2200 13TH AVE, Belle Fourche, SD 57717
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Assisted living & personal care24-hour supervisionMedication management
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Medicare-certifiedSkilled Nursing
Rolling Hills Healthcare
Belle Fourche, South DakotaMedicare inspection record
About Rolling Hills Healthcare
Rolling Hills Healthcare brings skilled nursing and rehabilitation expertise to Belle Fourche, South Dakota, with a team focused on helping residents regain strength and independence. Our compassionate staff provides personalized care plans designed for each person's recovery goals, whether following surgery or managing complex medical needs.
Community at a glance
Capacity
83 residents
Location
Belle Fourche, SD
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
2200 13TH AVE, Belle Fourche, South Dakota 57717
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on February 12, 2026, state inspectors cited 12 health deficiencies (the South Dakota average is 6.7).
Nurses and nurse aides spend 3 hours 37 minutes with each resident a day, about the same as the South Dakota average.
Medicare fined Rolling Hills Healthcare 4 times in the last three years, $80,634 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 37 minutes |
| Registered nurse time per resident, per day | 34 minutesBelow the South Dakota average |
| Nursing staff who left in the past year | 65%Above the South Dakota average |
1 administrator has left the home in the past year.
Inspections
27 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
February 12, 2026 · Standard inspection · 9 citations
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Mar 17, 2026Have 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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Mar 17, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 17, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Mar 17, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Mar 17, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 17, 2026Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 17, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 17, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 17, 2026
September 29, 2025 · Complaint investigation · 3 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Oct 22, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Oct 22, 2025Provide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 22, 2025
June 3, 2025 · Complaint investigation · 1 citation+
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 5, 2025
January 28, 2025 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Jan 24, 2025
October 17, 2024 · Standard inspection · 8 citations+
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Nov 9, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Nov 9, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Nov 9, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Nov 9, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Nov 9, 2024Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Nov 9, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 9, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 9, 2024
September 4, 2024 · Complaint investigation · 3 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Immediate danger to residents, widespread (level L)Nutrition and DietaryFrom a complaintCorrected Sep 23, 2024Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Sep 23, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Sep 23, 2024
June 27, 2024 · Complaint investigation · 2 citations+
Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 2, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by May 21, 2024
Fines and payment denials
4 fines totaling $80,634 in the last three years.
- September 29, 2025Fine: $25,490
- January 28, 2025Fine: $7,008
- October 17, 2024Fine: $16,656
- September 4, 2024Fine: $31,480
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Belle Fourche Nursing and Rehab Center LLC
- Medicare-certified beds
- 83
- Average residents per day
- 58
- Accepts
- Medicare and Medicaid
- First certified
- March 10, 1986
- Part of a chain
- Eduro Healthcare, 34 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 435035
Location
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2200 13TH AVEBelle Fourche, SD 57717
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Questions about Rolling Hills Healthcare
How did Rolling Hills Healthcare do on its last inspection?+
State inspectors visited on February 12, 2026 and cited 12 health deficiencies, 3 of them from complaint investigations. The South Dakota average is 6.7.
How much nursing care does each resident get at Rolling Hills Healthcare?+
Nurses and aides spend 3 hours 37 minutes with each resident per day, including 34 minutes from registered nurses. 65% of nursing staff left over the past year.
Has Rolling Hills Healthcare been fined by Medicare?+
Yes. Medicare fined Rolling Hills Healthcare 4 times in the last three years, totaling $80,634.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.