Federal inspection record · CMS data as of October 1, 2026
Spearfish Canyon Healthcare
1020 N 10th Street, Spearfish, SD · (605) 642-2716
- Cited for abuse (CMS abuse icon)
- Certified beds
- 105
- Residents per day
- 74
- Ownership
- For-Profit
- Chain
- Eduro Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 10, 1990
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in South Dakota.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among South Dakota homes
Spearfish Canyon Healthcare carries 43 inspection points. That is fewer than 54% 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
21 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)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights6F
- D
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.
- F
Ensure residents have reasonable access to and privacy in their use of communication methods.
- E
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
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
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.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
- 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.
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspection history
2025-08-28
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-02-07
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-02-02
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 40 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 17% 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
$9,718 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-09 | Fine | $9,718 |
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 days0.2 pts better | 1.3 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.6 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts better | 100.0% | 94.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.5 pts worse | 94.7% | 97.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better | 4.1% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 3.6% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.5 pts better | 1.2% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.1 pts better | 12.6% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.3 pts worse | 26.1% | 24.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.4 pts worse | 0.4% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.9 pts worse | 20.2% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.9 pts better | 12.6% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.9 pts better | 0.0% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 3.1% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.7 pts worse | 29.2% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts better | 2.7% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.3 pts better | 99.2% | 83.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts better | 11.9% | 13.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.2 pts worse | 4.4% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7 pts worse | 68.5% | 75.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.2 pts better | 13.8% | 20.0% | 23.4% |
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Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bewsey, Michael | Operational/Managerial Control · Individual | 0% | 26 facilities |
| Eduro Healthcare LLC | Operational/Managerial Control · Organization | 0% | 10 facilities |
| Thompson, Christopher | W-2 Managing Employee · Individual | 0% | 10 facilities |
| Thompson, Christopher | Corporate Officer · Individual | 0% | 10 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness3F
- F
Provide primary/alternate means for communication.
- F
Establish emergency prep training and testing.
- F
Conduct risk assessment and an All-Hazards approach.
Smoke2E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress2D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
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Other homes nearby
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Rolling Hills Healthcare
Belle Fourche, SD · Eduro Healthcare
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 2 min
- Fines
- $122,608
-
Monument Health Sturgis Care Center
Sturgis, SD
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 27 min
- Fines
- $26,286
-
Crook County Medical Services District Long Term C
Sundance, WY
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 48 min
- Fines
- $8,981