Home›South Dakota›Lawrence County›SPEARFISH CANYON HEALTHCARE
D
Poor

SPEARFISH CANYON HEALTHCARE

1020 N 10TH STREET · SPEARFISH, SD 57783

6056422716 · For profit - Limited Liability company

105 beds76.9 residents111 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SPEARFISH CANYON HEALTHCARE receives an overall staffing grade of D (Poor). With 3.2745 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3393 HPRD, below the recommended 0.75. It is 0.62 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.83% compared to weekdays. The facility has low agency staff usage (7.69% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2745 HPRD — needs 0.21 more hours per resident per day.
⚠️RN staffing (0.3393 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.2745hrs/resident/day▼ 0.62
CMS benchmark: 3.48
RN HPRD
0.3393hrs/resident/day▼ 0.34
Recommended: 0.75
Weekend Drop-off
17.83%
3.4482 weekday → 2.8335 weekend
Agency Staff
7.69%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8398hrs/resident/day
Direct care aides
LPN HPRD
0.6483hrs/resident/day
Licensed practical nurses
Consistency
0.3817std 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. Lawrence County Average+0.00 HPRD
3.27
03.27 HPRD
vs. South Dakota State Average-0.56 HPRD
3.83
03.27 HPRD
vs. National Average-0.62 HPRD
3.90
03.27 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
SPEARFISH CANYON HEALTHCARE ★
SPEARFISH · This facility
—
D
3.27450.3393★★☆☆☆
ROLLING HILLS HEALTHCARE
BELLE FOURCHE
10.8 mi
D
2.72830.2545★☆☆☆☆
MONUMENT HEALTH STURGIS CARE CENTER
STURGIS
17.9 mi
B
5.27060.7089★☆☆☆☆
GOOD SAMARITAN SOCIETY - ST MARTIN VILLAGE
RAPID CITY
38.1 mi
B
3.69081.4877★★☆☆☆
Fountain Springs Healthcare
RAPID CITY
39.9 mi
B
3.94850.8229★★★★☆
AVANTARA NORTH
RAPID CITY
40.9 mi
C
3.01930.9198★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
20
Total Deficiencies
$0
Fines Assessed
Aug 28, 2025Health
6 deficiencies cited
▼
Jul 9, 2025Health
2 deficiencies cited· Includes actual harm
▼
Jun 19, 2024Health
1 deficiency cited
▼
May 2, 2024Health
1 deficiency cited
▼
Feb 7, 2024Health
6 deficiencies cited
▼
Feb 2, 2023Health
4 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.