Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (70% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Rolling Hills Healthcare
Nursing Home, Hospice Care & Skilled Nursing · Belle Fourche, SD
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Rolling Hills Healthcare
Nursing Home, Hospice Care & Skilled Nursing · Belle Fourche, SD
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Rolling Hills Healthcare accepts Medicaid, Medicare, and private pay.
Overview of Rolling Hills Healthcare
Rolling Hills Healthcare is a nursing home in Belle Fourche, South Dakota, providing short-term rehabilitation, long-term residential care, skilled nursing services, and specialized medical support. Administered by Gerald Bosen, this 83-bed community has a Medicare certification to serve Butte County and the surrounding Black Hills region. Both Medicaid and Medicare are accepted, helping make care accessible to residents with a variety of healthcare coverage needs.
Services include rehabilitation therapy, long-term and short-term nursing care, licensed nursing support, pain management, dental care, dialysis services, and podiatry care. Notably, the availability of dialysis, dental, and podiatry services within the community in a rural western South Dakota setting helps reduce the need for residents to travel to larger regional healthcare centers for routine specialty treatment and ongoing clinical management.
Its location near Spearfish and Rapid City also makes the community an important regional care option for families in areas with fewer nearby skilled nursing choices. The surrounding neighborhood has a Walk Score of 47, offering limited walkability with some nearby destinations accessible on foot, while most errands still require transportation.
Rolling Hills Healthcare is well-suited for older adults in Belle Fourche and the broader Butte County region who require skilled nursing care, post-hospital rehabilitation, or long-term residential support. Its wide range of specialized services available on-site is beneficial for older adults managing chronic medical conditions, ongoing pain concerns, or dialysis needs.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 62nd out of 65 homes in South Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 62nd out of 65 homes in South Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 39m per day
Rank #62 / 65Nurse hours — State benchmarkedThis home is ranked 62nd out of 65 homes in South Dakota for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs South Dakota avg
-39%
Standout metric
LPN / LVN is +28% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 26m per day | ▼ 48% State avg: 49m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 37m per day | ▲ 28% State avg: 29m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 16m per day | ▼ 12% State avg: 2h 34m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 31m per day | ▼ 26% State avg: 3h 23m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 33% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 13m per day | ▼ 59% State avg: 31m per day · National avg: 29m per day |
Capacity and availability
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
220 days
83-bed community Rank #30 / 117Bed count — State benchmarkedThis home is ranked 30th out of 117 homes in South Dakota for bed count. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
1 year in operation Rank #14 / 103Years in operation — State benchmarkedThis home is ranked 14th out of 103 homes in South Dakota for years in operation. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score: 47 / 100 Rank #63 / 158Walk Score — State benchmarkedThis home is ranked 63rd out of 158 homes in South Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across South Dakota facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeNursing Home
IssuanceJuly 1, 2025
CountyButte
License Number10594
CMS Certification Number435035
Rolling Hills Healthcare is administered by Gerald Bosen.
Accept Medicaid
Accept Medicare
Rehabilitation Services
Pets not allowed
Licensed Professional Staff
Pain Management
Dental Care
Dialysis
Podiatry Services
Specific ProgramsLong & Short Term Care
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Breakdown by payment type
Medicare
70% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
23% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
7% of new residents, often for long-term daily care.
Typical stay
5 - 6 years
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
For-profit
Operated by a single business entity.
Net patient revenue
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.2M
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$22.2K
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
For-profit
Operated by a single business entity.
Net patient revenue
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.2M Rank #27 / 63Revenue — State benchmarkedThis home is ranked 27th out of 63 homes in South Dakota for revenue. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$22.2K
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Other income
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$222.7K
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Payroll costs
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #29 / 63Payroll — State benchmarkedThis home is ranked 29th out of 63 homes in South Dakota for payroll. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.6M
50% of net patient revenue
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #29 / 63Payroll — State benchmarkedThis home is ranked 29th out of 63 homes in South Dakota for payroll. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #27 / 63Payroll % — State benchmarkedThis home is ranked 27th out of 63 homes in South Dakota for payroll %. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.6M
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
Total costs
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.1M
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Who this home usually serves
TYPE OF STAY
Admissions
87 totalCoverage residents most often arrive under.
Medicare
70%
Private pay
23%
Medicaid
7%
Discharges
87 totalCoverage residents most often leave under.
Medicare
53%
Private pay
26%
Medicaid
21%
Places of interest near Rolling Hills Healthcare
0.0 miles from city center
Estimated distance in miles from Belle Fourche's city center to Rolling Hills Healthcare's address, calculated via Google Maps.
Calculate Travel Distance to Rolling Hills Healthcare
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Frequently Asked Questions about Rolling Hills Healthcare
Is Rolling Hills Healthcare in a walkable area?
Rolling Hills Healthcare has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Rolling Hills Healthcare?
According to SD state health department records, Rolling Hills Healthcare's license number is 10594.
What is the occupancy rate at Rolling Hills Healthcare?
Rolling Hills Healthcare's occupancy is 63.1%.
How long has Rolling Hills Healthcare been in business?
Rolling Hills Healthcare has been operating for approximately 1 year, based on available licensing and registration records.
Are pets allowed at Rolling Hills Healthcare?
No, Rolling Hills Healthcare has a no-pet policy.
Does Rolling Hills Healthcare operate as a for-profit or non-profit?
Rolling Hills Healthcare is registered as a for-profit in SD.
Who is the administrator of Rolling Hills Healthcare?
Gerald Bosen is the administrator of Rolling Hills Healthcare.
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