Gettysburg · 57442
Avera Oahe Manor
700 E Garfield
Gettysburg, SD 57442
Medicine Wheel Village
⌖ Eagle Butte, SD · Dewey County
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds50
Medicare / MedicaidMedicaid only
OwnershipNon-profit (other)
About Medicine Wheel Village
Medicine Wheel Village is a 50-bed nonprofit nursing home in Eagle Butte, SD. Medicare rates it 2 out of 5 stars overall (below average); the average in South Dakota is 2.9. Medicare lists it as a candidate for its Special Focus program because of a history of serious problems. At its last full inspection (Nov 2025), inspectors found 16 problems, more than the South Dakota average of 6.7. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 4 hr 48 min a day with each resident, more than the South Dakota average of 3 hr 47 min. About 31% of its nursing staff left in the past year. Medicare fined it $22,636 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameMedicine Wheel Village
LocationDewey County, South Dakota
Phone(605) 964-8155
Address24266 Airport Road, Eagle Butte, SD 57625 · Dewey County
CMS provider number43A138
Ownership typeNon-profit (other)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceFebruary 5, 2019 (7 years)
✗ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 4 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Nurse staffing per resident4 hr 48 min a daySouth Dakota average: 3 hr 47 minStrength
- Registered nurse time per resident1 hr 00 min a daySouth Dakota average: 48 minStrength
- Nursing staff turnover31% a yearSouth Dakota average: 48%Strength
Things to ask about
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- Special Focus Facility candidateYesMedicare lists this home as a candidate for its Special Focus program, which follows homes with a history of quality problems more closely.Ask about this
- Serious health citations1 for immediate jeopardyCitations where inspectors found residents were harmed or put in immediate danger, most recently in Nov 2025 (within the past year). All 1 were later corrected.Ask about this
- Fines and penalties1 fine totaling $22,636Federal penalties from the last three years, most recently in Nov 2025 (within the past year). The national average is $30,972 per home.Worth asking about
- Health citations at last inspection16 (Nov 2025)South Dakota average: 6.7. Most citations are minor and corrected within weeks.Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the South Dakota average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury6.6%State average: 5.5%Worse than average
- Pressure sores (bedsores)4.0%State average: 4.6%About average
- Given antipsychotic drugs9.3%State average: 24.6%Better than average
- Hospital stays per 1,000 resident days1.6State average: 1.5About average
Source: Medicare (CMS) quality measures, compared with the South Dakota average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 2 stars now, down from 5 stars in July 2020. It has ranged from 2 to 5 stars and changed 12 times.
Overall rating2★
Health inspections1★
Staffing5★
Quality of care5★
Nurse hours per resident per day4.8
2020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jul 2020 | 5 | 3 | 5 | 5 | 6.0 |
| Jan 2021 | 4 | 2 | 5 | 5 | 5.2 |
| Jan 2022 | 2 | 2 | 1 | 5 | – |
| Jan 2023 | 5 | 3 | 5 | 5 | 4.3 |
| Jan 2024 | 4 | 2 | 5 | 5 | 3.7 |
| Feb 2025 | 3 | 2 | 4 | 5 | 5.4 |
| Feb 2026 | 2 | 1 | 5 | 5 | 4.6 |
| Sep 2026 | 2 | 1 | 5 | 5 | 4.8 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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