Spearfish Canyon Healthcare
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 86 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low staffing rating (2/5 stars)
- Above-median deficiencies (8 vs median 5.0)
- High staff turnover (52%)
Above average in SD · Critically understaffed (RN) · Chain outperformer · No penalties on record
What this means for your family
This facility is highly regarded for its compassionate end-of-life and memory care, but families should be aware of significant, recurring reports of understaffing. When touring, ask specifically about current staffing ratios on weekends and how the facility ensures call lights are answered promptly, as this is the most frequent concern raised by families.
Google Reviews
Google Reviews
86 reviews on Google“Spearfish Canyon Healthcare receives polarized feedback, with many families praising the compassionate, dedicated nursing staff and the quality of end-of-life care. However, a recurring theme of severe understaffing leads to significant concerns regarding basic patient care, responsiveness, and facility cleanliness. Families should be aware that while many report positive experiences, others have documented serious lapses in hygiene and attention to patient needs.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and dedicated nursing staff
- High-quality end-of-life and hospice care
- Effective physical therapy department
- Welcoming and friendly atmosphere
Concerns
- Chronic understaffing leading to slow response times (mentioned by 7 reviewers)
- Lack of cleanliness and poor housekeeping (mentioned by 4 reviewers)
- Inconsistent communication with family members (mentioned by 3 reviewers)
- Neglect of basic patient needs (meals, hygiene, call lights) (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 89 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1We've heard wonderful things about the compassion of your nursing staff; how do you ensure that this level of care remains consistent even during busy shifts?
- 2What specific steps are being taken to improve the frequency of housekeeping and the overall cleanliness of the resident rooms?
- 3How does the facility manage communication with family members to ensure we are always kept up-to-date on our loved one's well-being?
- 4Could you walk us through the process for medication management and how you ensure everything is administered accurately and on time?
- 5What does a typical day look like for residents in terms of social activities and dining experiences?
- 6In the event of a medical emergency after hours, what is the protocol for contacting the attending physician and notifying the family?
Personalized based on this facility's data
Key Review Excerpts
“My mom got the best care the last six months of her life, that I could’ve ever hoped for her. While she was on comfort care, she was tenderly cared for every two hours.”
“My was in this facility, the worst care ever. She came from Monument hospital.i had to empty the trash a least 4 times and set in the hall. Her rehab for the 2 weeks she was there consisted of one hour of treatment.”
“The nursing staff is impeccable as is the Therapy department but they are so short stuffed that the patient care lacks through no fault of the Staff”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
6
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaint reports resulting in deficiencies related to accident prevention and treatment care quality, indicating ongoing safety concerns. The facility shows recurring issues with infection control, maintaining a clean and safe environment, and accident hazard prevention across multiple surveys from 2023 to 2025. While most deficiencies have been corrected, the pattern of repeated violations in core safety areas suggests persistent operational challenges.
Apr 20, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Aug 28, 2025Routine9
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Jul 9, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 19, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 2, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Feb 7, 2024Routine11
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Resident Rights Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Federal Penalties
Fine
Jul 9, 2025
$14,950
Ownership & Operations
Who Operates This Facility
Spearfish Canyon Healthcare
for profit
Chain Affiliation
Eduro Healthcare
35 facilities nationwide
Chain avg rating: 2.4/5 · Rank 14 of 36
Ownership & Management
Owners
Ramos, Brian
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
86 reviews from families & visitors
Official Website
Visit spearfishcanyonhc.com
Medicare data downloads
Original nursing home datasets
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