Belle Fourche, SD

Rolling Hills Healthcare

1-star overall rating with 1-star inspections with $55,144 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2200 13th Ave, Belle Fourche, SD

(605) 892-3331

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Eduro Healthcare

Operator or chain grouping

Approved since

1986-03-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

36 facilities

Chain averages 2 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.25

Registered nurse staffing · state 0.80 · national 0.68

LPN hours / resident day

0.58

Licensed practical nurse staffing · state 0.49 · national 0.87

Aide hours / resident day

1.90

Nurse aide staffing · state 2.61 · national 2.35

Total nurse hours

2.73

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

0.84

RN + LPN hours · state 1.28 · national 1.54

Weekend hours

2.35

Weekend nurse staffing · state 3.32 · national 3.43

Weekend RN hours

0.15

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.13

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.28

CMS adjusted RN staffing hours

Adjusted total hours

2.96

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

78%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

78%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,997

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

25.05

Composite VBP score used to determine payment impact.

Payment multiplier

0.9837

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.57

Performance 19.31% · Measure score 4.57 · Achievement 4.57 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

Baseline 7.12% · Performance 7.80% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

5.45

Baseline 74.65% · Performance 45.00% · Measure score 5.45 · Achievement 4.57 · Improvement 5.45

Adjusted total nurse staffing

Baseline 3.13 hours · Performance 2.99 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.7%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 61 · Observed rate 6.56% · Lower 95% interval 6.36%
Discharge to community	55.08%	50.57% 4.5 pts better	No Different than the National Rate · Eligible stays 57 · Observed rate 47.37% · Lower 95% interval 42.35%
Medicare spending per beneficiary	1.18	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 55 · Denominator 55
Falls with major injury	1.82%	0.77% 1.1 pts worse	Numerator 1 · Denominator 55
Discharge self-care score	35.9%	53.69% 17.8 pts worse	Numerator 14 · Denominator 39
Discharge mobility score	35.9%	50.94% 15 pts worse	Numerator 14 · Denominator 39
Pressure ulcers or injuries, new or worsened	12.73%	2.29% 10.4 pts worse	Numerator 7 · Denominator 55 · Adjusted rate 11.83%
Healthcare-associated infections requiring hospitalization	7.81%	7.12% 0.7 pts worse	No Different than the National Rate · Eligible stays 49 · Observed rate 10.2% · Lower 95% interval 4.13%
Staff COVID-19 vaccination coverage	3.03%	8.2% 5.2 pts worse	Numerator 2 · Denominator 66
Staff flu vaccination coverage	28.92%	42% 13.1 pts worse	Numerator 24 · Denominator 83
Discharge function score	35.9%	56.45% 20.6 pts worse	Numerator 14 · Denominator 39
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 23 · Denominator 23
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 31

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.6	1.5 0.9 pts better	1.9 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.7 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.3	1.9 0.4 pts worse	1.8 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.3 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	95.4% 4.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.0%	96.9% 1.1 pts better	95.5% 2.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.4%	5.1% 1.7 pts better	3.3% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.2% · Q3 7.1% · Q4 2.3% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.6% 4.6 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	12.4%	5.5% 6.9 pts worse	5.4% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 14.0% · Q3 11.1% · Q4 11.4% · 4Q avg 12.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.2%	17.8% 3.6 pts better	19.6% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 24.4% · Q3 5.4% · Q4 7.7% · 4Q avg 14.2%
Percentage of long-stay residents who received an antipsychotic medication	11.6%	25.1% 13.5 pts better	16.7% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 11.8% · Q3 10.0% · Q4 17.2% · 4Q avg 11.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	21.5%	21.3% 0.2 pts worse	16.3% 5.2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 21.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.5%	21.6% 4.1 pts better	14.9% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 16.7% · Q3 8.3% · Q4 15.8% · 4Q avg 17.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.2%	2.0% 0.2 pts worse	1.0% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 4.2% · Q4 2.8% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	8.9%	3.3% 5.6 pts worse	1.7% 7.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 11.4% · Q3 2.4% · Q4 5.0% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	37.0%	25.8% 11.2 pts worse	19.8% 17.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 45.1% · Q3 34.8% · Q4 37.5% · 4Q avg 37.0%
Percentage of long-stay residents with pressure ulcers	6.9%	4.6% 2.3 pts worse	5.1% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 6.6% · Q3 5.1% · Q4 8.7% · 4Q avg 6.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.4%	83.2% 9.2 pts better	81.7% 10.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 88.5% · Q2 94.1% · Q3 95.7% · Q4 90.2% · 4Q avg 92.4%
Percentage of short-stay residents who had an outpatient emergency department visit	13.1%	11.7% 1.4 pts worse	12.0% 1.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 12.5% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.4%	1.7% 0.7 pts worse	1.6% 0.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 3.8% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.4%	78.2% 13.2 pts better	79.7% 11.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.3%	21.5% 5.2 pts better	23.9% 7.6 pts better	Short Stay · 20240701-20250630 · Adjusted 16.3% · Observed 15.0% · Expected 21.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-17 · Fire 2024-10-17

12 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2023-09-27 · Fire 2023-09-27

13 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2022-09-08 · Fire 2022-09-08

2 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

C · Minimal harm 2024-10-17

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-11-09

C · Minimal harm 2024-10-17

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-11-09

C · Minimal harm 2023-09-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-31

Inspection history

Recent health citations

G · Actual harm 2025-09-29

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-10-22

D · Potential for more than minimal harm 2025-09-29

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-10-22

D · Potential for more than minimal harm 2025-09-29

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-10-22

E · Potential for more than minimal harm 2025-06-03

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-07-05

G · Actual harm 2025-01-28

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-01-24

G · Actual harm 2024-10-17

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-11-09

F · Potential for more than minimal harm 2024-10-17

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-11-09

E · Potential for more than minimal harm 2024-10-17

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-11-09

E · Potential for more than minimal harm 2024-10-17

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-11-09

D · Potential for more than minimal harm 2024-10-17

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-11-09

D · Potential for more than minimal harm 2024-10-17

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-11-09

D · Potential for more than minimal harm 2024-10-17

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-11-09

D · Potential for more than minimal harm 2024-10-17

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-11-09

L · Immediate jeopardy 2024-09-04

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-09-23

D · Potential for more than minimal harm 2024-09-04

F801 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-09-23

D · Potential for more than minimal harm 2024-09-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-23

D · Potential for more than minimal harm 2024-06-27

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-06-27

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-08-02

E · Potential for more than minimal harm 2023-09-27

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-10-31

E · Potential for more than minimal harm 2023-09-27