Medicine Wheel Village faces challenges in its CMS ratings, earning a D grade with a score of 48/100. The facility ranks in the 51th percentile among South Dakota nursing homes, suggesting significant room for improvement.
Medicine Wheel Village provides above-average staffing with 4.57 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent CMS inspections identified 25 deficiencies at Medicine Wheel Village, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.57 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.73 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.89 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.95 | 2.4 | Above Average |
| Weekend Total Nursing | 4.30 | 3.8 | Above Average |
| Weekend RN Hours | 0.54 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity LProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 19, 2025 · Nutrition and Dietary Deficiencies
- Tag 0732 Severity FPost nurse staffing information every day.Nov 19, 2025 · Nursing and Physician Services Deficiencies
- Tag 0808 Severity FEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed bNov 19, 2025 · Nutrition and Dietary Deficiencies
- Tag 0657 Severity EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Nov 19, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0700 Severity ETry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review theseNov 19, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.8% | 4.5% | Average |
| Falls with major injury | 5.4% | 3.0% | Worse |
| On antipsychotic medication | 11.3% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 7.7% | 14.0% | Better |
| Excessive weight loss | 1.1% | 7.5% | Better |
| New/worsened incontinence | 17.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $34,825
How This Grade Was Calculated
This facility's grade of D is based on a score of 48 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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