All states › South Dakota › Belle Fourche › Rolling Hills Healthcare
2200 13th Ave Belle Fourche, SD 57717 · Butte County
CMS certification number 435035 · See this home on Medicare Care Compare
Is Rolling Hills Healthcare a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Rolling Hills Healthcare as of October 2026.
CMS rates it 1 out of 5 stars overall, below the South Dakota average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.04 hours per resident per day at Rolling Hills Healthcare, below the South Dakota median of 3.69 (US median: 3.72). About 0.58 of those hours are from registered nurses. On weekends it falls to 2.59 hours, 15% below its all-week average. 64.7% of nursing staff left within a year (South Dakota median 46.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Rolling Hills Healthcare: Medicare and Medicaid
Rolling Hills Healthcare is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet South Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 12, 2026 and found 9 deficiencies. In total, inspectors issued 34 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 34 citations at Rolling Hills Healthcare across 8 inspection dates, 11 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 4, 2024 (complaint inspection). The most common areas cited were resident rights (8) and quality of life and care (6). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level L, September 4, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.
February 12, 2026 · 9 citations
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FHave 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.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure 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.
EProvide and implement an infection prevention and control program.
DAllow residents to self-administer drugs if determined clinically appropriate.
DHonor 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.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DEnsure services provided by the nursing facility meet professional standards of quality.
September 29, 2025 · 3 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide care or services that was trauma informed and/or culturally competent.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
June 3, 2025 · 1 citation · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
January 28, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
October 17, 2024 · 8 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor 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.
DRespond appropriately to all alleged violations.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
September 4, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
LProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
DProvide and implement an infection prevention and control program.
June 27, 2024 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure services provided by the nursing facility meet professional standards of quality.
September 27, 2023 · 7 citations
EHonor 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.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DReasonably accommodate the needs and preferences of each resident.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DEnsure 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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Rolling Hills Healthcare
- Inspectors cited the home at the immediate-jeopardy level on September 4, 2024 under the rule on nutrition and dietary. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on January 28, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 64.7% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
5 penalties in the last three years, including $122,608 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 12, 2026 | Fine | $41,974 |
| Sep 29, 2025 | Fine | $25,490 |
| Jan 28, 2025 | Fine | $7,008 |
| Oct 17, 2024 | Fine | $16,656 |
| Sep 4, 2024 | Fine | $31,480 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
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Location
Hospitals near Rolling Hills Healthcare
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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10.6 mi
Spearfish Regional Hospital SpearfishEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 24m for patients treated and sent home
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20.2 mi
Lead - Deadwood Regional Hospital - CAH DeadwoodEmergency roomMedian ER visit 1h 30m for patients treated and sent home
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23.7 mi
Sturgis Regional Hospital SturgisEmergency roomMedian ER visit 2h 12m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Eduro Healthcare nursing homes in South Dakota
- Prairie Heights Healthcare · Aberdeen · 4 stars
- Spearfish Canyon Healthcare · Spearfish · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 34 Eduro Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.