Rolling Hills Healthcare has received an F grade based on CMS data, with a score of 6/100 — placing it among the lowest-rated nursing facilities in South Dakota. Families considering this Belle Fourche facility should carefully review its inspection history and quality metrics.
With 2.73 total nurse hours per resident per day, Rolling Hills Healthcare falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 27 deficiencies at Rolling Hills Healthcare, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.73 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.25 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.58 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.90 | 2.4 | Below Average |
| Weekend Total Nursing | 2.35 | 3.8 | Below Average |
| Weekend RN Hours | 0.15 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Sep 28, 2025 · Quality of Life and Care Deficiencies
- Tag 0699 Severity DProvide care or services that was trauma informed and/or culturally competent.Sep 28, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Sep 28, 2025 · Pharmacy Service Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Jun 2, 2025 · Resident Rights Deficiencies
- Tag 0600 Severity GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Jan 27, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.9% | 4.5% | Worse |
| Falls with major injury | 3.4% | 3.0% | Worse |
| On antipsychotic medication | 11.6% | 14.5% | Better |
| Urinary tract infections | 8.9% | 2.5% | Worse |
| ADL decline (daily activities) | 17.5% | 14.0% | Worse |
| Excessive weight loss | 12.4% | 7.5% | Worse |
| New/worsened incontinence | 37.0% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $55,144
How This Grade Was Calculated
This facility's grade of F is based on a score of 6 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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