Home›South Dakota›Dewey County›Medicine Wheel Village
B
Good

Medicine Wheel Village

24266 AIRPORT ROAD · EAGLE BUTTE, SD 57625

6059648155 · Non profit - Other

50 beds27.6 residents44 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Medicine Wheel Village receives an overall staffing grade of B (Good). With 4.5616 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.7289 HPRD, below the recommended 0.75. It is 0.67 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 7.99% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.7289 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
📊Staffing levels are highly variable day to day (consistency score: 0.98). This means the care experience can be very different depending on the day.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 7.99% drop-off
Total Nurse HPRD
4.5616hrs/resident/day▲ 0.67
CMS benchmark: 3.48
RN HPRD
0.7289hrs/resident/day▲ 0.05
Recommended: 0.75
Weekend Drop-off
7.99%
4.667 weekday → 4.2939 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.5386hrs/resident/day
Direct care aides
LPN HPRD
0.8929hrs/resident/day
Licensed practical nurses
Consistency
0.98std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Dewey County Average+0.00 HPRD
4.56
04.56 HPRD
vs. South Dakota State Average+0.73 HPRD
3.83
04.56 HPRD
vs. National Average+0.67 HPRD
3.90
04.56 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Medicine Wheel Village ★
EAGLE BUTTE · This facility
—
B
4.56160.7289★★☆☆☆
AVERA MARYHOUSE LONG TERM CARE
PIERRE
62 mi
A
4.45261.0781★★★★★
AVANTARA PIERRE
PIERRE
62.1 mi
D
2.93060.716★★☆☆☆
AVERA OAHE MANOR
GETTYSBURG
63.1 mi
B
4.02040.7343★★★☆☆
Walworth County Care Center, Inc
SELBY
68.8 mi
C
3.16440.5953★★★★★
SCOTCHMAN LIVING CENTER
PHILIP
69.2 mi
A
4.63371.0383★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
25
Total Deficiencies
$0
Fines Assessed
Nov 20, 2025Health
14 deficiencies cited· Includes actual harm
▼
Oct 3, 2024Health
8 deficiencies cited
▼
Aug 3, 2023Health
3 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.