South Dakota › Butte County › Belle Fourche
Rolling Hills Healthcare
2200 13th Ave, Belle Fourche, SD 57717
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 83 beds, Rolling Hills Healthcare serves Belle Fourche in Butte County, South Dakota and has taken Medicare and Medicaid residents since 1986.
CMS gives it 1 of 5 stars overall, below the South Dakota median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 34 health deficiencies across the three most recent survey cycles (12, 13, 9 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 41.0 per 100 beds, more than the state median of 23.9.
CMS lists 4 penalties in the period covered: fines totalling $81K.
Reported nurse staffing is 3.6 hours per resident per day (0.6 RN), close to the South Dakota median of 3.6; nursing staff turnover is 65.1%.
Compared with county, state and nation
| Measure | This facility | Butte Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 34 | 34 | 16 | 28.7 |
| Citations per 100 beds | 41.0 | 41.0 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.8 | 0.7 |
| Nursing staff turnover | 65.1% | 65.1% | 46.6% | 45.8% |
| Fines listed | $80,634 | $80,634 | $20,183 | — |
County and state figures are medians across facilities (1 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Feb 2026, 17 Oct 2024.
Severity mix: L ×1 G ×4 D ×19 E ×8 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 12 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 17 Mar 2026 |
| 12 Feb 2026 | F0727 | 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. | F | Standard survey | 17 Mar 2026 |
| 12 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 17 Mar 2026 |
| 12 Feb 2026 | F0761 | 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. | E | Standard survey | 17 Mar 2026 |
| 12 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Mar 2026 |
| 12 Feb 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 17 Mar 2026 |
| 12 Feb 2026 | 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 | 17 Mar 2026 |
| 12 Feb 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 17 Mar 2026 |
| 12 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 17 Mar 2026 |
| 29 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 Oct 2025 |
| 29 Sep 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint investigation | 22 Oct 2025 |
| 29 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 22 Oct 2025 |
| 3 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 5 Jul 2025 |
| 28 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 24 Jan 2025 |
| 17 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 9 Nov 2024 |
| 17 Oct 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Complaint investigation | 9 Nov 2024 |
| 17 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 9 Nov 2024 |
| 17 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Nov 2024 |
| 17 Oct 2024 | F0584 | Honor 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. | D | Standard survey | 9 Nov 2024 |
| 17 Oct 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 9 Nov 2024 |
| 17 Oct 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 9 Nov 2024 |
| 17 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 9 Nov 2024 |
| 4 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | Complaint investigation | 23 Sep 2024 |
| 4 Sep 2024 | F0801 | 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. | D | Complaint investigation | 23 Sep 2024 |
| 4 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 23 Sep 2024 |
| 27 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 May 2024 |
| 27 Jun 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 2 Aug 2024 |
| 27 Sep 2023 | F0584 | Honor 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. | E | Standard survey | 31 Oct 2023 |
| 27 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 31 Oct 2023 |
| 27 Sep 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 31 Oct 2023 |
| 27 Sep 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 31 Oct 2023 |
| 27 Sep 2023 | F0761 | 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. | D | Standard survey | 31 Oct 2023 |
| 27 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 31 Oct 2023 |
| 27 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 31 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 Sep 2025 | Fine | $25,490 | |
| 28 Jan 2025 | Fine | $7,008 | |
| 17 Oct 2024 | Fine | $16,656 | |
| 4 Sep 2024 | Fine | $31,480 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 65.1%, RNs 66.7%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.1% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.3% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.3% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.5% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.9% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.8% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.2% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.1% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Belle Fourche Nursing And Rehab Center Llc. Chain: Eduro Healthcare (34 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Eduro Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2019 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Rolling Hills Healthcare been cited for?
34 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Rolling Hills Healthcare been fined?
Yes. CMS lists fines totalling $81K in the period covered.
How does staffing at Rolling Hills Healthcare compare?
Reported total nurse staffing is 3.6 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Rolling Hills Healthcare?
It is part of the Eduro Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Eduro Healthcare LLC. Individual owners and managers are not listed on this site.
When was Rolling Hills Healthcare last inspected?
The most recent survey or investigation in the CMS record is dated 12 Feb 2026; the most recent standard health survey was 12 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.