Fountain Springs HealthcareCMS ratings, inspections and fines
- Address
- 2000 Wesleyan Blvd, Rapid City, SD 57702
- CCN
- 435110
- Ownership type
- For-profit, limited liability company
- Certified beds
- 90
- Residents per day
- 82
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Fountain Springs Healthcare an overall rating of 3 of 5 stars. The last standard survey was on 9 Dec 2025. The latest survey cycle has 10 health citations. The median for nursing homes in South Dakota is 6. CMS lists 2 fines with a total of $22,526 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in South Dakota (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Pennington County median | South Dakota median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 9 homes in the county, 96 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | South Dakota median |
|---|---|---|---|
| Cycle 1 (latest) | 9 Dec 2025 | 10 | 6 |
| Cycle 2 | 4 Apr 2024 | 3 | 5 |
| Cycle 3 | No date | 5 | 3 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | Past Non-Compliance |
| 9 Dec 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 16 Dec 2025 |
| 9 Dec 2025 | F0578 | 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. | D | Standard survey | 16 Dec 2025 |
| 9 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Dec 2025 |
| 9 Dec 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 16 Dec 2025 |
| 9 Dec 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 16 Dec 2025 |
| 9 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 7 Aug 2025 |
| 9 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 16 Dec 2025 |
| 9 Dec 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 16 Dec 2025 |
| 9 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 16 Dec 2025 |
Survey cycle 2: 3 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Jan 2025 |
| 15 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 24 Jul 2024 |
| 4 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 May 2024 |
Survey cycle 3: 5 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 May 2024 |
| 2 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 26 Dec 2023 |
| 2 Mar 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 7 Apr 2023 |
| 2 Mar 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 7 Apr 2023 |
| 2 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Apr 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 15 Aug 2024 | Fine | $16,801 | |
| 2 Jan 2024 | Fine | $5,725 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | South Dakota median | South Dakota average (CMS) |
|---|---|---|---|
| All nurse staff | 3.79 | 3.60 | 3.79 |
| Registered nurses (RN) | 0.74 | 0.80 | 0.80 |
| Licensed practical nurses (LPN) | 0.93 | 0.47 | |
| Nurse aides | 2.12 | 2.52 | |
| All nurse staff, weekends | 3.37 | 3.10 | 3.26 |
- Nurse staff turnover in a year
- 53.7%
- Nurse staff turnover, South Dakota median
- 46.6%
- RN turnover in a year
- 52.4%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.5% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.4% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.5% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 35.3% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.0% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 30.5% | 22.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Fountain Springs SNF Operations, LLC
- Chain
- Evergreen Healthcare Group (44 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pacific Northwest SNF Operations Holdings (SD) LLC | 5% or greater direct ownership interest | 100% | 31 Aug 2023 |
| CH Pacific Northwest Holdings LLC | Indirect ownership interest | 31 Aug 2023 | |
| Pacific Northwest SNF Operations Holdings LLC | Indirect ownership interest | 31 Aug 2023 | |
| Witzcorp Global LLC | Indirect ownership interest | 31 Aug 2023 | |
| Couve Financial Services LLC | Operational/managerial control | 31 Aug 2023 | |
| Couve Healthcare Consulting LLC | Operational/managerial control | 31 Aug 2023 | |
| Fountain Springs SNF Operations, LLC | Operational/managerial control | 31 Aug 2023 | |
| Pacific Northwest Opco Management LLC | Operational/managerial control | 31 Aug 2023 | |
| South Dakota SNF Consulting LLC | Operational/managerial control | 31 Aug 2023 | |
| CH Pacific Northwest Holdings LLC | Adp of the snf | 31 Aug 2023 | |
| Couve Financial Services LLC | Adp of the snf | 17 Mar 2025 | |
| Couve Healthcare Consulting LLC | Adp of the snf | 31 Mar 2025 | |
| Fountain Springs SNF Operations, LLC | Adp of the snf | 31 Jul 2025 | |
| Pacific Northwest Opco Management LLC | Adp of the snf | 31 Mar 2025 | |
| South Dakota SNF Consulting LLC | Adp of the snf | 31 Mar 2025 | |
| Witzcorp Global LLC | Adp of the snf | 31 Aug 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Pennington County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Avantara North | Rapid City | 3 of 5 | 7 | $24,108 | 20 Feb 2026 | |
| Avantara Mountain View | Rapid City | 2 of 5 | 11 | $9,318 | 6 Jan 2026 | |
| Good Samaritan Society - St Martin Village | Rapid City | 2 of 5 | 13 | $0 | 27 Mar 2025 | |
| Avantara Saint Cloud | Rapid City | 1 of 5 | 6 | $24,751 | 27 Jan 2026 | |
| Avantara Arrowhead | Rapid City | 1 of 5 | 13 | $153,583 | 22 Jun 2026 | |
| Clarkson Health Care | Rapid City | 5 of 5 | 4 | $0 | 24 Jul 2025 | |
| Westhills Village Health Care Facility | Rapid City | 5 of 5 | 3 | $8,788 | 12 Mar 2026 | |
| Good Samaritan Society New Underwood | New Underwood | 2 of 5 | 10 | $26,595 | 8 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Fountain Springs Healthcare (CCN 435110). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/fountain-springs-healthcare-rapid-city-sd-435110/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Fountain Springs Healthcare last inspected?
- The latest inspection with a citation in the CMS record was on 12 Feb 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 4 Apr 2024.
- Who operates Fountain Springs Healthcare?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Evergreen Healthcare Group. The CMS ownership file names 5 organisations for operational or managerial control. This site does not show the names of persons.
- Is Fountain Springs Healthcare a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in South Dakota as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.