · D August 28, 2025
Provide and implement an infection prevention and control program.
Corrected October 10, 2025 · Infection Control
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Actual harm · G July 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 31, 2025 · Quality of Life and Care
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Potential for harm · D July 9, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 9, 2025 · Quality of Life and Care
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Potential for harm · D June 19, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 17, 2024 · Quality of Life and Care
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Potential for harm · D May 2, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 7, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected March 15, 2024 · Resident Rights
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Potential for harm · F February 7, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected March 15, 2024 · Resident Rights
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Potential for harm · E February 7, 2024
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.
Corrected March 15, 2024 · Resident Rights
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Potential for harm · D February 7, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 7, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 7, 2024
Provide and implement an infection prevention and control program.
Corrected March 15, 2024 · Infection Control
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Potential for harm · E February 2, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 6, 2023 · Resident Rights
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Potential for harm · D February 2, 2023
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.
Corrected March 1, 2023 · Resident Rights
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Potential for harm · D February 2, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 2, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 2, 2023
Provide and implement an infection prevention and control program.
Corrected March 1, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 9, 2025 | Fine | $14,950 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435043 · certified since February 10, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.