Medicine Wheel Village: Staffing, Turnover, and Inspection Record
Medicine Wheel Village is a 50-bed nonprofit nursing home in Eagle Butte, South Dakota. In the CMS August 2026 release it reported 2.69 nurse aide hours per resident per day, 7% above the South Dakota average of 2.52, and 31.4% nursing staff turnover (South Dakota average 48.2%).
Medicine Wheel Village
24266 Airport RoadEagle Butte, SD 57625
Dewey County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Medicine Wheel Village, nurse aides logged 2.69 hours per resident per day, 7% above the South Dakota average. With about 27 residents a day, that works out to roughly 73 aide hours a day, or about 9 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.69 | 2.52 | 2.32 |
| Licensed practical nurses | 1.11 | 0.47 | 0.86 |
| Registered nurses | 1.00 | 0.80 | 0.69 |
| All nursing staff | 4.79 | 3.79 | 3.86 |
| All nursing staff, weekends | 4.02 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
31.4% of nursing staff at Medicine Wheel Village left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. Registered nurse turnover was 37.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Nov 20, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 health deficiencies (South Dakota average 6.9). CMS lists 1 fine totaling $22,636 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 20, 2025 | Fine | $22,636 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Medicine Wheel Village holds 2 of 5 overall; the South Dakota average is 2.9.
About Medicine Wheel Village
- Ownership: Non profit - Other
- Legal name: Legal Business Name Not Available
- Medicare and Medicaid certified since: Feb 5, 2019
- Councils: resident council
- Area: rural
Nursing homes near Medicine Wheel Village
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avera Maryhouse Long Term Care Pierre | 62.3 | 80 | 2.79 | 4.62 | 46.6% | 5 | None |
| Avantara Pierre Pierre · abuse citation | 62.3 | 65 | 1.69 | 2.81 | 40.5% | 2 | $22,048 |
| Avera Oahe Manor Gettysburg · many days without an RN | 63.1 | 53 | 2.01 | 3.50 | 43.8% | 2 | None |
| Walworth County Care Center, Inc Selby | 68.7 | 50 | 2.14 | 3.03 | 27.3% | 5 | None |
| Scotchman Living Center Philip | 69.3 | 42 | 3.48 | 5.07 | 57.9% | 3 | $47,655 |
| Five Counties Nursing Home Lemmon | 79.3 | 38 | 1.95 | 2.90 | — | 1 | $20,703 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.