Stroke Recovery Care in Spearfish, SD: Help at Home

Local figures

Stroke Recovery Support in Spearfish, SD: the local picture

2.4 mi

to the nearest hospital with an emergency department (Spearfish)

19%

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

6.1%

of residents 65+ have difficulty dressing or bathing (4.4% in Lawrence County)

6

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

Hospitals with an emergency department near Spearfish: Monument Health Spearfish Hospital in Spearfish (2.4 mi); Monument Health Lead-Deadwood Hospital in Deadwood (9.0 mi); Va Black Hills Healthcare System in Fort Meade (19 mi). With stroke signs, call 911 rather than driving.

157 Spearfish residents 65 or older have difficulty dressing or bathing (6.1%; 4.4% in Lawrence County), and 496 have serious difficulty walking: the two kinds of help most often needed in the weeks after a stroke.

Spearfish compared with Lawrence County and South Dakota

Census figure	Spearfish	Lawrence County	South Dakota
Residents 65+ with difficulty dressing or bathing	6.1%	4.4%	5.4%
Residents 65+ with serious difficulty walking	19%	18%	18%
Residents 65+ with serious difficulty remembering	8.8%	6.7%	5.9%
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+	Self-care difficulty (65+)
Lead, SD	9.9 mi	818	7.5%
Belle Fourche, SD	12 mi	1,117	11%
Sturgis, SD	17 mi	1,375	3.4%
Summerset, SD	31 mi	248	3.2%
Blackhawk, SD	33 mi	550	9.6%
Colonial Pine Hills, SD	41 mi	793	12%

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
Va Black Hills Healthcare System	Fort Meade, SD	19 mi	5 of 5	(605) 347-2511
Monument Health Sturgis Hospital	Sturgis, SD	24 mi	not rated	(605) 720-2400

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

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 stroke recovery can help with

Help with bathing, dressing and meals
Safe walking and transfers
Rides to rehabilitation and follow-up appointments
Practising the exercises therapists set

Cost

What stroke recovery 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 stroke recovery

More than 795,000 people in the U.S. have a stroke every year, about 610,000 of them for the first time (CDC). Many go home to recover.

Questions worth asking: Have you cared for someone after a stroke? How do you help with one-sided weakness during transfers? Can you drive to rehabilitation appointments? More in our stroke recovery support guide.

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

Questions

Stroke Recovery Support in Spearfish: common questions

How much does stroke recovery 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).

What does a caregiver do after a stroke?

Helps with personal care, meals and moving safely, takes the person to therapy, helps them practise what therapists set, and keeps the family informed. Medical and therapy decisions stay with the care team.

More near Spearfish

More senior care near Spearfish

Stroke Recovery 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.

Stroke Recovery Support at Home in Spearfish, SD