ROLLING HILLS HEALTHCARE

2200 13TH AVE, BELLE FOURCHE, SD 57717 · CCN 435035 · 83 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2026-02-12 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-09-29 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-01-28 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-10-17 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-09-04 IMMEDIATE JEOPARDY (tag F0812, severity L)
Nutrition and Dietary Deficiencies · correction not recorded in CMS data
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Staffing, from payroll records

Nursing hours / resident / day

2.89

state median 2.96

Weekend staffing gap

−20%

fewer nursing hours on weekends · state median −10%

RN hours / resident / day

0.49

registered nurses only

Contract (agency) staff

9%

share of all nursing hours

Nursing staff turnover

65%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $80,634 in fines.

DateTypeAmount
2025-09-29Fine$25,490
2025-01-28Fine$7,008
2024-10-17Fine$16,656
2024-09-04Fine$31,480

Ownership

Ownership type: For profit - Limited Liability company. Part of the EDURO HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 4 · Potential for more than minimal harm: 29 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-02-12F0554Resident Rights DeficienciesDnot recorded
2026-02-12F0578Resident Rights DeficienciesDnot recorded
2026-02-12F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2026-02-12F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2026-02-12F0686Quality of Life and Care DeficienciesGnot recorded
2026-02-12F0695Quality of Life and Care DeficienciesEnot recorded
2026-02-12F0727Nursing and Physician Services DeficienciesFnot recorded
2026-02-12F0761Pharmacy Service DeficienciesEnot recorded
2026-02-12F0880Infection Control DeficienciesEnot recorded
2025-09-29F0689Quality of Life and Care DeficienciesGnot recorded
2025-09-29F0699Quality of Life and Care DeficienciesDnot recorded
2025-09-29F0755Pharmacy Service DeficienciesDnot recorded
2025-06-03F0550Resident Rights DeficienciesEnot recorded
2025-01-28F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2024-10-17F0550Resident Rights DeficienciesEnot recorded
2024-10-17F0584Resident Rights DeficienciesDnot recorded
2024-10-17F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-10-17F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-10-17F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-10-17F0686Quality of Life and Care DeficienciesGnot recorded
2024-10-17F0804Nutrition and Dietary DeficienciesFnot recorded
2024-10-17F0812Nutrition and Dietary DeficienciesEnot recorded
2024-09-04F0801Nutrition and Dietary DeficienciesDnot recorded
2024-09-04F0812Nutrition and Dietary DeficienciesLnot recorded
2024-09-04F0880Infection Control DeficienciesDnot recorded
2024-06-27F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-06-27F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2023-09-27F0558Resident Rights DeficienciesDnot recorded
2023-09-27F0561Resident Rights DeficienciesDnot recorded
2023-09-27F0584Resident Rights DeficienciesEnot recorded
2023-09-27F0684Quality of Life and Care DeficienciesEnot recorded
2023-09-27F0761Pharmacy Service DeficienciesDnot recorded
2023-09-27F0812Nutrition and Dietary DeficienciesDnot recorded
2023-09-27F0880Infection Control DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “ROLLING HILLS HEALTHCARE, BELLE FOURCHE” at medicare.gov/care-compare.