Nursing home
Rolling Hills Healthcare
2200 13Th Ave, Belle Fourche, SD 57717 · Map
For profit - Limited Liability company · Part of Eduro Healthcare (36 facilities) · 83 certified beds
Rolling Hills Healthcare is a Medicare-certified nursing home in Belle Fourche, South Dakota. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.73 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Oct 17, 2024 cited 12 deficiencies.
- 3 fines totaling $55,144In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Rolling Hills Healthcare compares
This facility vs. the South Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | South Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.73 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.25 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.90 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 78.0% | 49.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 12.0 | 6.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 12, 2026 inspection was corrected by March 17, 2026
Penalties in CMS records: 3 fines totaling $55,144, 3 total penalties.
What inspectors found at Rolling Hills Healthcare
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Feb 12, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Create 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 Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Feb 12, 2026 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 29, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Sep 29, 2025 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Sep 29, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2200 13Th Ave
Belle Fourche, SD 57717 - CMS certification #
- 435035
- Ownership
- For profit - Limited Liability company
- Certified beds
- 83
- Avg residents/day
- 52.7
- Provider type
- Medicare and Medicaid
- First certified
- 1986-03-10
- Chain
- Eduro Healthcare (36 facilities)
- Setting
- Rural
Part of Eduro Healthcare
Eduro Healthcare operates 36 nursing facilities across the United States. View all Eduro Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Rolling Hills Healthcare using Google Maps.
Other public records
- Website says Nurse 24 hours a day, works with hospice, diabetes care
Full public records, with dates and sources
Care and services
From the community’s website
What Rolling Hills Healthcare says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
24/7 Nursing Care
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice Care
(page, checked Oct 12, 2026) - Offers diabetes care.
We offer a wide array of skilled nursing services, including pain management, diabetes management, and more to be able to address any and all of your recovery needs.
(page, checked Oct 12, 2026) - Smoke-free.
For the safety and welfare of all residents and staff, we are a non-smoking facility.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Monument Health Spearfish Hospital, Spearfish. 10.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Spearfish Canyon Healthcare, Spearfish. 10.8 miles away, straight line.
- Nearest home health agency office
- Heartland Home Health LLC, Belle Fourche. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Lynn's Dakotamart Pharmacy. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57717 as small town (small town core).
- Dialysis within 15 miles
- Monument Health Dialysis LLC Spearfish, Spearfish, 10.0 miles away, straight line
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 57717.
Heartland Home Health & Hospice LLC, office in Belle Fourche, 0.9 miles away, straight line
Monument Health Home Plus Hospice, office in Spearfish, 11.6 miles away, straight line - Nearest geriatric medicine practice
- Monument Health Rapid City Hospital Inc, Rapid City. 51.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Belle Fourche, SD, risk to homes is greater than 83% of communities in South Dakota and 83% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively high, wildfire relatively high, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Rolling Hills Healthcare a good nursing home?
CMS gives Rolling Hills Healthcare an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Rolling Hills Healthcare staffed?
Rolling Hills Healthcare reports 2.73 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Rolling Hills Healthcare had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does Rolling Hills Healthcare have?
Rolling Hills Healthcare is certified for 83 beds.