Mobility Assistance in Spearfish, SD

Local figures

Mobility Assistance in Spearfish, SD: the local picture

19%

of residents 65+ have serious difficulty walking or climbing stairs (18% in Lawrence County)

421

residents 85 or older (3.3% of all residents)

2.4 mi

to the nearest hospital with an emergency department (Spearfish)

30%

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

About 496 Spearfish residents 65 or older have serious difficulty walking or climbing stairs (19%; 18% in Lawrence County). That is the Census measure closest to needing mobility help.

421 residents are 85 or older. Ask any caregiver who will help with transfers how they were trained.

Home health agencies serving Spearfish that list physical therapy include Monument Health Home Plus Home Health and Monument Health Home Plus Home Health; therapy at home needs a doctor’s order.

Spearfish compared with Lawrence County and South Dakota

Census figure	Spearfish	Lawrence County	South Dakota
Residents 65+ with serious difficulty walking	19%	18%	18%
Residents 85 or older	3.3%	2.7%	2.1%
Residents 65+ with difficulty dressing or bathing	6.1%	4.4%	5.4%
Residents 65+ with a disability	30%	33%	31%
Residents 65+ in households who live alone	35%	28%	30%
Households with no vehicle	7.4%	4.8%	5.2%
Median income, households headed by someone 65+	$57,813	$58,472	—

Older residents in towns around Spearfish

Town	Distance	Residents 65+	Walking difficulty (65+)
Lead, SD	9.9 mi	818	26%
Belle Fourche, SD	12 mi	1,117	23%
Sturgis, SD	17 mi	1,375	23%
Summerset, SD	31 mi	248	14%
Blackhawk, SD	33 mi	550	32%
Colonial Pine Hills, SD	41 mi	793	13%

Home health agencies serving Spearfish (therapy needs a doctor’s order)

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
Interim Healthcare	Rapid City, SD	39 mi	3 of 5	nursing, physical therapy, occupational therapy, home health aides	(605) 348-5885

Emergency hospitals near Spearfish

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Monument Health Spearfish Hospital	Spearfish, SD	2.4 mi	4 of 5	(605) 644-4000
Monument Health Lead-Deadwood Hospital	Deadwood, SD	9.0 mi	not rated	(605) 717-6000

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 mobility help can help with

Steadying walks inside and outside the home
Transfers: bed, chair, toilet, shower and car
Help with walkers, canes and wheelchairs
The home exercises a physical therapist set

Cost

What mobility assistance 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 mobility help

Falls are the leading cause of injury for adults 65 and older, and over 14 million, or 1 in 4, older adults report falling every year (CDC).

Questions worth asking: Which transfers are you trained to do safely? Have you used a gait belt, walker or wheelchair with clients? What would you do if my parent started to fall? More in our mobility assistance guide.

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

Questions

Mobility Assistance in Spearfish: common questions

How much does mobility assistance 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).

What does a caregiver do to help with mobility?

Walks beside the person, helps them stand and sit, transfers them to bed, chair, toilet, shower or car, and keeps walkways clear. They do not replace a physical therapist.

More near Spearfish

More senior care near Spearfish

Mobility Assistance 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.

Mobility Assistance at Home in Spearfish, SD