Fountain Springs Healthcare in Rapid City, SD has a 3-star overall rating, with 3-star health inspection and staffing ratings and a 4-star quality measures rating. It reports 3.76 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $16,801 in fines in the last 24 months with a recent federal penalty.
Last inspection: February 12, 2026Penalties, last 24 months: $16,801recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7552.
Staffing detail
Registered nurses
0.80
Licensed practical nurses
0.70
Nurse aides
2.25
Weekend nursing
3.28
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
30.6%31.7%Worsening
Residents with a fall causing major injury
1.6%12.1%Worsening
Residents with pressure ulcers (bedsores)
2.9%6.9%Worsening
Residents with a urinary tract infection
0%1.8%Worsening
Residents who lost too much weight
3.4%13.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.3%17.3%Worsening
Residents whose ability to walk got worse
—24.6%—
Long-stay residents on antianxiety or sleep medication
19.7%11.1%Improving
Short-stay residents newly given an antipsychotic
1.1%3.4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
28.3%36.1%Worsening
Residents with depressive symptoms
0%1.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—98.7%—
Long-stay residents given the pneumonia vaccine
98.4%98.3%No change
Short-stay residents given the seasonal flu vaccine
—96.1%—
Short-stay residents given the pneumonia vaccine
99.2%78.3%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 726 — 42 CFR §483.35 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $16,801 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $22,526 in total fines.
Federal fine
Aug 15, 2024
$16,801
Federal fine
Jan 2, 2024
$5,725
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of EVERGREEN HEALTHCARE GROUP · 43 homes · 2.4 stars avg
Occupancy
82.2 residents on an average day (91% of 90 beds)
Medicare history
Certified for 28 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.