24-Hour Home Care in Spearfish, SD: Round-the-Clock Care

Local figures

24-Hour Home Care in Spearfish, SD: the local picture

6.1%

of residents 65+ have difficulty dressing or bathing (4.4% in Lawrence County)

421

residents 85 or older (3.3% of all residents)

30%

of residents 65+ report a disability (33% in Lawrence County)

$57,813

median yearly income of households headed by someone 65+

157 Spearfish residents 65 or older have difficulty dressing or bathing (6.1%; 4.4% in Lawrence County), and 496 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 421 residents are 85 or older (3.3% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Spearfish Canyon Healthcare in Spearfish (1.7 mi) and Rolling Hills Healthcare in Belle Fourche (11 mi).

Spearfish compared with Lawrence County and South Dakota

Census figure	Spearfish	Lawrence County	South Dakota
Residents 65+ with difficulty dressing or bathing	6.1%	4.4%	5.4%
Residents 65+ with serious difficulty walking	19%	18%	18%
Residents 65+ with serious difficulty remembering	8.8%	6.7%	5.9%
Residents 85 or older	3.3%	2.7%	2.1%
Residents 65+ in households who live alone	35%	28%	30%
Residents 65+ below the poverty line (approx.)	12%	12%	10%
Median income, households headed by someone 65+	$57,813	$58,472	—

Older residents in towns around Spearfish

Town	Distance	Residents 65+	Self-care difficulty (65+)
Lead, SD	9.9 mi	818	7.5%
Belle Fourche, SD	12 mi	1,117	11%
Sturgis, SD	17 mi	1,375	3.4%
Summerset, SD	31 mi	248	3.2%
Blackhawk, SD	33 mi	550	9.6%
Colonial Pine Hills, SD	41 mi	793	12%

Home health agencies serving Spearfish

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Monument Health Home Plus Home Health	Spearfish, SD	2.4 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(605) 644-4444
Monument Health Home Plus Home Health	Rapid City, SD	38 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(605) 755-7710
Good Samaritan Soc-Home Health Of The Black Hills	Rapid City, SD	41 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(605) 342-0529
Heartland Home Health LLC	Belle Fourche, SD	13 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(605) 723-4663
State Home Care Services, Inc	Rapid City, SD	39 mi	4.5 of 5	nursing, physical therapy, occupational therapy, home health aides	(605) 718-5004

Nursing homes near Spearfish (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Spearfish Canyon Healthcare	Spearfish, SD	1.7 mi	2 of 5	105	(605) 642-2716
Rolling Hills Healthcare	Belle Fourche, SD	11 mi	1 of 5	83	(605) 892-3331
Monument Health Sturgis Care Center	Sturgis, SD	16 mi	3 of 5	40	(605) 720-2400

Straight-line miles from the center of Spearfish. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a 24-hour caregiver can help with

Someone awake and on duty at all hours
Personal care, meals and medication reminders through the day
Help at night without relying on one tired caregiver
Written handover notes between shifts

Cost

What 24-hour home care costs in Spearfish

24-hour care is 168 paid hours a week. At $18.15 an hour (the South Dakota median aide wage) that is about $13,213 a month in wages before any overtime, 274% of the $4,818 monthly median income of Spearfish households headed by someone 65+. Rates are agreed with each caregiver. South Dakota's minimum wage is $11.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a 24-hour caregiver

24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.

Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

24-Hour Home Care in Spearfish: common questions

How much does 24-hour home care cost in Spearfish?

24-hour care is 168 paid hours a week. At $18.15 an hour (the South Dakota median aide wage) that is about $13,213 a month in wages before any overtime, 274% of the $4,818 monthly median income of Spearfish households headed by someone 65+. Rates are agreed with each caregiver. South Dakota's minimum wage is $11.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

How many caregivers does 24-hour care take?

A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.

More near Spearfish

More senior care near Spearfish

24-Hour Home Care in nearby cities

Other care in Spearfish

More for Spearfish families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

24-Hour Home Care in Spearfish, SD