54/100
Below average
Medicine Wheel Village
24266 Airport Road, Eagle Butte, SD 57625
- Certified beds
- 50
- Occupancy
- 55%
- Ownership
- Non-profit
- Accepts
- Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
$22,636 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Medicine Wheel Village
Medicine Wheel Village sits in Eagle Butte with 50 certified beds and a staffing picture that looks strong on paper, 4.79 nurse hours per resident day, about 24% above the national average, with turnover at 31.4% versus 45.8% nationally. Weekends run roughly 16% leaner than weekdays, so coverage isn't perfectly even. The trouble is what inspections have found: 27 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $22,636 fine and a place in CMS's Special Focus Facility program. Quality measure scores look good, but a recent inspection and that many citations on record are the numbers that matter most for daily safety.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
27.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →5.31 total nurse hours per resident per day (national median 3.77)
- →1 RN hours per resident per day
- →Weekend staffing drops 16% against weekdays
Staff stability
15/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →31% of nursing staff left in the last year
Resident outcomes
15/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →5 of 5 stars on the CMS quality-measure rating
Enforcement history
8/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$22,636 in federal fines across 1 action(s)
Grade ceiling applied
- Capped at 54 (grade D), CMS Special Focus Facility
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: November 20, 2025 (11 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Medicine Wheel Village
What is the ElderGrade for Medicine Wheel Village? +
Medicine Wheel Village holds an ElderGrade of D (54 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Medicine Wheel Village? +
Residents receive an average of 4.79 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Medicine Wheel Village been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Medicine Wheel Village accept Medicaid? +
Yes, Medicine Wheel Village is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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