Spearfish Canyon Healthcare

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

57.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 62 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 58.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 79 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.71 therapist hours per resident per day in 2026Q1 — more than 92% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 105 beds and averages 75.9 residents a day — about 72% occupied, or roughly 29 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.37 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.38 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.94 hrs/resident/day on weekends vs 3.55 on weekdays — 17% thinner on weekends. RN hours go from 0.50 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 59% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.

• Actual harm · Gcited before2025-07-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on South Dakota Department of Health (SD DOH) facility reported incident (FRI), record review, staff interview, and policy review, the provider failed to ensure an environment free of safety hazards for:*One of one sampled resident (4), who sustained a skin burn injury from hot liquid (broth) that was improperly prepared by cook (H) who did not follow the facility's established procedures for safe food preparation and service.*One of one sampled resident (1), who fell when CNA O assisted her to walk without the use of a gait belt.Findings include: 1. Review of the provider’s 3/25/25 SD DOH facility reported incident (FRI) revealed: *On 3/25/25 at approximately 8:24 a.m., physical therapist (PT) N answered resident 4’s call light. *Resident 4 reported to PT N that she had spilled her broth on her right leg. *PT N immediately notified licensed practical nurse (LPN) Q, who entered resident 4’s room at approximately 8:25 a.m. *With resident 4’s consent, LPN Q immediately assessed resident 4’s leg area and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-20 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), record review, observation, and interview, the provider failed to ensure one of one sampled resident (1) remained free from verbal abuse by one of one certified nurse aide (CNA) D.Findings include:1. Review of the provider's 9/16/25 submitted SD DOH FRI report regarding resident 1 revealed that at 6:30 a.m. on 9/16/25, CNA C and CNA D were conducting walking rounds (a process where outgoing and oncoming staff complete a handoff report regarding resident care information at each resident's bedside) on the 400 Hall. Resident 1 exited her room and asked for assistance. CNA D replied to resident 1, I don't have time for your [expletive word]. CNA C intervened by assisting resident 1 back into her room, and then directed CNA D to exit the facility. CNA C reported the incident to director of nursing (DON) B that same day at 8:30 a.m.DON B suspended CNA D from working on 9/16/25 pending the outcome of the facility's investigation of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · E2025-08-28 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, interview, and policy review, the provider failed to ensure follow standard food safety practices to ensure:*One of one low-temperature dishwasher's temperature was consistently monitored and documented to ensure it met the required minimum wash temperature for sanitation of items used to prepare and serve food to the residents.Findings included:1. Observations on 8/26/25 at 10:32 a.m. and 10:37 a.m. in the kitchen revealed: *The logs for the dishwasher temperatures for August 2025 were hanging on the wall and included:-Columns to record Temp (temperature) for B (Breakfast), L (Lunch), and D (Dinner), Sanitizer Concentration (PPM) (parts per million), and Initials.-Those temperature columns had documented temperatures that ranged from 110 to 126 degrees F (Fahrenheit)--Thirty-six of those documented temperatures were not at the minimum required temperature of 120 degrees F.-For July 2025:-The dishwasher temperatures documented in the columns titled Temp (temperature) for B (Breakfast), L (Lunch), and D (Dinner).-ranged from 110 to 130 degrees…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-28 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review, the provider failed to ensure a homelike environment for one of one sampled resident (39) due to the noise level in his room and that one of one sampled resident (61) had a hand towel available to dry himself after he had used his handwashing sink. Findings include: 1. Observation on 8/26/25 at 3:50 p.m. in resident 61's room revealed: Certified nurse aide (CNA) L assisted the resident in his bathroom after he had used the toilet. The resident used a grab bar beside the toilet to hold himself up while CNA L completed his peri-care, helped him with his clothing, and transferred him to his wheelchair with assistance from the resident's wife. There was a wall-mounted soap dispenser and paper towel dispenser near the resident's hand washing sink. It was just outside of his bathroom. CNA L had used that sink to wash and dry her hands after she exited the bathroom. She had not reminded or assisted resident 61 to wash his hands after he had exited the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-28 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and policy review, the provider failed to implement a process that ensured an accurate accounting of daily fluid intake for one of one sampled resident (4) on dialysis with a physician-ordered fluid restriction. Findings include:1. Observation and interview on 8/27/25 at 8:15 a.m. with resident 4 revealed she was returning to her room from the dining room after breakfast. She was not available for an interview on 8/26/25 because she had been at dialysis for most of that day. She dialyzed on Tuesdays, Thursdays, and Saturdays. There were 13 bottled waters, a six-pack of soda, and a lidded cup with water inside it in her room. She had opened one of those bottled waters and drank from it during the interview. She stated her medical provider had told her she should be trying to get rid of fluid, and avoid drinking a lot of fluids. Review of resident 4's electronic medical record (EMR) revealed a 4/17/22 physician's order for: Fluid Restriction: 1500 cc [cubic centimeters] per day. Dietary: 320 cc 3 X [times]/day [per day]. Nursing: 120 cc…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and policy review, the provider failed to ensure:The whiteboard communication board in one of one sampled residents' rooms (61) was updated to reflect the amount and type of caregiver assistance required for him to safely transfer from his toilet to his wheelchair. The safety of one of one sampled resident (61) who