Hospice Support in Spearfish, SD: Caregivers at Home

Local figures

Hospice Support in Spearfish, SD: the local picture

3

Medicare-certified hospices serve Spearfish ZIP codes

421

residents 85 or older (3.3% of all residents)

35%

of residents 65+ in households live alone (28% in Lawrence County)

30%

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

Medicare lists 3 hospices whose service area includes Spearfish ZIP codes, the nearest offices being Monument Health Home Plus Hospice in Spearfish (2.4 mi) and Heartland Home Health & Hospice LLC in Belle Fourche (13 mi).

878 Spearfish residents 65 or older live alone (35% of those in households). Someone on hospice who lives alone usually needs added hours of help between the hospice team’s visits.

Spearfish compared with Lawrence County and South Dakota

Census figure	Spearfish	Lawrence County	South Dakota
Residents 85 or older	3.3%	2.7%	2.1%
Residents 65+ in households who live alone	35%	28%	30%
Residents 65+ with a disability	30%	33%	31%
Residents 65+ with difficulty dressing or bathing	6.1%	4.4%	5.4%
Residents 65 or older	21%	25%	18%
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+	Live alone (65+)
Lead, SD	9.9 mi	818	35%
Belle Fourche, SD	12 mi	1,117	33%
Sturgis, SD	17 mi	1,375	41%
Summerset, SD	31 mi	248	24%
Blackhawk, SD	33 mi	550	40%
Colonial Pine Hills, SD	41 mi	793	6.4%

Hospices serving Spearfish

Hospice	Office	Distance	Phone
Monument Health Home Plus Hospice	Spearfish, SD	2.4 mi	(605) 644-4444
Heartland Home Health & Hospice LLC	Belle Fourche, SD	13 mi	(605) 723-4663
Stillwater Hospice Of South Dakota	Rapid City, SD	41 mi	(605) 745-4967

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 caregiver for hospice support can help with

Comfort, company and a calm presence
Gentle personal care and repositioning
Small meals and fluids as the person wants
Telling the hospice nurse about changes

Cost

What hospice support costs in Spearfish

At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 33% of the $4,818 monthly median income of Spearfish households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 caregiver for hospice support

Under Medicare, hospice is for someone whose doctors certify a life expectancy of six months or less and who chooses comfort care instead of treatment to cure the illness. Medicare does not cover room and board for hospice care at home (Medicare.gov).

Questions worth asking: Have you cared for someone at the end of life? How do you work with a hospice nurse? Can you sit overnight in the last days if needed? More in our hospice support guide.

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

Questions

Hospice Support in Spearfish: common questions

How much does hospice support cost in Spearfish?

At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 33% of the $4,818 monthly median income of Spearfish households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Dakota's minimum wage is $11.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

Who qualifies for hospice under Medicare?

Someone whose hospice doctor (and regular doctor, if they have one) certifies a life expectancy of six months or less, and who accepts comfort care instead of curative treatment (Medicare.gov).

More near Spearfish

More senior care near Spearfish

Hospice Support 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.

In-Home Hospice Support in Spearfish, SD