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Medicine Wheel Village, Eagle Butte, South Dakota

27
Citations from health inspectionsSouth Dakota average: 17 a home
1
Residents harmed or put in dangerSouth Dakota average: 2.5 a home
$22,636
Fines from the federal governmentSouth Dakota average: $40,815 a home
2 out of 5
Overall rating in starsSouth Dakota average: 2.9

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Four inspection visits produced 27 citations. Residents were in immediate danger in one finding. Federal fines came to $22,636 (one fine).

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

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Quick Look at the Record

The home's overall star rating
2 out of 5
Rating for health inspections
1 out of 5
Rating for staffing
5 out of 5
Rating for quality of care
5 out of 5
Nurse time for each resident
4.79 hours each dayThe South Dakota average is 3.79 hours
Time from registered nurses
1.00 hours each dayThe South Dakota average is 0.80 hours
Nursing staff who left during one year
31.4%against the South Dakota average of 48.2%
Beds that are certified
50
Ownership
Other (non profit)
Chain
This home is not part of a chain
Street address
24266 Airport Road, Eagle Butte, South Dakota 57625
County
Dewey

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Two citations dated March 25, 2026

  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

14 citations dated Nov. 20, 2025

  • F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, one or a few residents.
  • F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
  • F868 Quality Group Membership and Quarterly Meetings: risk of harm, no one found hurt, one or a few residents.
  • F812 Food Storage and Kitchen Safety: immediate danger to residents, widespread.
  • F808 Doctor Ordered Special Diets: risk of harm, no one found hurt, widespread.
  • F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, one or a few residents.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
  • F732 Post Daily Nurse Staffing Information: risk of harm, no one found hurt, widespread.
  • F700 Safe Use of Bed Rails: risk of harm, no one found hurt, a pattern, several residents.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
  • F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
  • F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F565 Right to Resident and Family Groups: risk of harm, no one found hurt, one or a few residents.

Eight citations dated Oct. 3, 2024

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
  • F851 Submit Accurate Staffing Data to Federal Government: risk of harm, no one found hurt, widespread.
  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents.
  • F808 Doctor Ordered Special Diets: risk of harm, no one found hurt, a pattern, several residents.
  • F800 Nutritious, Tasty, Balanced Meals: risk of harm, no one found hurt, widespread.
  • F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
  • F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Three citations dated Aug. 3, 2023

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
  • F804 Food Taste and Temperature: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

DatePenaltyAmount
Nov. 20, 2025Fine$22,636

Ownership and Management of the Home

The CMS ownership file names no owner or operator for this home.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 43A138. Other homes in South Dakota.