CNA Home Care in Lead, SD: Nursing Assistants

Local figures

Nursing Assistants in Lead, SD: the local picture

3

Medicare-certified nursing homes within 25 miles

228

certified beds in the 3 nearest nursing homes

$18.15

median hourly wage of home care aides in South Dakota (BLS, May 2025)

$11.85

South Dakota minimum wage per hour

The nearest Medicare-certified nursing homes to Lead are Spearfish Canyon Healthcare in Spearfish (11 mi), Monument Health Sturgis Care Center in Sturgis (13 mi), Rolling Hills Healthcare in Belle Fourche (21 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.

Aides in South Dakota earn a median $18.15 an hour (BLS, May 2025, home health and personal care aides). South Dakota's minimum wage is $11.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

Lead has about 102 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.

Lead compared with Lawrence County and South Dakota

Census figure	Lead	Lawrence County	South Dakota
Residents 85 or older	3.4%	2.7%	2.1%
Residents 65+ with a disability	46%	33%	31%
Residents 65 or older	27%	25%	18%
Residents 65+ in households who live alone	35%	28%	30%
Residents 65+ below the poverty line (approx.)	21%	12%	10%
Households with no vehicle	4.2%	4.8%	5.2%
Median income, households headed by someone 65+	$55,577	$58,472	—

Older residents in towns around Lead

Town	Distance	Residents 65+	Residents 85+
Spearfish, SD	9.9 mi	2,676	421
Sturgis, SD	14 mi	1,375	187
Belle Fourche, SD	22 mi	1,117	149
Summerset, SD	24 mi	248	29
Blackhawk, SD	26 mi	550	26
Colonial Pine Hills, SD	32 mi	793	13

Nursing homes near Lead

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Spearfish Canyon Healthcare	Spearfish, SD	11 mi	2 of 5	105	(605) 642-2716
Monument Health Sturgis Care Center	Sturgis, SD	13 mi	3 of 5	40	(605) 720-2400
Rolling Hills Healthcare	Belle Fourche, SD	21 mi	1 of 5	83	(605) 892-3331

Home health agencies serving Lead

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Monument Health Home Plus Home Health	Spearfish, SD	11 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(605) 644-4444
Heartland Home Health LLC	Belle Fourche, SD	22 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	31 mi	4.5 of 5	nursing, physical therapy, occupational therapy, home health aides	(605) 718-5004

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

What it covers

What a nursing assistant can help with

Bathing, dressing, grooming and toileting
Safe transfers, repositioning and walking
Help with eating and fluids
Taking and noting vital signs if asked

Cost

What CNAs costs in Lead

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 34% of the $4,631 monthly median income of Lead 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 nursing assistant

To be certified, a nurse aide completes a state-approved training program of at least 75 hours, including 16 hours of supervised practical training, and passes a competency exam (42 CFR 483.152). The state then lists them on its nurse aide registry, which you can search online in most states.

Questions worth asking: Which state certified you, and is it current? Where have you worked as a CNA? Are you comfortable with lifts, catheters and incontinence care? More in our nursing assistants guide.

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

Questions

Nursing Assistants in Lead: common questions

What nursing homes are near Lead?

The closest Medicare-certified nursing homes are Spearfish Canyon Healthcare in Spearfish (11 mi, 2 of 5 overall); Monument Health Sturgis Care Center in Sturgis (13 mi, 3 of 5 overall); Rolling Hills Healthcare in Belle Fourche (21 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does CNAs cost in Lead?

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 34% of the $4,631 monthly median income of Lead 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).

Can a CNA give medication?

Generally no. A CNA can remind someone to take medication. Giving medication is usually reserved for licensed nurses, or for aides with a separate state medication certification.

More near Lead

More senior care near Lead

Nursing Assistants in nearby cities

Other care in Lead

More for Lead 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.

Certified Nursing Assistants (CNAs) for Home Care in Lead, SD