Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Medicine Wheel Village
EAGLE BUTTE, SD · 50 certified beds · Last Life Safety survey November 20, 2025
CMS Certification Number 43A138 · first certified February 2019
Ownership
Independently operated (no chain recorded by CMS) · Non profit - Other
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within SD
13 citations — more than 96% of the 96 certified nursing homes in SD. Compared within SD rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 2 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens February 2027 — about 4 months from now. This facility’s last Life Safety survey was November 2025. Facilities in SD are typically surveyed 15–16 months after the last one (median 16), measured over 136 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
3 of the 13 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 13 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in SD, and nationally. Surveyors differ markedly between states, so the SD figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 13 |
| Median facility in SD | 3 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| August 3, 2023 | 6 |
| October 3, 2024 | 5 |
| November 20, 2025 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | 2 | 2025-11-20 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 2 | 2024-10-03 |
| K-0347 | Properly provide smoke detection systems in areas open to corridors. | 1 | 2023-08-03 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2023-08-03 |
| E-0015 | Address subsistence needs for staff and patients. | 1 | 2024-10-03 |
| K-0161 | Use approved construction type or materials. | 1 | 2023-08-03 |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 1 | 2024-10-03 |
| K-0200 | Meet other general requirements. | 1 | 2024-10-03 |
What the citations cover
- Smoke Deficiencies 5
- Emergency Preparedness Deficiencies 3
- Egress Deficiencies 3
- Construction Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 5 |
| Emergency Preparedness Deficiencies | 3 |
| Egress Deficiencies | 3 |
| Construction Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
November 20, 2025 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (December 31, 2025) |
| K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Deficient, Provider has date of correction (December 26, 2025) |
October 3, 2024 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (October 23, 2024) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (October 23, 2024) |
| K-0200 | Meet other general requirements. | Deficient, Provider has date of correction (October 2, 2024) |
| K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Deficient, Provider has date of correction (October 2, 2024) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (November 8, 2024) |
August 3, 2023 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (September 20, 2023) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (September 20, 2023) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (September 20, 2023) |
| K-0347 | Properly provide smoke detection systems in areas open to corridors. | Deficient, Provider has date of correction (September 20, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Waiver has been granted (February 3, 2025) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (September 20, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.