Spearfish Canyon Healthcare: Staffing, Turnover, and Inspection Record
Spearfish Canyon Healthcare is a 105-bed for-profit nursing home in Spearfish, South Dakota, part of Eduro Healthcare. In the CMS August 2026 release it reported 2.38 nurse aide hours per resident per day, 5% below the South Dakota average of 2.52, and 58.8% nursing staff turnover (South Dakota average 48.2%).
Spearfish Canyon Healthcare
1020 N 10th StreetSpearfish, SD 57783
Lawrence County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Spearfish Canyon Healthcare, nurse aides logged 2.38 hours per resident per day, 5% below the South Dakota average. With about 76 residents a day, that works out to roughly 181 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.38 | 2.52 | 2.32 |
| Licensed practical nurses | 0.55 | 0.47 | 0.86 |
| Registered nurses | 0.44 | 0.80 | 0.69 |
| All nursing staff | 3.37 | 3.79 | 3.86 |
| All nursing staff, weekends | 2.94 | 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
58.8% of nursing staff at Spearfish Canyon Healthcare 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 16.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 28, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (South Dakota average 6.9). CMS lists 1 fine totaling $9,718 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jul 9, 2025 | Fine | $9,718 |
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. Spearfish Canyon Healthcare holds 2 of 5 overall; the South Dakota average is 2.9.
About Spearfish Canyon Healthcare
- Ownership: For profit - Limited Liability company
- Chain: Eduro Healthcare, 34 homes
- Legal name: Spearfish Nursing and Rehab Center LLC
- Medicare and Medicaid certified since: Feb 10, 1990
- Councils: resident council
- Area: rural
Nursing homes near Spearfish Canyon Healthcare
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Rolling Hills Healthcare Belle Fourche | 10.8 | 83 | 2.47 | 3.62 | 65.1% | 1 | $80,634 |
| Monument Health Sturgis Care Center Sturgis | 17.9 | 40 | 3.67 | 5.09 | 54.7% | 3 | $26,272 |
| Crook County Medical Services District Long Term C Sundance | 26.8 | 32 | 3.31 | 4.77 | 78.2% | 2 | $8,981 |
| Good Samaritan Society - St Martin Village Rapid City | 38.2 | 60 | 2.04 | 3.73 | 60.0% | 2 | None |
| Fountain Springs Healthcare Rapid City | 40.1 | 90 | 2.12 | 3.79 | 53.7% | 3 | $22,526 |
| Avantara North Rapid City | 41.0 | 68 | 1.86 | 3.06 | 35.4% | 3 | $24,108 |
| Clarkson Health Care Rapid City | 41.0 | 49 | 2.40 | 4.20 | 34.0% | 5 | None |
| Avantara Mountain View Rapid City | 41.4 | 101 | 2.40 | 3.61 | 41.4% | 2 | $9,318 |
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.
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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.