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

The nearest Medicare-certified nursing homes to Spearfish are Spearfish Canyon Healthcare in Spearfish (1.7 mi), Rolling Hills Healthcare in Belle Fourche (11 mi), Monument Health Sturgis Care Center in Sturgis (16 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).

Spearfish has about 421 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.

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.