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Rolling Hills Healthcare

2200 13Th Ave, Belle Fourche, SD 577176058923331Ownership: For profit - Limited Liability companyCertified beds: 83Avg. daily residents: 58Chain: Eduro Healthcare (34 facilities)County: Butte

The complete public record on Rolling Hills Healthcare, a Medicare & Medicaid–certified nursing home in Belle Fourche, South Dakota, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. South Dakota average: 2.9 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Rolling Hills Healthcare holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 65% is well above the South Dakota average of 48%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $80,634 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.62 total nurse staff hours per resident per day
about the state average (3.79)
0.57 RN hours per resident per day
below the state average (0.80)
2.93 weekend nurse staff hours per resident per day
65.1% total nursing staff turnover
above the state average (48.2)
66.7% RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

February 12, 2026 most recent standard health inspection
12 health deficiencies cited in the most recent inspection cycle
above the state average (7.0)
15 health deficiencies in the two prior cycles combined
$80,634 in federal fines across 4 penalties (last 3 years)
above the state average ($33,944)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

34 citations on record across recent inspections, 5 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
February 12, 20260686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G · Actual harm
February 12, 20260727Have 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.F · Potential for more than minimal harm
February 12, 20260695Provide safe and appropriate respiratory care for a resident when needed.E · Potential for more than minimal harm
February 12, 20260761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all…E · Potential for more than minimal harm
February 12, 20260880Provide and implement an infection prevention and control program.E · Potential for more than minimal harm
February 12, 20260554Allow residents to self-administer drugs if determined clinically appropriate.D · Potential for more than minimal harm
February 12, 20260578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental…D · Potential for more than minimal harm
February 12, 20260655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD · Potential for more than minimal harm
February 12, 20260658Ensure services provided by the nursing facility meet professional standards of quality.D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.