GoodStanding

Nursing home report

Fountain Springs Healthcare

RAPID CITY, SD · Medicare-certified · 90 beds

Needs attention
For-profitChain member
3 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.7552 hrs/resident/day

Quality measures

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).

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).

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. 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.