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Spearfish Canyon Healthcare

Nursing Home Facility

1020 10th Street, Spearfish, SD 57783

Nursing Home Care Senior Living

For over 50 years, Dorsett Healthcare Center has been known for providing exceptional service to the elders in the Northern Black Hills of South Dakota

Operated by Mission Healthcare, which runs 8 communities in our directory.

Spearfish Canyon Healthcare is licensed for 105 beds, about typical for the area, where senior care communities in Spearfish average about 105 beds.

Federal reporting puts occupancy at about 72% of its licensed beds.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in August 2025 and recorded 7 deficiencies.

Residents receive about 3.4 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 59%.

The community is located in Lawrence County, SD.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 21 problems at Spearfish Canyon Healthcare. 1 finding involved harm to a resident. 5 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $9,718.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected April 2026, after a complaint.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected August 2025. Corrected by October 10, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Spearfish Canyon Healthcare offers nursing home care and senior living.

Facility details

  • Organization type Non profit - Corporation
  • Beds / units 105
  • Religious affiliation Lutheran
  • Occupancy 72%
  • Nursing hours per resident/day 3.4
  • Annual staff turnover 59%
  • Last health inspection August 2025

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