Medicine Wheel Village is certified as a Medicaid facility and has been approved to provide these services since 2019-02-05. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (605) 964-8155 or your local Medicaid office to verify current eligibility.

Medicine Wheel Village holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (5★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 85.8/100, placing it #1424 of 14703 facilities nationally and #8 of 97 in South Dakota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Medicine Wheel Village receives a reported average of 4 hours 34 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 44 minutes; Licensed Practical Nurse (LPN) — 54 minutes; Nurse Aide — 2 hours 57 minutes. On weekends, total nurse staffing is 4 hours 18 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 30.6%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $34,825. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $34,825, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 198.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Medicine Wheel Village ranks 1424th out of 14,703 facilities (composite score: 85.8/100), placing it in the top 10% nationwide. Within SD, it ranks 8th out of 97 nursing homes. For 2026 staffing: total nurse hours rank #2,163 nationally and RN hours rank #4,548 nationally (#56 in SD). Our composite quality score of 85.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Eagle Butte, visit: https://nursinghomesnearme.org/south_dakota/eagle-butte/