Federal inspection record · CMS data as of October 1, 2026
Medicine Wheel Village
24266 Airport Road, Eagle Butte, SD · (605) 964-8155
- Special Focus Facility
- Certified beds
- 50
- Residents per day
- 27
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicaid
- Certified since
- February 5, 2019
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in South Dakota.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among South Dakota homes
Medicine Wheel Village carries 204.5 inspection points. That is fewer than 2% of South Dakota's 94 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in South Dakota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–31.5 pts
- 3★ 31.5–55 pts
- 2★ 55–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in South Dakota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
27 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
L
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Everything else, by area of care
Nutrition and Dietary7F
- F
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.
- D
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.
- F
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
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.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Assessment and Care Planning4E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control4F
- E
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service2E
- E
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.
- D
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.
Resident Rights2D
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Administration2F
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Nursing and Physician Services1F
- F
Post nurse staffing information every day.
Quality of Life and Care1E
- E
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.
Inspection history
2025-11-20
16 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2024-10-03
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2023-08-03
3 health deficiencies · 6 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 23 min of nursing staff time a day, 1 h 15 min of it from a registered nurse.
This home
5 h 23 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 38% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$22,636 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-20 | Fine | $22,636 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts better | 0.4 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts worse | 91.6% | 94.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.3 pts worse | 92.9% | 97.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse | 6.5% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.7 pts better | 2.2% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts better | 3.7% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.2 pts better | 7.5% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.8 pts better | 10.0% | 24.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.4 pts better | 9.9% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.6 pts better | 10.9% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.9 pts worse | 3.8% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.9 pts better | 0.0% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.4 pts better | 24.1% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 4.4% | 4.5% | 4.5% |
·
Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- C
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Properly provide smoke detection systems in areas open to corridors.
Emergency Preparedness3D
- D
Include a process for Emergency Preparedness collaboration.
- D
Address subsistence needs for staff and patients.
- D
Develop and maintain an Emergency Preparedness Program (EP).
Egress3D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Meet other general requirements.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Construction1D
- D
Use approved construction type or materials.
·
Other homes nearby
-
Avera Maryhouse Long Term Care
Pierre, SD · Avera Health
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 25 min
- Fines
- $0
-
Avantara Pierre
Pierre, SD · Legacy Healthcare · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h
- Fines
- $39,713
-
Avera Oahe Manor
Gettysburg, SD
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 18 min
- Fines
- $0