Facility type
Nursing Home
Status
Active
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Nursing Home
Rolling Hills Healthcare
Overview of Rolling Hills Healthcare
Situated in the gorgeous town of Belle Fourche, South Dakota, Rolling Hills Healthcare offers a wide range of care options for seniors, including long term & short term care and rehab therapies. Whether you need physical, occupational, or speech therapy, their dedicated team is there to help. Seniors can enjoy the peaceful surroundings and friendly atmosphere of the community, making it a great place to relax and focus on wellness.
Rolling Hills Healthcare goes above and beyond in providing high-quality care with a personal touch. They aim to make every resident feel respected and well-cared-for by offering tailored care plans. The community features a variety of programs and amenities, including advanced therapies, pain management, dental care, dialysis, hospice services, and more. With a focus on individual wellness and rehabilitation, Rolling Hills Healthcare ensures that each resident receives the best possible care in a supportive and compassionate environment.
Gerald Bosen serves as the Administrator at Rolling Hills Healthcare, leading the community with a focus on personalized care and holistic healing. Under his leadership, the team prioritizes the safety and well-being of residents, especially during challenging times such as the COVID-19 pandemic, ensuring a family-like environment and customized therapy plans for each guest.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
83
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
63.1%
Residents per day (avg)
48
Occupancy rate
63.1%
Residents per day (avg)
48
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
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
Privately-owned community
Home revenue
$8.5M
Profit
$244.9K
Privately-owned community
Home revenue
$8,496,486.00
Profit
$244,943.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.3M
83-bed community
A larger shared setting that may offer more common spaces and organized community services.
47 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 8 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
License details
Issuance
January 7, 2025
Expiration
June 30, 2026
County:
Butte
Additional licensing details
License number:
10594
Ownership & operating entity
Rolling Hills Healthcare is administrated by Bosen, Gerald.
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Tracy Harwood, Executive Director
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Skilled Nursing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation Therapy, Long & Short Term Care
Pricing & Financial Information
What does this home offer?
Building Type: Single-story
Fitness and Recreation
Types of Care at Rolling Hills Healthcare
Skilled Nursing
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In South Dakota, the Department of Health, Office of Health Care Facilities Licensure is the state agency responsible for conducting unannounced surveys and monitoring facility quality.
Show Inspection Reports
Health Inspection History
Inspections
Total health inspections
8
South Dakota average 4.5
Last Health inspection on Sep 2025
Total health citations
27
Citations per inspection
3.38
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 27 citations resulted from standard inspections; 10 of 27 resulted from complaint investigations; and 1 of 27 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
233% worse than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
3
3
67% worse than South Dakota averageSouth Dakota average: 1.8
1 critical citation
3 serious citations
23 moderate citations
0 minor citations
Citations history (last 3 years)
Pharmacy moderate citation
Sep 29, 2025
Corrected
Quality of Care serious citation
Sep 29, 2025
Corrected
Quality of Care moderate citation
Sep 29, 2025
Corrected
Resident Rights moderate citation
Jun 03, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Rolling Hills Healthcare
-24%
-39%
-21%
SNF
Nursing Home 24/7 care needed
N
Nursing
Belle Fourche
83
A+
8
63.1%
$8,273,742.00
$3,039,952.00
36.7%
47.80
2.6501
3
27
4
-24%-39%-21%
Rolling Hills Healthcare
Type of care:
SNF
N
Community:
Belle Fourche
Bed Count:
83
CCN:
435035
Occupancy:
63.1%
Home Revenue:
$8,273,742.00
Payroll Costs:
$3,039,952.00
Payroll %:
36.7%
Avg Residents/Day:
47.80
Overall Rating:
Adj Nurse Hours:
2.6501
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
27
Severe Citations:
4
RN share vs State Avg:
-24%
-24%
Staffing vs State Avg:
-39%
-39%
Occupancy vs State Avg:
-21%
-21%Places of interest near Rolling Hills Healthcare
54.5 miles from city center — 0.8 miles to nearest hospital (Tri State Medical Center, PLLC)
2200 13th Ave, Belle Fourche, SD 57717
Calculate Travel Distance to Rolling Hills Healthcare
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
60
Total Staff
49
Employees
11
Contractors
15,841
Total Hours (Quarter)
21
Avg Staff/Day
8.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 5 | 8.4 | No |
| Licensed Practical Nurse | 5 | 10.5 | Yes |
| Certified Nursing Assistant | 27 | 8.4 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
45 staff
8.8hs shift avg
Physicians & Practitioners ⓘ
2 staff
7.7hs shift avg
Therapy Services ⓘ
8 staff
7.5hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
