Dewey County, South Dakota · Nursing home
Medicine Wheel Village
2 of 5 overall from CMS
24266 Airport Road, Eagle Butte, SD 57625
At a glance
- Overall rating 2 of 5 Below the state average of 2.9
- Nurse time per resident, per day 4.79 hours Above the state average of 3.79
- Nursing staff who left in a year 31.4% Below the state average of 48.2%
- Health citations, last 3 inspection cycles 27 1 at the harm level or above
- Fines in 3 years $22,636 1 fine
- Certified beds in use 54.6% of 50 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Medicine Wheel Village is a 50-bed nursing home in Eagle Butte, South Dakota (Dewey County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 4.79 nurse staffing hours per resident per day, above the South Dakota average of 3.79. CMS lists 1 fine totaling $22,636 in the past three years.
- Certified beds
- 50
- Residents per day (average)
- 27.3
- Certified since
- 2019 (7 yrs)
Non profit - Other Participates in MedicaidCMS Special Focus: SFF Candidate
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Medicine Wheel Village
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 1 fine totaling $22,636 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 16 health deficiencies in the latest inspection cycle (the standard inspection on Nov 20, 2025 plus complaint and infection-control inspections); the South Dakota average is 6.7. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 South Dakota average 2.9
- Health inspections 1 of 5 South Dakota average 2.9
- Staffing 5 of 5 South Dakota average 3.5
- Quality measures 5 of 5 South Dakota average 2.7
The vertical line marks the South Dakota average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.79 h South Dakota average 3.79
- Nurse aides 2.69 h South Dakota average 2.52
- Licensed practical nurses 1.11 h South Dakota average 0.47
- Registered nurses 1.00 h South Dakota average 0.80
- All staff, weekends 4.02 h South Dakota average 3.26
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the South Dakota average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover31.4%
- South Dakota average48.2%
- Registered nurse turnover37.5%
- South Dakota average34.7%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the South Dakota and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | South Dakota | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 9.8% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 2.8% | 5.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.8% | 2.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 2.9% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 2.1% | 5.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 6.6% | 5.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% | 94.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 10.0% | 19.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.5% | 17.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 96.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.0% | 4.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.3% | 25.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 9.3% | 24.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.59 | 1.52 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.15 | 1.75 | 1.78 |
Short-stay residents
| Measure | This home | South Dakota | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Too few residents or stays to report | 83.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 2.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 78.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 19.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 12.0% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 27 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 4 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Nov 20, 2025: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Nov 20, 2025 | 16 | 2 |
| Oct 3, 2024 | 8 | 5 |
| Aug 3, 2023 | 3 | 6 |
South Dakota homes averaged 6.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (27)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Past Non-Compliance
-
LImmediate jeopardy, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 26, 2025)
-
FPotential for more than minimal harm, widespread
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Dec 26, 2025)
-
FPotential for more than minimal harm, widespread
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 26, 2025)
Show 22 more
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 26, 2025)
-
EPotential for more than minimal harm, pattern
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 31, 2025)
-
EPotential for more than minimal harm, pattern
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service · Deficient, Provider has date of correction (Dec 26, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 26, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (Dec 26, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 26, 2025)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 26, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 26, 2025)
-
DPotential for more than minimal harm, isolated
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 31, 2025)
-
DPotential for more than minimal harm, isolated
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Dec 26, 2025)
-
DPotential for more than minimal harm, isolated
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Dec 26, 2025)
-
FPotential for more than minimal harm, widespread
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 2, 2024)
-
FPotential for more than minimal harm, widespread
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration · Deficient, Provider has date of correction (Nov 2, 2024)
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 2, 2024)
-
EPotential for more than minimal harm, pattern
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 2, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 2, 2024)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Nov 2, 2024)
-
DPotential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (Nov 2, 2024)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 2, 2024)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 20, 2023)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 20, 2023)
-
DPotential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 20, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Nov 20, 2025 | Fine | $22,636 |
South Dakota homes averaged 1.9 fines and $40,815 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within South Dakota
- Size58 of 96 by certified beds
- South Dakota average residents per day52.1
- ChainNone listed
- Resident or family councilResident
- Homes in Dewey County1
Common questions
What is the CMS star rating for Medicine Wheel Village?
Medicine Wheel Village has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 5 and quality measures is 5.
How many beds does Medicine Wheel Village have?
Medicine Wheel Village has 50 certified beds. It averages 27.3 residents per day, about 54.6% of its certified beds.
How much nursing care do residents get at Medicine Wheel Village?
The home reports 4.79 hours of nurse staffing per resident per day, including 1.00 hours from registered nurses. The South Dakota average is 3.79 hours and 0.80 hours from registered nurses.
Has Medicine Wheel Village been fined?
Yes. CMS lists 1 fine totaling $22,636 in the past three years.
Does Medicine Wheel Village accept Medicare or Medicaid?
CMS lists its participation as "Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Avera Maryhouse Long Term Care 80beds 72.9%in use 4.62nurse hours a day
- 2 of 5 Avantara Pierre 65beds 90.5%in use 2.81nurse hours a day
- 2 of 5 Avera Oahe Manor 53beds 66.8%in use 3.50nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Dewey County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 43A138. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.