Occupational Therapy

Occupational Therapy

Occupational therapists help patients with skills for living, such as caring for themselves, cooking, homemaking and working. We work with people of all ages who, because of illness or injury, need to re-learn skills to return to productive, independent and satisfying lives.

The rehabilitation process can be different for every patient, often requiring specialized or personalized types of therapy. Our team works closely with Physical Therapy, Speech Therapy and other members of your care team to guide you to recovery.


Conditions We Treat

The conditions that an occupational therapist treats include:

Therapy Treatments

Each condition and person is different. Our occupational therapists will tailor your treatment plan to your condition. Treatments include:

  • Activities of daily living performance
  • Adaptive equipment
  • Child development or pediatric therapy
  • Cognitive evaluation
  • Driving assessment
  • Hand therapy
  • In-clinic driving evaluation
  • Individualized evaluation and goal-setting
  • Industrial rehabilitation, including office ergonomics, job site assessment and functional capacity evaluation
  • Neurological rehabilitation
  • Orthopedic rehabilitation
  • Sensory and feeding evaluation
  • Splint fabrication and training
  • Wheelchair positioning
Shockwave Therapy

Shockwave Therapy

Shockwave therapy is a technique used in orthopedics, sports medicine, physical and occupational therapy. It is a non-surgical, non-invasive therapy that transmits focused acoustic waves to affected tissue. These waves stimulate the body’s natural healing mechanisms to aid in the reduction of pain, restoration of normal tissue function, and reducing the need for medications and/or significant activity modification.

Deep Tissue Laser Therapy

Laser therapy is used in orthopedics, physical and occupational therapy, and sports medicine. It is a non-surgical, non-invasive therapy that uses focused light to stimulate a process called photobiomodulation (PBM). During PBM, photons enter the affected tissue and trigger a biological cascade of events that leads to an increase in cellular metabolism, which can decrease pain and inflammation and accelerate the healing process.

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

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What People Are Saying

Obstetrics & Gynecology

OBSTETRICS & gynecology

Board-certified OB/GYNs in Spearfish specialize in pregnancy, childbirth, female reproductive systems and women’s gynecological health. Family Medicine physicians in all clinic locations also care for women’s health and prenatal needs. Visit with your primary care provider to determine what is best for you.

 


OUR SERVICES

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.


Nutrition Services

Nutrition Services

Monument Health Registered Dietitians can develop and guide you through a care plan specific to your health concerns by helping you incorporate nutritious foods into your diet. Our dietitians offer individual consultations, education and support for inpatients and outpatients of all ages with conditions such as allergies, cardiovascular disease, high cholesterol, high blood pressure, diabetes, digestive disorders, HIV/AIDS, cancer and osteoporosis.


Frequently Asked Questions

What credentials does a registered dietitian hold?

A registered dietitian (RD) has at least a four-year college degree with additional training, such as an internship, and has passed a national registration exam. Licensed nutritionists (LNs) are certified by the State of South Dakota. Caregivers in Nutrition Services at Monument Health hold either an RD or LN credential.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

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Medical Imaging

Medical Imaging

Medical science has made great strides in the treatment of complex human ailments. However, the first step in treating an illness is making an accurate diagnosis. Medical imaging technology and other diagnostic tools assist physicians in quickly diagnosing and determining the best treatment options for patients.

Monument Health medical imaging and radiology professionals work closely with physicians to provide the most advanced diagnostic and therapeutic procedures, utilizing the lowest possible radiation dose. Our team works diligently to provide quick turnaround times. Most imaging services are also available on the weekend for patients’ convenience.


Our Services

Digital Mammography

Digital Mammography

Breast cancer is the second most common cause of cancer-related deaths in women. Fortunately, digital mammography technology allows physicians to focus on areas of concern.
Calcium Scoring
A SIMPLE HEART SCAN COULD SAVE YOUR LIFE.

Calcium Scoring

Monument Health Rapid City, Custer and Lead-Deadwood Hospitals offer a calcium scoring scan in partnership with the National Heart Health Program.

Easy Upload For Providers

Easy Upload

Looking to send imaging to Monument Health – Follow these steps to upload your medical images:

1. Enter your email address or phone number
2. Click Send Authentication Code to receive an authentication code

If you need any help with the easy uploader, please reach out to Monument Health PACS team at 605-755-2242.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.


What People Are Saying

Laboratory Services

Laboratory Services

With the most robust lab test offering in the region, Monument Health Laboratories use state-of-the art technology in multiple locations throughout western South Dakota to produce accurate, sensitive and timely labs, close to home. Results are shared directly with health care providers and patients through the MyChart electronic health record portal.

