Office – Rosebud

PO Box 1501
153 South Main Street
Mission, SD 57555

Phone: 605-856-2971
Fax: 605-856-2931 

PCA Coordinator: Christine Arrow | Email:
Registered Nurse: Katherine Williams | Email:
Receptionist: Sixtina Stewart | Email:

Greetings from the Rosebud Sioux Tribe. Our Mission, South Dakota office opened August 1, 2017.

Through our existing Pine Ridge office, we have been servicing this area since September 2015. We have worked with Marvine Douville, who works with the Elderly Nutrition Center. She was very determined in getting our services to the Rosebud Sioux Tribal membership. She saw the need and was very happy to assist us with setting up an office in the area for our elders on the reservation.

The State of South Dakota welcomed Circle of Life on November 4, 2013, when we opened our first doors to Honor and Serve our elders. The State referred to Circle of Life Kola Home Care as very unique. We have come a long way in these four years.

We are so blessed to have crossed paths with the most amazing woman, Circle of Life Founder Mrs. Pat Yager, for bringing this most needed service to our people. We can’t thank her enough. Our precious Elders have fought and defendeded themselves all their lives. What Pat brought to our people is the Honor and Service of helping and giving back to our Elders the much needed comfort of keeping them in their own homes.

Christine Arrow

PCA Coordinator

I was born December 11 and grew up on the Rosebud Reservation with my family in our little community of Black Pipe near Norris, SD. I went to school in the White River School District and graduated from high school in 1993. I have one child, her name is Fely Arrow. She is 16 years old and a junior in high school. I became an emergency medical technician in 1996, and that began my career in helping the people on my reservation. I worked as an EMT/medic until 2014, when I changed careers to work with the Rosebud Sioux Tribe Head Start program as the Health & Safety Manager. There I was in charge with any aspects to the health and safety of all children & staff in the program and also the safety of the school buildings. In that time, I also received my AAS degree from our local university, Sinte Gleska University, and now I am currently working towards my BA.

I heard about COLHCA in the summer of 2017 and applied for a PCA position. But I did not accept, because I got another job with the I.H.S Emergency Room. Then in November 2017, I was in a horrible accident which had a great loss and this impacted on my life negatively. It was a long road to recovery. But when I did return home from the hospital, the COLHCA client coordinator at the time reached out to me to see if I was interested in becoming the PCA coordinator when I was able to be mobile and walk on my own. I was in a bad way and that little boost of confidence in me made me determined to continue my healing process and start walking. I have been employed by COLHCA since April 2018, I have been ever so grateful for COLHCA for giving me the determination and the will to get back to work and do what I love to do best, which is help my people.

Katherine L. Williams

Registered Nurse

My name is Katherine L. Williams. I was born and raised on the Rosebud Reservation. I attended the University of South Dakota in Vermillion, Sinte Gleska University in Mission, SD, and later graduated from Presentation College in Aberdeen with my nursing degree. In my nursing career, I have worked in many different capacities to include medical, surgical, pediatrics, geriatrics, home health, obstetrics, clinic and chemical dependency. I have worked in nursing over 25 years in four different states to include SD, OK, MN, NE. It was my goal when I began nursing to gather as many tools offered and eventually become part of an organization where I could promote wellness to the people of my home. I relocated to MN in 1996 after working 4 and 1/2 years at the Indian Health Service in Rosebud and one year in a small home health office in Mission. I was on a journey to promote more opportunities for myself and children. I began working in a clinic, home health, hospice, and then to a specialty care on an obstetrical and pediatric unit. I worked there until Dec. 2009.

With both my parents retired and three of my children mostly grown, I wanted to move closer to home, and thankfully I have been allowed to guide them through bouts of unpredictable illnesses. I was given the opportunity to work in trauma and emergency care for IHS again until 2011. Shortly thereafter, I worked as an RN case manager and then to Unit Supervisor for the Methamphetamine Rehab and Recovery Program in Rosebud, SD. until funding issues closed the program in August of 2015. Since then, I have been a staff nurse in Nebraska and South Dakota in 25+ bed facilities to include long term care nursing, each time moving yet closer to my parents to assist with health issues. Thankfully, both of my parents are well today, with minimal set backs regarding their health.

To my amazement, I learned about Circle of Life Home Care in June of 2018 after I’d been told  no home care programs existed. I searched for more information about this program, and it seemed to fit what I was looking for at this point in my career. This program was advertising for a nursing position, and I applied. I was hired in July of 2018 which brings me to the present. I am thankful for the opportunity to “Honor Those We Serve” and excited to be part of long-needed program in this area. I look forward to the future of learning and growing with this program. 

Pila Maye, -Katherine

Sixtina Stewart


Hi, I’m Sixtina Stewart, also known as Chris. I’m originally from New Orleans, LA. My husband Ray, a computer technician, and I spent the last 20 years living on the Rosebud and raising three daughters. I started out as a PCA in January, 2018 and stepped into the receptionist position at the Mission office in April. I am glad to be part of the work that Circle of Life KOLA is doing here on the Rosebud. It is a blessing to the clients, the Personal Care Attendants, and to the community all around.