Nursing HomeInspections

Rolling Hills Healthcare

Nursing home in Belle Fourche, SD

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
2200 13th Ave, Belle Fourche, SD 57717
Phone
(605) 892-3331
Listed under
For-profit
Medicare CCN
435035
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
83
Average residents per day
61
Ownership
For-profit, limited Liability company
Legal business name
Belle Fourche Nursing and Rehab Center LLC
Chain
Eduro Healthcare (34 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 10, 1986
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 435035. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Feb 12, 2026. CMS lists 34 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 27, 2023 to Feb 12, 2026): 11 from complaint inspections, 5 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Feb 12, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 12, 2026Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 12, 2026Create 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		D
Potential for more than minimal harm, isolated
Feb 12, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 12, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Feb 12, 2026Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Feb 12, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Feb 12, 2026Have 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		F
Potential for more than minimal harm, widespread
Feb 12, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		G
Actual harm, isolated
Sep 29, 2025Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 29, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 29, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated

Showing the 12 most recent of 34. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 5 fines totalling $122,608 in the last three years.

Feb 12, 2026Fine: $41,974
Sep 29, 2025Fine: $25,490
Jan 28, 2025Fine: $7,008
Oct 17, 2024Fine: $16,656
Sep 4, 2024Fine: $31,480

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.04 hours
Registered nurse (RN) time per resident per day
0.58 hours
Nurse aide time per resident per day
1.93 hours
Total nurse staffing on weekends
2.59 hours
Nursing staff turnover (yearly)
65%
RN turnover (yearly)
67%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error