Medicine Wheel Village is a senior living facility located in Eagle Butte, South Dakota, a city with 4,230 people. We awarded this nursing home an A- overall grade, ranking it in the top quarter of all nursing homes in the nation. Based on our assessment, this nursing home is just about as as good as it gets. This nursing home's strong report card was highlighted by its nursing grade, which you can find in the next paragraph.

Additional Details:

Accepts Medicare 1 : FalseUsed to indicate false.

Accepts Medicaid 1 : 50 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

Non profit - Other

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Nurse Quality

A+
Jan 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: A-Mar 20: A-Apr 20: A-May 20: A-Jun 20: A-Jul 20: A+Aug 20: A+
Historical

On top of being a first rate nursing home overall, this nursing home also excelled in the category of nursing, where it received an A+. Few nursing homes performed better in this area. Our nursing score is primarily associated with a facility's nurse staffing. This particular nursing home provided 6 hours of nursing care per patient on a daily basis. This was one of the better figures we found. In addition, we found that a significant percentage of this care was provided by registered nurses, which are highly skilled nurses. Both of these statistics are impressive. On top of offering high levels of care, this place also excelled in the quality measures we assessed. For example, it performed as well as any facility in South Dakota in terms of minimizing its residents' major falls and pressure ulcers. We look at these metrics as good indicators of the quality of nursing care being provided.

Facility Inspections

A+
Jan 19: A+Jul 19: A+Aug 19: A+Sep 19: A+Jan 20: A+Mar 20: A+Apr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+
Historical

This facility has also received near flawless health inspections in recent years. We awarded them an impressive grade of A+ in this category. Arguably the most important factor we consider in determining our inspection scores is deficiencies. These deficiencies can be found on a nursing home's inspection reports. Facilities with better scores in this area most likely dodged the most severe deficiencies involving patient abuse or death. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Even some of the best nursing homes receive an occasional ding on their inspection report.

Short-term Care Quality

A-
Jan 19: BJul 19: B+Aug 19: B+Sep 19: B+Jan 20: B-Mar 20: B-Apr 20: B-May 20: B-Jun 20: B-Jul 20: A-Aug 20: A-
Historical

This nursing home also excelled in the area of short-term care, where we awarded it a grade of A-. Few facilities fared better in this area. With our short-term care rating, we attempt to create a meaningful gauge for rehabilitation. In doing so, we analyze a nursing home's levels of highly-skilled nursing services, including both registered nurses and physical therapy, as well as speech therapy. One reason for this facility's strong score in this category is that it provides more care with registered nurses to its residents than the average nursing home. The final item we assessed in this category is the percentage of patients that ultimately were able to return home from the facility. We found that 0 percent of this nursing home's patients returned home as opposed to remaining at the facility permanently.

Long-term Care Quality

C
Jan 19: A-Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: AMar 20: AApr 20: AMay 20: AJun 20: AJul 20: CAug 20: C
Historical

The final category we analyzed is long-term care. We gave this nursing home an acceptable grade in this category, with a C. Even though this wasn't on par with many of this facility's other grades, it is nevertheless a middle of the pack score. In forming our long-term care grades, we quantify the facility's ability to maintain its permanent residents' health and quality of life. On top of favorable nursing hour statistics, this facility's vaccination data is favorable as well. Indeed, this facility vaccinated 100 percent of its residents for pneumonia. This combination proved to be effective as this nursing home keeps its patients out of the hospital. In fact, it had less than one hospitalization per one thousand long-term resident days, which is a remarkably low figure.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
A-
State:
A-
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Medicine Wheel Village Quality Metrics

Minimizes Serious Falls

This indicates the percentage of residents who have had a major fall. Falls resulting in severe injury are often the result of poor nursing care. Better nursing protocols minimizes the percentage of residents in a nursing home who sustain major falls.

Provider
A+
0%
State
B-
4.98%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This statistic measures the percent of long-term stay residents who have suffered from a UTI. UTI's could be a sign of poor nursing care. Nevertheless, this statistic can be misleading for certain nursing homes due to inconsistent reporting standards for urinary tract infections.

Provider
A+
0%
State
B-
3.72%
National
B
2.66%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This indicates the percent of residents who were given antipsychotic medications. While antipsychotic medications may be vital to many patients, it is important to ensure these medications are being used only where medically required. In limited cases, excessive reliance on these medications may mean a facility is using these drugs to control patient behavior.

Provider
D
22.92%
State
B-
16.62%
National
B
14.15%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This measures the percentage of long-term care patients that were given antianxiety drugs. These medications are used to treat patients experiencing depression and anxiety.

Provider
B+
15.69%
State
B+
15.39%
National
B
19.69%

Percent of Patients
Lower is Better

Managing Depression Among Residents

Measures the percentage of long-term care residents demonstrating symptoms of depression. Many in the industry believe this is a reliable measure of quality of care.

Provider
A+
0%
State
B
4.16%
National
B+
5.11%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This metric measures the percent of long-term stay residents who received the pneumonia and flu vaccines. Respiratory viruses can be very dangerous for seniors, making these types of vaccines indispensable.

Provider
F
50%
State
B
95.81%
National
B
92.01%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This is the percent of patients that required additional assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's may indicate deterioration of a resident's medical condition.

Provider
A-
11.76%
State
B-
16.13%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This indicates the percentage of residents that were able to retain mobility over time. Retaining mobility is often a good sign for residents' health.

Provider
D
11.19%
State
B
18.07%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This tells you the number of hospitalizations per thousand days of care.

Provider
A+
0.37
State
B+
1.38
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This datapoint is a measure of the number of times residents are rehospitalized per 1,000 days of short-term resident care.

Provider
A
11.19
State
B
18.07
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better