Hospice & Home Care

    1440 N Main St, Spearfish, SD 57783

    Compassionate professional care preserving dignity

    I'm so grateful for the compassionate, professional caregivers - Eddie, Alisa, Nurse Charlie, Gabby and the aides provided quick, responsive support, hospice/palliative guidance, emotional aftercare, and a clean, homey facility with comfortable rooms and thoughtful amenities. Their care eased our stress and preserved my loved one's dignity; I would confidently recommend them, with only minor room for improvement.

    Loved one of client
    May 2026

    Services

    • Hospice Care

    Reviews

    3.55·(55)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Caregivers

      3.6
    • Communication

      2.4
    • Reliability

      2.1
    • Scheduling

      3.0
    • Value

      1.0

    Pros

    • Compassionate caregivers
    • Responsive, accessible office communication
    • Emotional and bereavement support
    • Hospice and palliative-care guidance
    • Flexibility for client outings and preferences
    • Day-and-night nursing coverage
    • Supportive social-work services
    • Clean, home-like facility and comfortable rooms
    • On-site amenities (coffee, snacks, walking path)
    • Dementia-care guidance and expertise
    • Personalized comfort and end-of-life care

    Cons

    • Inconsistent office communication and delayed callbacks
    • Unreliable shift coverage and scheduling delays
    • Variable caregiver professionalism and conduct
    • Inconsistent clinical oversight and nurse responsiveness
    • Medication-management and documentation concerns
    • Facility maintenance and safety weaknesses
    • Unclear policies and gaps in physician coordination
    • Perceived prioritization of billing and administrative processes
    • Inconsistent bereavement follow-up
    • Allegations of serious clinical incidents requiring investigation

    Summary of reviews

    Hospice & Home Care displays several clear strengths alongside notable operational inconsistencies. Many families describe the frontline caregivers as compassionate, respectful and attentive; reviewers commonly praised the agency's ability to provide comfort-focused, personalized end-of-life care, hospice and palliative guidance, and practical emotional support for family members. The agency's social-work services, aftercare check-ins and dementia-care guidance are cited as meaningful supports that reduce caregiver burnout and help families navigate clinical and logistical decisions.

    Caregiver quality is a prominent positive theme: reviewers frequently mention kind aides and skilled nurses, flexible approaches to client preferences (including outings), and reliable day-and-night nursing coverage. At the same time, there is clear variability in conduct and competence. Some accounts describe unprofessional behavior, lapses in attentiveness, and instances where clinical decisions or interactions fell short of family expectations. These contrast with many other reports of excellent, individualized care, indicating inconsistency in caregiver performance and client experience.

    Office communication and reliability are mixed. Numerous families commend quick accessibility, cheerful responsiveness from particular staff members, and helpful coordination during urgent needs. Conversely, other families experienced delayed callbacks, unanswered calls, promised nurse arrivals that did not occur on schedule, and long waits for follow-up. This pattern suggests that responsiveness may depend on staffing or shift and can be uneven across cases.

    Scheduling flexibility receives praise for accommodating client preferences and trips outside the home, but there are repeated notes about unreliable shift coverage and scheduling delays. Some families reported last-minute changes, missed or delayed shifts, and inconsistent assignment of familiar aides. Prospective clients should clarify expectations around guaranteed shift times, backup coverage, and caregiver continuity.

    Clinical management and medication processes show a split impression. Several reviewers singled out skilled nurses and strong clinical support, while others raised concerns about medication handling, documentation, and inappropriate medication changes. In a few instances reviewers described serious clinical concerns; these are described here as allegations that merit direct inquiry and verification with the agency or regulators during decision-making.

    Facility condition and administrative practice are generally viewed positively for cleanliness, comfortable rooms and pleasant amenities; however, isolated maintenance and safety issues (for example, environmental controls and household repairs) were reported and reportedly addressed in some cases. A number of families perceived the office as focused on billing and administrative processes; clarity on billing, cancellation, and payment policies would help address that perception.

    Taken together, the pattern is one of strong, compassionate caregiving and valuable hospice navigation delivered within an organization that can be uneven in communication, clinical oversight, scheduling reliability, and maintenance follow-through. Families considering this agency should ask concrete questions up front about caregiver consistency, medication-management protocols and oversight, escalation pathways for clinical concerns, backup staffing, bereavement services, and billing transparency. Verifying those items can help align expectations and reduce the risk of the inconsistencies documented in reviews.

    Location

    Map showing location of Hospice & Home Care

    Hospice & Home Care is located at 1440 N Main St, Spearfish, SD 57783.

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    Disclaimer

    Mirador Home Care is not affiliated with the owner or operator(s) of Hospice & Home Care. The information on this page is provided as a public resource and may not reflect the most current details. For exact information, please contact Hospice & Home Care directly. There is no cost for using this service.

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