Quick answers
- Where is Medicine Wheel Village?
- 24266 Airport Road, Eagle Butte, SD 57625, in Dewey County, South Dakota.
- What is the phone number of Medicine Wheel Village?
- (605) 964-8155, as listed by Medicare (CMS).
- What is the Medicare star rating of Medicine Wheel Village?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Medicine Wheel Village been fined?
- Medicare lists 1 fine totaling $22,636.
- What did inspectors find at Medicine Wheel Village?
- In its last three inspection cycles (August 3, 2023 to March 25, 2026), Medicare lists 27 health citations; the most serious was level L. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (August 3, 2023 to March 25, 2026), Medicine Wheel Village had 27 health citations; the most serious was level L (immediate jeopardy to resident health or safety). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $22,636 in total (1 fine, the latest on November 20, 2025). Nurse staffing is 5.38 hours per resident per day; the South Dakota average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: November 20, 2025 — 16 health citations
Inspections in this cycle: November 20, 2025 (complaint investigation); November 20, 2025 (standard health inspection); March 25, 2026 (complaint investigation).
F0812 Level L
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
immediate jeopardy to resident health or safety; widespread (many residents) · Nutrition and Dietary Deficiencies
Show 15 less serious citations (levels A to F)
F0732 Level F
“Post nurse staffing information every day.”
F0808 Level F
“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.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0700 Level E
“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.”
F0761 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0565 Level D
“Honor the resident's right to organize and participate in resident/family groups in the facility.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0801 Level D
“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.”
F0868 Level D
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0881 Level D
“Implement a program that monitors antibiotic use.”
Previous cycle: October 3, 2024 — 8 health citations
Inspections in this cycle: October 3, 2024 (complaint investigation); October 3, 2024 (standard health inspection).
Show 8 citations (levels A to F, no actual harm)
F0800 Level F
“Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.”
F0851 Level F
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0808 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0758 Level D
“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.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
Earlier cycle: August 3, 2023 — 3 health citations
Inspections in this cycle: August 3, 2023 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (13)
E0009 Level D
“Include a process for Emergency Preparedness collaboration.”
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
E0004 Level D
“Develop and maintain an Emergency Preparedness Program (EP).”
E0015 Level D
“Address subsistence needs for staff and patients.”
K0200 Level D
“Meet other general requirements.”
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0353 Level C
“Inspect, test, and maintain automatic sprinkler systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0161 Level D
“Use approved construction type or materials.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0347 Level D
“Properly provide smoke detection systems in areas open to corridors.”
Fines and payment denials
Total fines over about the last three years: $22,636 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| November 20, 2025 | Fine | $22,636 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | South Dakota | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 1.25 | 0.78 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.02 | 0.50 | 0.86 |
| Nurse aide hours per resident per day | 3.11 | 2.58 | 2.35 |
| Total nurse staff hours per resident per day | 5.38 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 4.60 | 3.28 | 3.43 |
| RN hours per resident per day on the weekend | 0.78 | 0.49 | 0.48 |
| Nursing staff turnover (per year) | 39.0% | 48.6% | 45.3% |
| RN turnover (per year) | 37.5% | 37.5% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.3 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 50 |
| Average residents per day | 27.1 |
| Takes part in | Medicaid |
| Ownership | Non-profit – other |
| Legal business name | Legal Business Name Not Available |
| First approved by Medicare/Medicaid | 2019-02-05 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 24266 Airport Road, Eagle Butte, SD 57625 |
| County | Dewey County |
| State | South Dakota |
| Phone | (605) 964‑8155 |
| CMS Certification Number | 43A138 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Nearest hospital emergency rooms
- Eagle Butte Indian Health Service Hospital11 mi · Eagle Butte, SD · Critical Access Hospital
- Mobridge Regional Hospital - CAH54 mi · Mobridge, SD · Critical Access Hospital
- Avera St Mary's Hospital62 mi · Pierre, SD · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13