Monument Health Laboratories utilize Mayo Clinic Laboratories for esoteric testing needs. Mayo Clinic Laboratories is a distinctive leader in the field of esoteric testing.


Lab On-Demand

Lab On-Demand

Cash lab offerings at many locations

Lab On-Demand testing allows individuals to request laboratory testing and receive results without a physician’s order at a discounted price.

Educational Info

Are you a health care provider?

Are you a health care provider?

Monument Health Laboratories provides reference lab services to a variety of healthcare providers to expand their lab service offerings and receive fast, accurate and cost-effective results.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.


Hospital Medicine

Hospital Medicine

Hospital medicine is a specialty dedicated to the delivery of comprehensive medical care to hospitalized patients. Practitioners of hospital medicine include physicians (“Hospitalists”) and non-physician providers such as Certified Nurse Practitioners or Physician Assistants. Hospital medicine providers will collaborate, communicate and coordinate with other physicians, including your primary provider, during care for hospitalized patients.


Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.


Hospice Care

Hospice Care

Hospice caregivers are committed to making a lasting difference in the lives of patients diagnosed with a life-limiting illness by enabling them and their loved ones to live each day as fully and as comfortably as possible. Our team is attentive to the medical, emotional and social needs of patients, their families and friends. Most hospice patients live in their own home, but Home Hospice Care is available for people no matter where they call “home” – a private home, assisted living, nursing home, or the Hospice House.


Our services

  • Pain and symptom management
  • Personal care assistance
  • Durable medical equipment
  • Medications related to terminal illness
  • Pastoral, financial, family and support counseling services
  • Access to Monument Health inpatient hospice care for caregiver respite or to stabilize patient’s symptoms
  • “We Honor Veterans” program
  • Bereavement after care

Frequently Asked Questions

Hospice Care

What is hospice care?

Hospice is a philosophy of care that provides medical and supportive services to those who have a shortened life expectancy and who prefer to die without life-extending measures. Hospice care does not treat the underlying illness. Likewise, hospice care doesn’t hasten or prolong death.

Hospice patients benefit from substantial relief from pain and other symptoms. Patients and their families are supported by a caring team, allowing the patient more control over the final stages of life.

Hospice House
Home+

Hospice House

Should a loved one require a higher level of care, the Hospice House in Rapid City offers specialized, round-the-clock care in a comforting environment. The peaceful setting and support ensures comfort, dignity and compassionate care during a difficult time.

Grief Counseling and Support Groups

Grief Counseling Services: Monument Health Hospice offer individual, couples, and family grief counseling.

Support Groups: Monument Health Hospice have educational, supportive grief groups available.

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.


What People Are Saying

General Surgery

General Surgery

Our surgical care teams in Rapid City and Spearfish include skilled, board-certified surgeons who provide evaluation and treatment for a full range of general surgery conditions. With advances in medicine, technology and anesthesia, surgery is far less invasive than it used to be. Patients recover more quickly, so they can get back to their lives. Our providers work collaboratively with a specialized support team to monitor your progress through recovery and beyond to ensure your best path to recovery.

Surgical Services Include:
Anti-reflux surgery, breast surgery, dialysis access, gastrointestinal surgery, hernia surgery, hemorrhoid procedures, surgical oncology (cancer), trauma and acute care surgery, thyroid, parathyroid and adrenal surgery, thoracic (mid-spine) surgery


Bariatrics

Bariatrics

If your weight has started affecting your health and your way of life, and other weight loss methods have not been successful, it may be time to consider weight-loss (bariatric) surgery.
Anti-Reflux Surgery

Anti-Reflux Surgery

Physicians at Monument Health specialize in the diagnosis and treatment of gastroesophageal reflux disease (GERD). We offer comprehensive care for your reflux disease, taking the time to work with you and your care team to develop a plan that is right for you.

Breast Surgery

Breast Surgery

We provide state-of-the-art diagnosis, prevention and treatment and work collaboratively with general and plastic surgery to determine the best course and sequence of treatment for you.

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.


Emergency Medicine

Emergency Medicine

Monument Health Hospitals in Custer, Lead-Deadwood, Rapid City, Spearfish and Sturgis provide 24/7 emergency medical services. 

All Emergency Departments treat injuries, illnesses that are immediately life-threatening and other emergent conditions of both adult and pediatric patients. Teams of doctors, registered nurses, advanced providers and other specially trained staff are available 24 hours a day, seven days a week to treat anyone seeking emergency medical care. Each year, Monument Health providers see more than 75,000 patients in the emergency care setting.


Rapid City Emergency Department

In addition to treating more common urgent or emergent medical conditions, the Department of Emergency Medicine at Rapid City provides Level 2 Trauma services, caring for patients with extremely severe injuries and serves as a referral center for people with traumatic injuries throughout Western South Dakota, Western Nebraska, Western North Dakota, Eastern Wyoming and Eastern Montana.  

