Rolling Hills Healthcare
2200 13th Ave, Belle Fourche, SD 57717 · (605) 892-3331
For profit - Limited Liability company · 83 certified beds
Rolling Hills Healthcare has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 9 citations, 1 for actual harm or immediate jeopardy (the South Dakota average is 6.7). It was fined 4 times in the last three years, $80,634 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 12, 2026 found 9 citations. What an inspection citation means
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 12, 2026 · F0686 · Level of harm: Actual harm · Residents affected: Few
- 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.February 12, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide safe and appropriate respiratory care for a resident when needed.February 12, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.February 12, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.February 12, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Allow residents to self-administer drugs if determined clinically appropriate.February 12, 2026 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 12, 2026 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedFebruary 12, 2026 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.February 12, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 11 citations.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 29, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide care or services that was trauma informed and/or culturally competent.September 29, 2025 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.September 29, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 3, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 28, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.October 17, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.September 4, 2024 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.September 4, 2024 · F0812 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many
- Provide and implement an infection prevention and control program.September 4, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 27, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.June 27, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $25,490September 29, 2025
- Fine of $7,008January 28, 2025
- Fine of $16,656October 17, 2024
- Fine of $31,480September 4, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | South Dakota average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.62 | 3.79 | 3.86 |
| Registered nurses (RN) | 0.57 | 0.80 | 0.69 |
| Licensed practical nurses (LPN) | 0.58 | 0.47 | 0.86 |
| Nurse aides | 2.47 | 2.52 | 2.32 |
| Total nursing staff turnover | 65.1% | 48.2% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 83 |
| Average residents per day | 58.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Custer Care and Rehab Center Custer · ★★★★★ 1 out of 5 stars
- Michael J Fitzmaurice South Dakota Veterans Home Hot Springs · ★★★★★ 4 out of 5 stars
- Seven Sisters Living Center Hot Springs · ★★★★★ 4 out of 5 stars
- Good Samaritan Society New Underwood New Underwood · ★★★★★ 2 out of 5 stars
- Clarkson Health Care Rapid City · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Rolling Hills Healthcare on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.