Medicine Wheel Village
24266 Airport Road, Eagle Butte, SD 57625 · 50 beds · Non profit - Other
The records flag: 1 citation at the most serious level; A Special Focus candidate.
These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.
Who's actually on the floor
Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.
Registered nurses only — hours per resident per day. Longer is better.
Registered nurse coverage drops about 34% at weekends.
Staff turnover: 31%
High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.
What inspectors found
State inspectors visit at least once a year and after complaints. Over the last three years this facility received 27 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.
| Severity | Citations |
|---|---|
| Immediate jeopardy | 1 |
| Potential for harm | 26 |
| No harm | 0 |
4 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.
Medicare has issued $22,636 in fines here over the past three years.
What happened to residents
Everything above this point describes how the facility is run — who is on shift, what inspectors found. These are outcomes: what Medicare recorded happening to the people actually living there, averaged over a year and set against the state.
| Over a year, the share of long-stay residents who… | Here | South Dakota |
|---|---|---|
| Falls causing major injury | 6.6% | 5.5% |
| Pressure ulcers (bedsores) | 4.0% | 4.6% |
| Given antipsychotic medication | 9.3% | 24.6% |
| Physically restrained | 0.0% | 0.0% |
| Urinary tract infections | 0.0% | 2.9% |
| Lost the ability to walk unaided | 10.0% | 19.4% |
Lower is better on every line. Covers 2025Q2-2026Q1.
Medicare adjusts these figures for how unwell residents were on arrival, so a home that takes on frailer people is not marked down for it. That adjustment is imperfect where a facility's residents are unusual, which is why the state figure sits beside each number instead of a rank or a score.
Disclosed affiliations
Medicare has not published ownership or affiliation information for this facility. That is a gap in the federal record, not a finding about the facility — the great majority of facilities do have entries, so it is a reasonable thing to ask about on a visit.
Other options nearby
Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 0 facilities.
| Facility | Miles | Rating | Nurse hrs | Weekend |
|---|
Worth asking on a visit
Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.
- Can I visit on a Sunday rather than a weekday? How many registered nurses are on duty then, and for how many residents?
- Medicare's records show a citation at the most serious level. What happened, and what changed afterwards?
- Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?