Nursing homeActive
Rolling Hills Healthcare
2200 13th Ave, Belle Fourche, SD 57717605892333183 certified beds · 58 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
34
● 0● 29● 5
Penalties · 3 yrs
$80,634
4 fines
Last survey
2026-02-12
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · South Dakota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-12 | Standard | 081 | CMS-2567 (Care Compare) | — |
| 2025-09-29 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2025-06-03 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-01-28 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-10-17 | Standard | 071 | CMS-2567 (Care Compare) | — |
| 2024-09-04 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2024-06-27 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-09-27 | Standard | 070 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · South Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-03-17Record 435035-20260212-F686
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 435035-20260212-F554
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 435035-20260212-F578
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 435035-20260212-F655
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 435035-20260212-F658
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 435035-20260212-F695
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 435035-20260212-F727
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 435035-20260212-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 435035-20260212-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-10-22Record 435035-20250929-F689
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-22Record 435035-20250929-F699
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-22Record 435035-20250929-F755
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-05Record 435035-20250603-F550
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-01-24Record 435035-20250128-F600
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-11-09Record 435035-20241017-F686
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-09Record 435035-20241017-F550
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-09Record 435035-20241017-F584
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-09Record 435035-20241017-F610
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-09Record 435035-20241017-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-09Record 435035-20241017-F658
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-11-09Record 435035-20241017-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-09Record 435035-20241017-F812
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity LHarm
Food & nutrition
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-09-23Record 435035-20240904-F812
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-23Record 435035-20240904-F801
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-23Record 435035-20240904-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-21Record 435035-20240627-F600
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-02Record 435035-20240627-F658
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-31Record 435035-20230927-F558
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-31Record 435035-20230927-F561
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-31Record 435035-20230927-F584
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-31Record 435035-20230927-F684
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-31Record 435035-20230927-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-31Record 435035-20230927-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-31Record 435035-20230927-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-09-29 | Civil money penalty | $25,490 | CMS · Penalties |
| 2025-01-28 | Civil money penalty | $7,008 | CMS · Penalties |
| 2024-10-17 | Civil money penalty | $16,656 | CMS · Penalties |
| 2024-09-04 | Civil money penalty | $31,480 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.57
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day3.62
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours2.93
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover65%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover67%
Facility
South Dakota
National
South Dakota 35% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | South Dakota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.2% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.5% | 5.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 15.1% | 24.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.3% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 22.1% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.6% | 5.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 11.9% | 17.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Eduro Healthcare LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bewsey, Michael Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ramos, Brian Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Thompson, Christopher Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Thompson, Christopher Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Eduro Healthcare — 34 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or South Dakota.
No county cost figures on file for Butte.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Spearfish Canyon Healthcare Spearfish | 10.8 mi | 2026-04-20 | 0161 |
| Monument Health Sturgis Care Center Sturgis | 23.6 mi | 2026-03-19 | 0142 |
| Crook County Medical Services District Long Term C Sundance | 31.5 mi | 2025-08-14 | 1101 |
| Good Samaritan Society - St Martin Village Rapid City | 46.2 mi | 2025-09-04 | 0160 |
| Fountain Springs Healthcare Rapid City | 47.7 mi | 2026-02-12 | 0132 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |