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Nursing HomeMedicaid Investigative

Rolling Hills Healthcare

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2200 13th Ave, Belle Fourche, SD 5771783 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 40 Google reviews

5
4
3
2
1

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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (12 vs median 5.0)
  • High staff turnover (78%)
  • High RN turnover (78%)

Bottom 25% in SD · Critically understaffed (RN) · Significantly below average staffing · Very high staff turnover · Worst in EDURO HEALTHCARE chain · $55,144 in fines

Source: Medicare data

What this means for your family

While many families appreciate the clean environment and kind frontline staff, there are recurring, serious reports regarding poor communication and failures in medical coordination. If you choose this facility, ensure you have a clear, documented plan for how medical appointments are managed and verify how the facility handles end-of-life comfort orders.

Google Reviews

Google Reviews

40 reviews on Google
Rolling Hills Healthcare receives polarized feedback, with many reviewers praising the staff's kindness and the facility's cleanliness. However, significant concerns exist regarding administrative communication, medical oversight, and responsiveness during critical end-of-life care. Families should be aware of reports regarding unauthorized changes to medical appointments and difficulties in reaching facility leadership.

Quality Themes

Tap a score for details
FoodN/AStaff6.0Clean9.0ActivitiesN/AMeds2.0MemoryN/AComms2.0ValueN/A

Strengths

  • Kind and caring nursing staff
  • Clean and well-maintained facility
  • Welcoming atmosphere for visitors
  • Small, personalized care environment

Concerns

  • Poor communication and lack of responsiveness from administration (mentioned by 3 reviewers)
  • Inadequate medical oversight and difficulty accessing doctors (mentioned by 2 reviewers)
  • Unauthorized cancellation or changes to medical appointments (mentioned by 2 reviewers)
  • Understaffing leading to delayed patient assistance (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02018(1)5.02020(1)4.92021(9)4.42022(16)3.52023(6)3.32024(4)1.02025(3)

Distribution · 40 analyzed

5
27
4
4
3
0
2
1
1
8

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure residents receive timely assistance when they press their call lights?
  • 2I noticed some families have experienced challenges with communication; what is your standard process for keeping family members updated on changes in a resident's health or care plan?
  • 3How does your team coordinate and track outside medical appointments to ensure they are consistently kept and that residents have the necessary transportation and support?
  • 4With the current CMS ratings for health inspections, what specific steps is the facility taking to address identified deficiencies and improve overall quality of care?
  • 5How do you ensure that doctors and medical providers are accessible and responsive when a resident has a change in condition or a new medical concern?
  • 6I see you have a very welcoming atmosphere for visitors; what kind of daily activities or social programs are available to keep residents engaged and active within the community?

Personalized based on this facility's data


Key Review Excerpts

The staff is full of people who are kind and caring. It’s the best nursing home in the area because it is small and they work with families to provide good care, solve any problems that may arise and Mai rain a clean pleasant facility

Family member · 2024★★★★★

The staff (Tina) bullied my grandma, ignored the power of attorney, changed doctor appointments (which is illegal). But the worst thing was the nurses (not understaffed to mention) would leave my elder grandma on the toilet for 20-30 minutes.

Grandchild of resident · 2022☆☆☆☆

When my husband was in his last hours we couldn't even locate the Doctor of the facility to sign orders for his comfort. Waited 4 hours and she never showed up.

Spouse of resident · 2024★★☆☆☆
Source: 40 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.43hrs
57%
Registered nurses for medical care
Total Nursing
3.30hrs
80%
All nurses + aides combined
Staff Turnover
74%
Lower is better (< 30% = good)
RN Turnover
75%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

6

measures

Mixed Results

6

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility40.3%
Worse than Avg
Here
40.3%
US
19.4%
SD
25.6%
Butte
16.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
SD
5.3%
Butte
3.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility12.6%
Better than Avg
Here
12.6%
US
15.5%
SD
24.5%
Butte
12.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.6%
Better than Avg
Here
13.6%
US
19.5%
SD
17.5%
Butte
20.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
SD
95.2%
Butte
99.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.2%
Mixed vs Avgs
Here
19.2%
US
14.4%
SD
21.4%
Butte
13.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.4%
Mixed vs Avgs
Here
91.4%
US
79.8%
SD
78.2%
Butte
93.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.0%
Mixed vs Avgs
Here
91.0%
US
81.8%
SD
82.7%
Butte
96.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.2%
Worse than Avg
Here
4.2%
US
1.6%
SD
1.9%
Butte
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
4penalties
Well above state avg (6.8)
11 complaint-triggered
$55,144 in fines

Rolling Hills Healthcare shows concerning patterns with families filing 11 complaints that triggered federal inspections, revealing recurring issues with resident rights, food service and safety, and care planning. Problems include resident abuse protection failures, medication management deficiencies, and infection control lapses that have persisted across multiple surveys since 2022, though the facility has provided correction dates for most violations.

Feb 12, 2026Routine
9
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Have 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.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure 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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Sep 29, 2025Complaint
3
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Jun 3, 2025Complaint
1
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Jan 28, 2025Complaint
1
0600Actual harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Oct 17, 2024Routine
9
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0004Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Oct 17, 2024Complaint
1
0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Federal Penalties

Fine

Sep 29, 2025

$39,215

Fine

Jan 28, 2025

$7,008

Fine

Oct 17, 2024

$16,656

Fine

Sep 4, 2024

$31,480

Ownership & Operations

Who Operates This Facility

Owner / Operator

Rolling Hills Healthcare

Organization Type

for profit

Chain Affiliation

Chain Name

Eduro Healthcare

Chain Size

35 facilities nationwide

Chain avg rating: 2.4/5 · Rank 35 of 36 (Worst)

Ownership & Management

Owners

Ramos, Brian

Owner (parent company)

50%

Key personnel

Thompson, ChristopherW-2 Managing EmployeeBewsey, MichaelOfficer / DirectorRamos, BrianOfficer / DirectorThompson, ChristopherOfficer / DirectorEduro Healthcare LLCManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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