Parkinson's Care in Spearfish, SD: In-Home Caregivers

Local figures

Parkinson’s Care in Spearfish, SD: the local picture

19%

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

8.8%

of residents 65+ have serious difficulty remembering, concentrating or deciding (6.7% in Lawrence County)

2,676

residents 65 or older (21% of Spearfish)

6

Medicare-certified home health agencies list Spearfish ZIP codes in their service area

496 Spearfish residents 65 or older have serious difficulty walking or climbing stairs (19%; 18% in Lawrence County). The Census does not count Parkinson’s itself; these figures describe the kinds of help people locally need.

225 have serious difficulty remembering or concentrating (8.8%).

Medicare lists 6 home health agencies serving Spearfish ZIP codes; when a doctor orders it, they provide skilled nursing and therapy at home.

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 65+ with serious difficulty remembering	8.8%	6.7%	5.9%
Residents 65+ with difficulty dressing or bathing	6.1%	4.4%	5.4%
Residents 65 or older	21%	25%	18%
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

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

Nursing homes near Spearfish

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 caregiver experienced with Parkinson’s can help with

Medication reminders on the schedule the doctor set
Help walking, turning and getting up safely
Dressing and buttons when hands are stiff or shaky
Meals prepared the way the care team advises

Cost

What Parkinson’s care 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 experienced with Parkinson’s

Parkinson’s disease affects more than 1.1 million people in the U.S., and nearly 90,000 are diagnosed each year, according to the Parkinson’s Foundation. Its Helpline, 1-800-473-4636, answers questions from people with Parkinson’s and their families.

Questions worth asking: Have you cared for someone with Parkinson’s? What helped most? How do you keep medication reminders exactly on time? How do you help someone who freezes while walking? More in our parkinson’s care guide.

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

Questions

Parkinson’s Care in Spearfish: common questions

How much does Parkinson’s care 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 should a Parkinson’s caregiver know?

Look for someone who has helped people with stiffness, slowness or tremor, keeps a strict routine, and knows safe transfers. Ask for a reference from a family of someone with Parkinson’s.

More near Spearfish

More senior care near Spearfish

Parkinson’s 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.

In-Home Parkinson’s Care in Spearfish, SD