As the region’s only accredited stroke center, Rapid City Hospital’s award-winning Interventional Neurologists on the Stroke Care team are the area’s recognized leaders. The Heart and Vascular Institute is also the largest provider of full scale cardiovascular services in western South Dakota. These nationally-lauded services collaborate closely with the Emergency Department and are often the difference between life and death in emergent heart failure and stroke victims.

Monument Health Emergency Services & Medical Campus at 1911 East Mall Drive, Rapid City, SD. Exit 60 at I-90, across from the Toyota dealership.
New In Rapid City

Emergency Services & Medical Campus

On June 10, 2026, the Emergency Services & Medical Campus at 1911 East Mall Drive opened to meet the community’s growing need for emergency care. Just off I-90 at Exit 60, across from the Toyota dealership, the standalone emergency facility is more convenient for the growing Rapid City community along the I-90 corridor.

Doctors from the Emergency Department at the Rapid City Hospital will be delivering the same high-quality care and caring experience at this new location — specializing in Emergency Medicine, Lab On-Demand, Laboratory Services and Medical Imaging. It is open 24 hours, 365 days a year for all.

Sturgis Emergency Department

The Sturgis Emergency Department is state-certified as a South Dakota Department of Health trauma receiving hospital and a Centers for Medicare & Medicaid Services Critical Access Hospital (CAH).

Sturgis Emergency Department is a proud participant in the American Heart Association’s Mission: Lifeline acute stroke and post-acute stroke projects. Our participation in the Mission: Lifeline Stroke initiative demonstrates our commitment to quality care. We are proud to be a part of the American Heart Association’s efforts to turn guidelines into lifelines.

In addition, the Sturgis Emergency Department provides access to other providers who specialize in emergency care via Telehealth. 

Spearfish Emergency Department

The Spearfish Emergency Department is a South Dakota Department of Health Designated Community Trauma Hospital (CTH) open 24/7 and is fully equipped to care for patients of all ages in critical and urgent situations. With trauma-trained nurses and providers ready upon patient arrival, Spearfish ED evaluates, stabilizes and treats trauma patients with immediate ATLS-compliant care protocols and surgical resuscitation procedures prior to transfer (if required). We are also equipped with 24/7 laboratory services, medical imaging and respiratory therapy.

Backed by a Spearfish Hospital’s full range of services, including: Inpatient care, Labor and delivery, Intensive care and Surgical specialties, Spearfish ED is Staffed with experienced emergency medicine providers, including physicians and advanced practice providers, with increased staffing during high-volume midday hours. Immediate access to on-call specialists in General Surgery, Orthopedic Surgery and Obstetrics and Ear, Nose and Throat, ensures timely expert evaluation and intervention.

Lead-Deadwood Emergency Department

The Lead-Deadwood Emergency Department is state-certified as a South Dakota Department of Health trauma receiving hospital and a Centers for Medicare & Medicaid Services Critical Access Hospital.

Custer Emergency Department

The Custer Emergency Department is state-certified as a South Dakota Department of Health trauma receiving hospital and a Centers for Medicare & Medicaid Services Critical Access Hospital. Open 24/7, Custer ED offers outpatient infusion services for medication injections and infusions, 12-bed inpatient services, respiratory therapy, 24/7 Lab and Radiology and a doctor available 24/7. 

Leading Rural Health Care

Critical Access Hospitals

The Sturgis, Lead-Deadwood and Custer Emergency Departments are Critical Access Hospitals. CAH is a designation designed to improve access to healthcare by keeping essential services in rural communities. Eligible hospitals must be more than 35-miles away from the nearest hospital/CAH, maintain 25 inpatient or swing-beds and maintain 24-hour emergency care services 7 days a week.

Designated Trauma Hospitals

The Sturgis, Lead-Deadwood and Custer Emergency Departments are Trauma Receiving Hospitals. South Dakota divides trauma hospitals into five groups: regional, area, community, receiving and non-trauma. A trauma receiving hospital must maintain 24/7 emergency department coverage by physician, physician assistant or nurse practitioner.

Community Trauma Hospital (CTH)

As a CTH, Spearfish Emergency offers 24/7 physician coverage and surgical coverage for all trauma team activations, with trauma transfers for when surgery is not available.

All emergency staff maintain certifications in:
• Advanced Trauma Life Support (ATLS) through the American College of Surgeons
• Trauma Nursing Core Course (TNCC) through the Emergency Nurses Association
• Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) through the American Heart Association
• Additional emergency care competencies and ongoing training

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.