Federal inspection record · CMS data as of October 1, 2026
Fountain Springs Healthcare
2000 Wesleyan Blvd, Rapid City, SD · (605) 343-3555
- Certified beds
- 90
- Residents per day
- 84
- Ownership
- For-Profit
- Chain
- Evergreen Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1998
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in South Dakota.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among South Dakota homes
Fountain Springs Healthcare carries 52 inspection points. That is fewer than 47% of South Dakota's 94 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in South Dakota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–31.5 pts
- 3★ 31.5–55 pts
- 2★ 55–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in South Dakota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
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J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care4E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning4D
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights3D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
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.
- D
Keep residents' personal and medical records private and confidential.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services1E
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Pharmacy Service1E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2025-12-09
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-04-04
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2023-03-02
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 41 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
3 h 41 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 57% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$22,526 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-15 | Fine | $16,801 |
| 2024-01-02 | Fine | $5,725 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.1 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better | 97.9% | 94.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts better | 98.5% | 97.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.2 pts worse | 9.7% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.5 pts better | 0.4% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight6 pts worse | 11.7% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts better | 16.3% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.2 pts worse | 25.0% | 24.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened22.3 pts worse | 40.6% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1 pts better | 20.5% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.9 pts better | 0.0% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts better | 1.3% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.8 pts worse | 32.3% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.5 pts worse | 8.0% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.4 pts better | 86.3% | 83.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.1 pts worse | 19.4% | 13.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse | 3.0% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.6 pts better | 85.1% | 75.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.1 pts better | 15.9% | 20.0% | 23.4% |
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Who owns and runs it
34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Pacific Northwest SNF Operations Holdings (Sd) LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 6 facilities |
| Ch Pacific Northwest Holdings LLC | Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Ch Pacific Northwest Holdings LLC | Adp Of The SNF · Organization | 0% | 22 facilities |
| Couve Financial Services LLC | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Couve Financial Services LLC | Adp Of The SNF · Organization | 0% | 41 facilities |
| Couve Healthcare Consulting LLC | Operational/Managerial Control · Organization | 0% | 50 facilities |
| Couve Healthcare Consulting LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Fountain Springs SNF Operations, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Fountain Springs SNF Operations, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Harvey, Kristine | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Harvey, Kristine | Adp Of The SNF · Individual | 0% | 1 facilities |
| Herzka, Yisroel | Indirect Ownership Interest · Individual | 0% | 75 facilities |
| Herzka, Yisroel | Adp Of The SNF · Individual | 0% | 75 facilities |
| Lowe, Leonor | Managing Control - Governing Body · Individual | 0% | 6 facilities |
| Lowe, Leonor | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Lowe, Leonor | Adp Of The SNF · Individual | 0% | 6 facilities |
| Pacific Northwest Opco Management LLC | Operational/Managerial Control · Organization | 0% | 29 facilities |
| Pacific Northwest Opco Management LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Pacific Northwest SNF Operations Holdings LLC | Indirect Ownership Interest · Organization | 0% | 16 facilities |
| Phillips, Marie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Phillips, Marie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ptacek, Travis | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Ptacek, Travis | Adp Of The SNF · Individual | 0% | 5 facilities |
| South Dakota SNF Consulting LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| South Dakota SNF Consulting LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Spielman, Shimon | Corporate Officer · Individual | 0% | 48 facilities |
| Spielman, Shimon | Operational/Managerial Control · Individual | 0% | 48 facilities |
| Spielman, Shimon | Adp Of The SNF · Individual | 0% | 48 facilities |
| Witzcorp Global LLC | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Witzcorp Global LLC | Adp Of The SNF · Organization | 0% | 21 facilities |
| Yenowitz, Yitzchok | Indirect Ownership Interest · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Corporate Officer · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Adp Of The SNF · Individual | 0% | 50 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
-
Avantara North
Rapid City, SD · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 8 min
- Fines
- $24,108
-
Avantara Mountain View
Rapid City, SD · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 47 min
- Fines
- $38,613
-
Good Samaritan Society - St Martin Village
Rapid City, SD · Good Samaritan Society
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0