nursing home in Belle Fourche, SD
Rolling Hills Healthcare
2200 13th Ave, Belle Fourche, SD 57717 · (605) 892-3331
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Rolling Hills Healthcare at a glance
Rolling Hills Healthcare is a 83-bed for-profit nursing home in Belle Fourche, South Dakota (Butte County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the South Dakota average of 2.9.
Residents receive about 3.6 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (February 12, 2026) found 12 health citations. The South Dakota average is 6.7.
Federal regulators fined it 4 times in the past three years, totaling $80,634.
Nursing staff turnover is 65.1% per year (state average 48.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 83
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Eduro Healthcare
- Medicare-certified since
- March 10, 1986
- Resident/family council
- Resident
- County
- Butte County
- CMS Certification Number
- 435035
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.6 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.62 hrs | 3.79 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.57 hrs | 0.80 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.47 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 2.93 hrs | 3.26 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 65.1% | 48.2% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 34.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 12 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 143.5 | 72.2 | 80.6 | Worse |
Penalties
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $80,634 | $40,815 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 2 | 1 | Worse |
Size
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 83 | 61 | 107 | |
| Average residents per day | 58 | 52 | 86 | |
| Occupancy | 70% | 85.2% | 80.9% |
Long-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.5% | 5.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 6.2% | 4.6% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 15.1% | 24.6% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 2.3% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.3% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 22.1% | 21.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.8% | 19.4% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 6.6% | 5.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.9% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 33.9% | 25.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98% | 96.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 94.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 5.9% | 2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 91.4% | 78.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 89.5% | 83.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 34 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 12, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected March 17, 2026 |
| February 12, 2026 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected March 17, 2026 |
| February 12, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 17, 2026 |
| February 12, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected March 17, 2026 |
| February 12, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected March 17, 2026 |
| February 12, 2026 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected March 17, 2026 |
| February 12, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 17, 2026 |
| February 12, 2026 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected March 17, 2026 |
| February 12, 2026 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected March 17, 2026 |
| September 29, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected October 22, 2025 |
| September 29, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected October 22, 2025 |
| September 29, 2025 Complaint | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected October 22, 2025 |
| June 3, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected July 5, 2025 |
| January 28, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected January 24, 2025 |
| October 17, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | C No harm, widespread | Corrected November 9, 2024 |
| October 17, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | C No harm, widespread | Corrected November 9, 2024 |
| October 17, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected November 9, 2024 |
| October 17, 2024 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected November 9, 2024 |
| October 17, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 9, 2024 |
| October 17, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected November 9, 2024 |
| October 17, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected November 9, 2024 |
| October 17, 2024 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected November 9, 2024 |
| October 17, 2024 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected November 9, 2024 |
| October 17, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected November 9, 2024 |
| September 4, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | L Immediate jeopardy, widespread | Corrected September 23, 2024 |
| September 4, 2024 Complaint | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Tag F0801 | D Potential harm, isolated | Corrected September 23, 2024 |
| September 4, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 23, 2024 |
| June 27, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected August 2, 2024 |
| June 27, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 21, 2024 |
| September 27, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected October 31, 2023 |
| September 27, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected October 31, 2023 |
| September 27, 2023 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected October 31, 2023 |
| September 27, 2023 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected October 31, 2023 |
| September 27, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 31, 2023 |
| September 27, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected October 31, 2023 |
| September 27, 2023 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected October 31, 2023 |
| September 27, 2023 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected October 31, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $80,634 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 29, 2025 | Fine | $25,490 |
| January 28, 2025 | Fine | $7,008 |
| October 17, 2024 | Fine | $16,656 |
| September 4, 2024 | Fine | $31,480 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BEWSEY, MICHAEL Individual | corporate officer | NOT APPLICABLE | 02/01/2019 |
| RAMOS, BRIAN Individual | corporate officer | NOT APPLICABLE | 02/01/2019 |
| THOMPSON, CHRISTOPHER Individual | corporate officer | NOT APPLICABLE | 02/01/2019 |
| EDURO HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2019 |
| THOMPSON, CHRISTOPHER Individual | w-2 managing employee | NOT APPLICABLE | 02/01/2019 |
Other nursing homes near Rolling Hills Healthcare
Spearfish Canyon Healthcare
1020 N 10th Street, Spearfish, SD 57783 · 10.8 mi
For-profit · 105 beds · Part of Eduro Healthcare
- Abuse citation
★★★★★2Below averageMonument Health Sturgis Care Center
2140 Junction Avenue, Sturgis, SD 57785 · 23.6 mi
Non-profit · 40 beds
★★★★★3AverageCrook County Medical Services District Long Term C
713 Oak St, Sundance, WY 82729 · 31.5 mi
Non-profit · 32 beds
★★★★★2Below average
All nursing homes in Belle Fourche, SD · Compare side by side
Frequently asked questions
What is Rolling Hills Healthcare's rating?
Rolling Hills Healthcare has 1 out of 5 stars on the CMS overall star rating. The average for South Dakota nursing homes is 2.9 stars.
How many inspection citations did Rolling Hills Healthcare receive?
Its most recent standard health inspection found 12 citations, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does Rolling Hills Healthcare accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Rolling Hills Healthcare?
It is for profit - limited liability company and part of Eduro Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Rolling Hills Healthcare and how do I contact it?
Rolling Hills Healthcare is at 2200 13th Ave, Belle Fourche, SD 57717. Phone: (605) 892-3331.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.