Rolling Hills Healthcare
2200 13th Ave · Belle Fourche, SD · 57717 · 6058923331
83 certified beds For profit - Limited Liability company Chain: Eduro Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $94,359 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$94,359 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
74% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 2.51 | ≈ weekday level |
| Nursing turnover / year | 74% | median 45% |
| Fines (3-yr window) | 4 · $94,359 |
Inspection citations (34 in the current record)
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Actual harm · G February 12, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 17, 2026 · Quality of Life and Care
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Potential for harm · D February 12, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 17, 2026 · Resident Rights
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Potential for harm · D February 12, 2026
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.
Corrected March 17, 2026 · Resident Rights
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Potential for harm · D February 12, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 17, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 17, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 12, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 17, 2026 · Quality of Life and Care
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Potential for harm · F February 12, 2026
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.
Corrected March 17, 2026 · Nursing and Physician Services
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Potential for harm · E February 12, 2026
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.
Corrected March 17, 2026 · Pharmacy Service
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Potential for harm · E February 12, 2026
Provide and implement an infection prevention and control program.
Corrected March 17, 2026 · Infection Control
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Actual harm · G September 29, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 22, 2025 · Quality of Life and Care
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Potential for harm · D September 29, 2025 · found via complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected October 22, 2025 · Quality of Life and Care
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Potential for harm · D September 29, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 22, 2025 · Pharmacy Service
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Potential for harm · E June 3, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 5, 2025 · Resident Rights
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Actual harm · G January 28, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G October 17, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 9, 2024 · Quality of Life and Care
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Potential for harm · E October 17, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 9, 2024 · Resident Rights
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Potential for harm · D October 17, 2024
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.
Corrected November 9, 2024 · Resident Rights
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Potential for harm · D October 17, 2024
Respond appropriately to all alleged violations.
Corrected November 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 17, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 9, 2024 · Nutrition and Dietary
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Potential for harm · F October 17, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 9, 2024 · Nutrition and Dietary
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Immediate jeopardy · L September 4, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 23, 2024 · Nutrition and Dietary
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Potential for harm · D September 4, 2024 · found via complaint
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.
Corrected September 23, 2024 · Nutrition and Dietary
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Potential for harm · D September 4, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 23, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 29, 2025 | Fine | $39,215 |
| January 28, 2025 | Fine | $7,008 |
| October 17, 2024 | Fine | $16,656 |
| September 4, 2024 | Fine | $31,480 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435035 · certified since March 10, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.