Nursing home report
BELLE FOURCHE, SD · Medicare-certified · 83 beds
Rolling Hills Healthcare (Belle Fourche, SD) has a 1-out-of-5 overall rating, with 1-star health inspections, 2-star staffing, and 2-star quality measures. It also had $80,634 in fines in the last 24 months and a recent federal penalty, and reported nurse staffing was 3.62 hours per resident per day versus the 4.1-hour federal benchmark.
Health inspections
Staffing
3.623 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.623.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — widespread issue, immediate jeopardy to residents.
F-Tag 812 — 42 CFR §483.60(i) — S/S: L
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2026 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited January 2025 — isolated incident, actual harm.
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited February 2026 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 9 health deficiencies.
A federal fine of $25,490 was recorded.
A federal fine of $39,215 was recorded.
Health inspection found 3 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $7,008 was recorded.
A federal fine of $16,656 was recorded.
A federal fine of $31,480 was recorded.
On record with Medicare: 4 fines · $80,634 in total fines.
Federal fine
Sep 29, 2025
Federal fine
Jan 28, 2025
Federal fine
Oct 17, 2024
Federal fine
Sep 4, 2024
Now operated by Rolling Hills Healthcare, previously Belle Fourche Healthcare Community.
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.
