CCN 43A138 · Dewey County, South Dakota
Medicine Wheel Village
24266 Airport Road, Eagle Butte, SD 57625
Medicine Wheel Village is a 50-bed nonprofit nursing home in Eagle Butte, South Dakota, first certified for Medicare or Medicaid in 2019. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 27.3 residents a day, about 55% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 50
- Average residents per day
- 27.3 (54.6% of beds)
- Ownership type
- Non profit - Other
- Certification
- Medicaid
- Legal business name
- Legal Business Name Not Available
- Certified since
- Feb 5, 2019
- Chain or affiliated group
- None listed by CMS
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | South Dakota median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 19 at 1, 22 at 2, 18 at 3, 16 at 4, 19 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 5 of 5 | ||
| Total nurse hours per resident per day | 4.79 | 3.62 | 3.68 |
| RN hours per resident per day | 1.00 | 0.76 | 0.58 |
| Weekend nurse hours per resident per day | 4.02 | ||
| Nursing staff turnover | 31.4% | 46.6% | 44.9% |
| Occupancy (residents / beds) | 54.6% | 90.3% | 85.7% |
| Fines reported by CMS | 1 totaling $22,636 | ||
| Health deficiencies, latest standard survey | 16 (Nov 20, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Medicine Wheel Village does not meet it today: health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
CMS lists no 5% owners or managing organizations for this facility in its current ownership file.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.