Medicine Wheel Village
24266 AIRPORT ROAD, Eagle Butte, SD 57625
Eagle Butte, South Dakota · CMS verdict
On the federal five-star scale, Medicine Wheel Village carries a 2 of 5 CMS overall rating, below-average quality that runs below South Dakota's state average of 2.9.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Medicine Wheel Village in Eagle Butte, South Dakota holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 59 of 100 (grade F). The 50-bed facility operates where a semi-private nursing-home room in South Dakota runs a median of $9,444 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (thinner bed book)
At 50 certified beds, this facility sits in the lower U.S. bed tercile (≤80). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 2 of 5 stars. How this is calculated.
How the 59 is built
Each segment is a dimension's weighted points toward the score, summing to 59.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Medicine Wheel Village's thinner certified-bed book
Quality ratings
Medicine Wheel Village holds a CMS overall quality rating of 2 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (1/5), staffing (5/5), and quality measures (5/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Eagle Butte, South Dakota, this facility operates 50 certified beds with an average daily census of roughly 28 residents - an occupancy rate of about 56%. The facility is classified under non profit - other ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 56% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (25 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Medicine Wheel Village's lower-tercile stars compare to South Dakota
CMS five-star sub-ratings (0–5) for this facility against the South Dakota facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = South Dakota state average. Higher is better on all four CMS measures.
Where Medicine Wheel Village ranks in South Dakota
Among the 95 CMS-rated nursing homes in South Dakota, Medicine Wheel Village’s 2-star overall rating is higher than 21% of them. The bars show how all South Dakota homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
26 South Dakota homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 50 |
| Residents | 28 |
| Ownership | Non profit - Other |
| County | Dewey |
| Penalties | 0 |
| Deficiencies | 25 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Medicine Wheel Village? ▾
CMS rates Medicine Wheel Village at 2 out of 5 stars overall. The three sub-ratings behind that number: health inspection 1/5, staffing 5/5, quality measures 5/5.
How much does a nursing home cost per month in South Dakota? ▾
The median cost for a semi-private nursing home room in South Dakota is $9,444 per month ($113,333 annually). A private room averages $10,190 per month. Costs are from the CareScout 2025 survey.
What services does Medicine Wheel Village offer? ▾
Medicine Wheel Village is a skilled nursing facility with 50 beds with approximately 28 current residents. It operates under non profit - other ownership. The facility has recorded 25 deficiencies and 0 penalties in CMS inspections.
Does Medicine Wheel Village have any deficiencies or penalties? ▾
Medicine Wheel Village has multiple deficiencies (25 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in South Dakota? ▾
In South Dakota, alternatives include assisted living ($4,900/mo), home health aides ($8,437/mo), and adult day care (N/A/mo).
Keep reading
Also see the South Dakota elder-care overview and highest-rated states. Provider ID: 43A138.
Read our methodology - how this data is sourced, computed, and verified.