Occupancy rate
87%
In line with South Dakota averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Assisted Living Home
Fountain Springs Healthcare Center
In Rapid City, South Dakota, Fountain Springs Healthcare Center is a haven for healing and compassionate care. Whether residents require transitional care following hospitalization or seek long-term support due to safety concerns at home, Fountain Springs offers a serene refuge. The center has garnered acclaim for its successful patient transitions back home or to a lower level of care, earning the prestigious 2018 Pinnacle Customer Experience Award for its exceptional senior healthcare services.
At Fountain Springs, individuals receive personalized care through an interdisciplinary approach to skilled nursing. The recreation department fosters a sense of community and home by organizing various activities and outings. Whether it’s assisted living, skilled nursing, memory support, or respite stays, Fountain Springs Healthcare Center remains steadfast in delivering 5-star quality care to its residents.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
10
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87.3%
Residents per day (avg)
86
Occupancy rate
87.3%
Residents per day (avg)
86
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
53% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
47% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
11 - 12 years
Finances and operations
Privately-owned community
Home revenue
$8.8M
Operating loss
-$575.2K
Privately-owned community
Home revenue
$8,784,575.00
Operating loss
$-575,235.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.7M
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.
$6.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.4M
10-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 16 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Occupancy
In line with South Dakota averageOccupied beds
9 / 10
Average residents
51 per day
License details
Facility type
Assisted Living Facility
Status
Active
Issuance
January 7, 2025
Expiration
June 30, 2026
County:
Pennington
Additional licensing details
License number:
10757
Ownership & operating entity
Fountain Springs Healthcare Center is administrated by Harvey, Kristine.
What does this home offer?
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Types of Care at Fountain Springs Healthcare Center
Assisted Living
Independent Living
Nursing Home
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
7
South Dakota average 4.5
Last Health inspection on May 2025
Total health citations
11
South Dakota average 14.8
Citations per inspection
1.57
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 11 citations resulted from standard inspections; and 4 of 11 resulted from complaint investigations.
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
1
1
44% better than South Dakota averageSouth Dakota average: 1.8
1 critical citation
1 serious citation
9 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 28, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 28, 2025
Corrected
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 15, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 15, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 22, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 22, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 04, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 04, 2024
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 Assisted Living around Rapid City The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Avantara Mountain View
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Rapid City
101
No
-
Private Rooms / Semi-Private Rooms
Fountain Springs Healthcare Center
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Rapid City
90
No
16
Private Rooms / Semi-Private Rooms
Avantara North
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Rapid City
69
No
-
Private Rooms / Semi-Private Rooms
Arrowhead Lodge Senior Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Rapid City
48
No
12
Private Rooms / Semi-Private Rooms
Arrowhead Lodge Senior Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Rapid City
48
No
-
Private Rooms / Semi-Private Rooms
Places of interest near Fountain Springs Healthcare Center
4.4 miles from city center — 1.4 miles to nearest hospital (Elevation Inn & Suites)
2000 Wesleyan Blvd, Rapid City, SD 57702
Calculate Travel Distance to Fountain Springs Healthcare Center
Add your location
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
148
Employees
148
Contractors
0
Staff to resident ratio
1.85:1
0% compared with South Dakota averageSouth Dakota average ratio: 1.91:1
Avg staff/day
52
Average shift
8.1 hours
5% better than South Dakota averageSouth Dakota average: 7.7 hours
Total staff hours (quarter)
38,513
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
58
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
| Certified Nursing Assistant | 58 | 0 | 58 | 15,183 | 91 | 100% | 7.6 |
| Physical Therapist | 17 | 0 | 17 | 5,529 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 17 | 0 | 17 | 4,653 | 91 | 100% | 9 |
| Registered Nurse | 16 | 0 | 16 | 3,996 | 91 | 100% | 9.4 |
| Medication Aide/Technician | 17 | 0 | 17 | 1,749 | 81 | 89% | 9.1 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,626 | 73 | 80% | 9.2 |
| Mental Health Service Worker | 2 | 0 | 2 | 1,156 | 66 | 73% | 9 |
| Nurse Aide in Training | 7 | 0 | 7 | 1,029 | 76 | 84% | 7.9 |
| Occupational Therapy Aide | 2 | 0 | 2 | 1,016 | 84 | 92% | 8.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 814 | 59 | 65% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Dietitian | 1 | 0 | 1 | 416 | 57 | 63% | 7.3 |
| RN Director of Nursing | 1 | 0 | 1 | 362 | 35 | 38% | 10.3 |
58 Certified Nursing Assistant
% of Days
100%
17 Physical Therapist
% of Days
100%
17 Licensed Practical Nurse
% of Days
100%
16 Registered Nurse
% of Days
100%
17 Medication Aide/Technician
% of Days
89%
5 Clinical Nurse Specialist
% of Days
80%
2 Mental Health Service Worker
% of Days
73%
7 Nurse Aide in Training
% of Days
84%
2 Occupational Therapy Aide
% of Days
92%
3 Other Dietary Services Staff
% of Days
65%
1 Nurse Practitioner
% of Days
70%
1 Administrator
% of Days
65%
1 Dietitian
% of Days
63%
1 RN Director of Nursing
% of Days
38%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
80 residents
Residents by payment source
Medicare
13 residents (16.3%)
Medicaid
36 residents (45%)
Private pay or other
31 residents (38.8%)
Programs & Services
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
7.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.0
42% better 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.
15.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.5
35% better 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
7.0%
Percent of long-stay residents whose need for help with daily activities has increased
7.0%
69% better than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.0%
Percent of long-stay residents whose ability to move independently worsened
14.0%
39% better 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
25.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.6%
In line with South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
61% 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
7.0%
Percent of long-stay high risk residents with pressure ulcers
7.0%
55% worse than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.4%
Percent of long-stay residents with a urinary tract infection
0.4%
88% better than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.9%
Percent of long-stay residents who lose too much weight
4.9%
10% better 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
27.4%
Percent of long-stay residents who received an antipsychotic medication
27.4%
13% worse than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.1%
In line with South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
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.
1.42
Number of hospitalizations per 1,000 long-stay resident days.
1.42
6% 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.
0.73
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.73
61% better 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
98.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
17% better than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
18% worse than South Dakota averageSouth Dakota average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
23% 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.
17.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.2%
20% better than South Dakota averageSouth Dakota average: 21.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.2%
21% better 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.
0.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
21% better 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.
42.2%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.2%
21% 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.
58.2%
Rate of successful return to home or community from a skilled nursing facility.
58.2%
15% 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
$32K
19% lower 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
$32K
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.
Aug 15, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 15, 2024
$17K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 2, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 2, 2024
$6K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 2, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 2, 2023
$10K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Fountain Springs Healthcare Center based on CMS SNF Cost Reports.
Occupancy Rate
87.3%
↑ 4.4pp vs 2022
Net Income
-$575,235
↓ ~$646K vs 2022
Total Payroll
$4,422,312
↓ ~$1.6M vs 2022
Profit Margin
-6.6%
↓ 7.1pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for South Dakota Seniors
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