8hs shift avg
Dietary Services ⓘ
1 staff
7.9hs shift avg
Other Services ⓘ
2 staff
8.6hs shift avg
Contractor Analysis
15.3%
of total hours from contractors
2,430 contractor hours this quarter
Certified Nursing Assistant: 8
Physical Therapy Aide: 1
Licensed Practical Nurse: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 19 | 8 | 27 | 6,303 | 91 | 100% | 8.4 |
| Medication Aide/Technician | 6 | 0 | 6 | 1,552 | 91 | 100% | 9.6 |
| Licensed Practical Nurse | 3 | 2 | 5 | 1,344 | 85 | 93% | 10.5 |
| Physical Therapy Aide | 3 | 1 | 4 | 1,162 | 78 | 86% | 7.3 |
| Registered Nurse | 5 | 0 | 5 | 1,057 | 87 | 96% | 8.4 |
| Dental Services Staff | 1 | 0 | 1 | 609 | 66 | 73% | 9.2 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 575 | 69 | 76% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 503 | 63 | 69% | 8 |
| Dietitian | 1 | 0 | 1 | 500 | 63 | 69% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 455 | 61 | 67% | 7.1 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 418 | 55 | 60% | 7.6 |
| RN Director of Nursing | 1 | 0 | 1 | 232 | 29 | 32% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 192 | 24 | 26% | 8 |
| Nurse Aide in Training | 1 | 0 | 1 | 4 | 1 | 1% | 4 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
51 residents
Residents by payment source
Medicare
25 residents (49%)
Medicaid
26 residents (51%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.6
13% worse than South Dakota averageSouth Dakota average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.2
18% worse than South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.5%
Percent of long-stay residents whose need for help with daily activities has increased
18.5%
17% better than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
28.6%
Percent of long-stay residents whose ability to move independently worsened
28.6%
25% worse than South Dakota averageSouth Dakota average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
37.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
37.6%
41% worse than South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
33% better than South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.8%
Percent of long-stay high risk residents with pressure ulcers
5.8%
28% worse than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
8.2%
Percent of long-stay residents with a urinary tract infection
8.2%
136% worse than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
12.0%
Percent of long-stay residents who lose too much weight
12.0%
121% worse than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.4%
Percent of long-stay residents who received an antipsychotic medication
13.4%
45% better than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
In line with South Dakota averageSouth Dakota average: 96.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.62
Number of hospitalizations per 1,000 long-stay resident days.
0.62
59% better than South Dakota averageSouth Dakota average: 1.51
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.34
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.34
26% worse than South Dakota averageSouth Dakota average: 1.85
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
12% better than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
20% better than South Dakota averageSouth Dakota average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
17% better than South Dakota averageSouth Dakota average: 78.2%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.3%
24% better than South Dakota averageSouth Dakota average: 21.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
13.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.1%
12% worse than South Dakota averageSouth Dakota average: 11.7%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.8%
Percentage of SNF residents who experience falls with major injury during their stay.
1.8%
136% worse than South Dakota averageSouth Dakota average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
35.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
35.9%
33% worse than South Dakota averageSouth Dakota average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
55.1%
Rate of successful return to home or community from a skilled nursing facility.
55.1%
9% better than South Dakota averageSouth Dakota average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$71K
78% higher than South Dakota averageSouth Dakota average: $40K
Number of fines
3
48% more fines than South Dakota averageSouth Dakota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with South Dakota averageSouth Dakota average: 0.0
Fines amount comparison
Fines amount comparison
This facility
$71K
South Dakota average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 28, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 28, 2025
$14K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 17, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 17, 2024
$26K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 4, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 4, 2024
$31K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Rolling Hills Healthcare based on CMS SNF Cost Reports.
Occupancy Rate
63.1%
↓ 2.2pp vs 2022
Net Income
$244,943
↓ ~$1.4M vs 2022
Total Payroll
$4,292,228
↑ ~$540K vs 2022
Profit Margin
3.0%
↓ 15.0pp vs 2022
Loading trend charts...
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