Medicine Wheel Village
Eagle Butte, SD · Medicaid-certified nursing home (CCN 43A138) · 50 certified beds
Health inspection: 1 · Quality measures: 5 · Staffing: 5
Federal fines: 1 totaling $22,636
Phone: (605) 964-8155 · Verify on Medicare Care Compare ↗
Medicine Wheel Village has an overall CMS rating of 2 out of 5 stars, below South Dakota's state average of 2.88. Its health inspection rating is 1 star, while its staffing rating is 5 stars.
Medicine Wheel Village reports 4.79 total nurse hours per resident per day, including about 1.0 RN hours per resident per day, with a staffing star rating of 5 out of 5. Nursing staff turnover is reported at 31.4%.
CMS records show 1 federal fine totaling $22,636.00 for Medicine Wheel Village, with no payment denials on record. CMS has also designated this facility as an SFF Candidate, a preliminary tier of its Special Focus program for facilities showing a pattern of underperformance.
About this facility
Medicine Wheel Village is a Medicaid-certified nursing home in Eagle Butte, South Dakota (Dewey County), operated as a non-profit facility. It is certified for 50 beds and has an average daily census of 27.3 residents, and has been Medicare/Medicaid certified since February 5, 2019.
According to CMS Care Compare, the facility holds an overall star rating of 2 out of 5, which is below the South Dakota state average of 2.88. This overall score reflects a health inspection rating of just 1 star, a staffing rating of 5 stars, and a quality measure (QM) rating of 5 stars. Because the overall rating weighs the health inspection results heavily, the low inspection score pulls the composite rating down despite strong staffing and quality-measure marks.
Nurse staffing levels total 4.79 hours per resident per day, including 0.995 RN hours per resident per day. Nursing staff turnover is reported at 31.4% annually.
On the penalty record, CMS lists 1 federal fine totaling $22,636.00 for this facility. There have been no payment denials on record. CMS has designated this facility as an 'SFF Candidate' — a preliminary tier of the Special Focus Facility program, indicating CMS has identified a pattern of underperformance and is monitoring the facility more closely than a typical nursing home, though it has not yet been formally elevated to full Special Focus Facility status. There is no ownership change reported in the past 12 months, and no chain affiliation is listed in this data. Families should review the full inspection record on Medicare Care Compare. Data reflects CMS Care Compare records as provided.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Medicine Wheel Village has an overall rating of 2 out of 5 stars, which is below South Dakota's state average of 2.88.
Does this facility accept Medicare, Medicaid, or both?
CMS lists this facility's provider type as Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 4.79 hours per resident per day, including about 1.0 RN hours per resident per day, earning a 5-star staffing rating; turnover is reported at 31.4%.
Does this facility have federal fines or penalties on record?
Yes, CMS records 1 fine totaling $22,636.00, and no payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
There is no abuse icon indicated in the data, but CMS has designated this facility as an SFF Candidate, a preliminary Special Focus program tier for facilities with a pattern of underperformance.
How large is this facility and how many residents live there?
Medicine Wheel Village is certified for 50 beds with an average daily census of 27.3 residents.
Who owns this facility — and is it part of a chain?
It is operated as a non-profit (other) facility; no chain affiliation is listed in the available data.
How long has this facility been Medicare/Medicaid certified?
It has been certified since February 5, 2019.
What do the four different CMS star ratings mean?
CMS publishes an overall rating plus three component ratings — health inspections, staffing, and quality measures; here those are 1, 5, and 5 stars respectively, combining into an overall 2-star rating.
Does this facility offer short-term rehabilitation as well as long-term care?
This isn't specified in the available data; contact the facility at 6059648155 or check Medicare Care Compare to confirm.
What should I look for when touring this facility?
The data doesn't cover tour details; contact the facility at 6059648155 to arrange a visit and verify current conditions.
How do I verify this facility's current record on Medicare Care Compare?
You can review the most up-to-date ratings and inspection reports at https://www.medicare.gov/care-compare/details/nursing-home/43A138?state=SD.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.