The Best Nursing Homes in Spearfish, SD

Ranked by ElderGrade score — a composite of inspection citations weighted by the harm they caused, case-mix-adjusted nurse staffing, RN cover, weekend consistency, staff turnover, resident outcomes and enforcement history. Homes carrying an abuse flag, Special Focus status or an immediate-jeopardy citation are capped and cannot appear near the top, however well they staff. Full method.

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