was not transferred by one of one certified nurse aide (CNA) L as directed in the resident's care plan and the provider's huddle book (a communication tool that informs caregivers of residents' care needs), which may have increased his risk for falling and/or injury. Findings include: 1 Observation on 8/26/25 at 3:50 p.m. in resident 61's room revealed a wall-mounted whiteboard with the following information written on it: 7/17[/25]: SPT [stand pivot transfer-a staff person assists the resident to a standing position, and the resident then turns their body to move to another surface] w/FWW [front wheeled walker] assist X1 [assisted by one staff person]. There was a folded mat propped against the wall at the foot of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-28 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and policy review, the provider failed to ensure two of two observed medication refrigerators had not contained expired vaccines that were available for administration to the residents. Findings include: 1. Observation on 8/28/25 at 1:45 p.m. of the medication room refrigerator in the [NAME] Hall revealed: *Ten influenza vaccines had expired on 6/30/25. *One pneumococcal 13-valent vaccine had expired on 4/2025.Interview immediately after having identified the above expired vaccines with registered nurse (RN) G revealed:*She had thought that the night nursing staff had been checking for expired vaccines and medications.*She was unsure if there had been any other staff who were responsible for checking for expired vaccines and medications.2. Observation on 8/28/25 at 2:15 p.m. of the medication room refrigerator in the green hall revealed:*Three influenza vaccines had expired on 6/30/25.*One pneumococcal 13-valent vaccine had expired on 4/2025. Interview immediately after having…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-28 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and policy review, the provider failed to ensure infection prevention and control practices were followed by:One of one observed certified medication aide (CMA) (M) who did not clean one of one sampled resident's (76) inhaler after it was used for medication administration.One of one observed certified nurse aide (CNA) (N) who did not complete hand hygiene (handwashing) during a transition in cleaning urine from the floor and handling one of one sampled resident's (63) catheter urine collection bag valve.One of one observed CNA (L) who had not reminded or assisted one of one sampled resident (61) to perform hand hygiene after he had used the bathroom.Findings include: 1. Observation and interview on 8/26/25 at 11:37 a.m. with CMA M after she had administered resident 76's medication through an inhaler revealed:Without first cleaning the mouthpiece of the inhaler, CMA M placed the uncleaned inhaler back into its box inside the medication cart.The box top was opened and stored with other residents' medications.She stated that she should have used an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-09 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on South Dakota Department of Health (SD DOH) facility reported incident (FRI), record review, interview, observation and policy review the provider failed to ensure the safety of one of one sampled resident (2) when the resident left the facility without staff knowledge or staff supervision (eloped). This citation is considered past non-compliance based on review of the corrective actions the provider implemented immediately following the incident. Findings include:1. Review of the provider's 6/2/25 SD DOH FRI submitted at 6:50 p.m. to the SD DOH revealed:*On 6/1/25 at 6:52 p.m., camera footage showed that resident 2 was sitting in her wheelchair by the front entrance doors.*At 6:53 p.m., resident 3's spouse, who was visiting, opened the front entrance door, stepped aside, and held the door open as resident 2 exited the building. *At 6:54 p.m., certified medication aide (CMA) L observed resident 2 outside with other residents and with resident 3's spouse.-CMA L went outside and told resident 3's spouse…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2024-06-19 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI) review, observation, interview, record review, and policy review, the provider failed to ensure one of one resident's (1) repositioning and incontinence care needs were being provided according to her plan of care. Failure to follow the plan of care for her repositioning and incontinence needs potentially placed resident 1 at a higher risk for discomfort, infection, and skin breakdown. This citation is considered past non-compliance based on review of the corrective actions the provider implemented immediately following the incident. Findings include: 1. Review of the provider's 6/10/24 SD DOH FRI and resident 1's electronic medical record revealed: *At the time of the incident, resident 1 was on comfort care with a pending hospice referral. -She was incontinent of urine and unable to reposition herself without the staff's assistance. -She had a urinary tract infection (UTI) with a pending urinalysis lab culture and sensitivity results and anticipated orders for antibiotic treatment. *On 6/8/24 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · D2024-05-02 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of provider's 4/24/24 South Dakota Department of Health (SD DOH) facility reported incident (FRI), record review, observation, interview, and policy review, the provider failed to ensure a thorough investigation was completed for one of one resident (1) who had a burn from hot coffee. 1. Review of provider's SD DOH FRI revealed the following: *On 4/24/24 resident 1 had a coffee burn from spilling her hot coffee on her lap at breakfast. *A certified nursing assistant (CNA) [D] alerted licensed practical nurse (LPN) C of the spill. *LPN C assessed the skin and noted redness and two small blisters to the right upper, inner thigh. CNA [D] stated that resident was in dining room for breakfast and resident spilled coffee in own lap. Review of resident 1's electronic medical record revealed the following: *Her Brief Interview of Mental Status score was a five, which meant her cognition was impaired. *A 3/28/24 hot liquid safety evaluation revealed she was not at risk for spilling hot liquids. *A 4/24/24 hot liquid safety evaluation revealed she had cognitive impairment,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$9,718 in federal fines across 1 penalty.

• $9,718 — penalty dated 2025-07-09

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to EDURO HEALTHCARE — 34 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 4 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $497K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in SD