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D
Poor

ROLLING HILLS HEALTHCARE

2200 13TH AVE · BELLE FOURCHE, SD 57717

6058923331 · For profit - Limited Liability company

83 beds52.7 residents78 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ROLLING HILLS HEALTHCARE receives an overall staffing grade of D (Poor). With 2.7283 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.2545 HPRD, below the recommended 0.75. It is 1.17 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.35% compared to weekdays. The facility has low agency staff usage (3.91% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Had 6 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.7283 HPRD — needs 0.75 more hours per resident per day.
⚠️RN staffing (0.2545 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (3.91%) — mostly permanent, familiar staff
Total Nurse HPRD
2.7283hrs/resident/day▼ 1.17
CMS benchmark: 3.48
RN HPRD
0.2545hrs/resident/day▼ 0.43
Recommended: 0.75
Weekend Drop-off
18.35%
2.8776 weekday → 2.3495 weekend
Agency Staff
3.91%
19.17% of RN hours from contractors
Days with Zero RN
6days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
1.4754hrs/resident/day
Direct care aides
LPN HPRD
0.5823hrs/resident/day
Licensed practical nurses
Consistency
0.6208std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Butte County Average+0.00 HPRD
2.73
02.73 HPRD
vs. South Dakota State Average-1.10 HPRD
3.83
02.73 HPRD
vs. National Average-1.17 HPRD
3.90
02.73 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ROLLING HILLS HEALTHCARE ★
BELLE FOURCHE · This facility
—
D
2.72830.2545★☆☆☆☆
SPEARFISH CANYON HEALTHCARE
SPEARFISH
10.8 mi
D
3.27450.3393★★☆☆☆
MONUMENT HEALTH STURGIS CARE CENTER
STURGIS
23.5 mi
B
5.27060.7089★☆☆☆☆
GOOD SAMARITAN SOCIETY - ST MARTIN VILLAGE
RAPID CITY
46 mi
B
3.69081.4877★★☆☆☆
Fountain Springs Healthcare
RAPID CITY
47.5 mi
B
3.94850.8229★★★★☆
AVANTARA NORTH
RAPID CITY
48.3 mi
C
3.01930.9198★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
27
Total Deficiencies
$55,144
Fines Assessed
Sep 29, 2025Health
3 deficiencies cited· Includes actual harm
▼
Jun 3, 2025Health
1 deficiency cited
▼
Jan 28, 2025Health
1 deficiency cited· Includes actual harm
▼
Oct 17, 2024Health
8 deficiencies cited· Includes actual harm
▼
Sep 4, 2024Health
3 deficiencies cited· Includes actual harm
▼
Jun 27, 2024Health
2 deficiencies cited
▼
Sep 27, 2023Health
7 deficiencies cited
▼
Sep 8, 2022Health
2 deficiencies cited
▼

Penalty History

Jan 28, 2025Fine
$7,008
Oct 17, 2024Fine
$16,656
Sep 4, 2024Fine
$31,480
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.