Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
134
108 employees · 26 contractors · 48 on an average day Fountain Springs Healthcare Center
Nursing Home, Memory Care, Respite Care & Skilled Nursing · Rapid City, SD
CMS overall rating
3/5
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.
3/5
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.
Fountain Springs Healthcare Center
Nursing Home, Memory Care, Respite Care & Skilled Nursing · Rapid City, SD
CMS overall rating
3/5
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.
3/5
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.
Fountain Springs Healthcare Center accepts Medicare, Medicaid, and private pay.
Fountain Springs Healthcare Center is a 10-bed nursing home situated in Rapid City, SD, which offers skilled nursing care, memory care, and respite care. The licensed nursing falls under the skilled nursing designation. A resident at risk of wandering comes here for memory care, where the area is secured and monitored.
Respite care is the answer for when a caregiver’s own schedule conflicts with their need to provide care; it finishes on a day chosen before the start of the stay. Rooms are private or semi-private, so a resident moving in can move in alone or share. The bed count is very small, and closeness to the staff and to other residents is what that means.
Spread across those beds, nursing works out to 3 hours and 24 minutes a day for each resident. Medicare covers the cost of a skilled stretch that follows after a hospital admission. Medicaid becomes the solution once savings stop covering the cost of a long stay. Private pay is the family’s own money covering the cost of care.
Kristine Harvey is the administrator here. Nursing or memory care in a small, intimate setting is what this community is built for.
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
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 37th out of 48 nursing homes we track 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.
3h 24m
This nursing home is ranked 37th out of 48 nursing homes we track 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.
3h 24mStandout metric: Physical therapist is +269% above South Dakota average
4 of 6 metrics below South Dakota average
Daily care time per resident, by role
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. All 11 are the facility's own employees; no agency contractors work in this role.
11 staff · 9.1-hour shifts
39m
↓ 19% · SD 48mThis facility: 39m per resident per day, 19% below the South Dakota average of 48m (among South Dakota facilities reporting a recent figure).
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. All 11 are the facility's own employees; no agency contractors work in this role.
11 staff · 9.1-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. All 16 are the facility's own employees; no agency contractors work in this role.
16 staff · 9.8-hour shifts
49m
↑ 69% · SD 29mThis facility: 49m per resident per day, 69% above the South Dakota average of 29m (among South Dakota facilities reporting a recent figure).
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. All 16 are the facility's own employees; no agency contractors work in this role.
16 staff · 9.8-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 52 are the facility's own employees; no agency contractors work in this role.
52 staff · 7.6-hour shifts
1h 56m
↓ 26% · SD 2h 37mThis facility: 1h 56m per resident per day, 26% below the South Dakota average of 2h 37m (among South Dakota facilities reporting a recent figure).
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. All 52 are the facility's own employees; no agency contractors work in this role.
52 staff · 7.6-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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.
11m
↑ 269% · SD 3mThis facility: 11m per resident per day, 269% above the South Dakota average of 3m (among South Dakota facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 3m
↓ 8% · SD 3h 19mThis facility: 3h 3m per resident per day, 8% below the South Dakota average of 3h 19m (among South Dakota facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
25m
↓ 21% · SD 31mThis facility: 25m per resident per day, 21% below the South Dakota average of 31m (among South Dakota facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
134
108 employees · 26 contractors · 48 on an average day
134 total staff / 82 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.63 : 1
↓ 15% · SD 1.93This facility: 1.63 staff per resident, 15% below the South Dakota average of 1.93 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
134 staff ÷ 82 residents
See full South Dakota ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.9 h
↑ 3% · SD 7.7 hThis facility: 7.9 h, 3% above the South Dakota average of 7.7 h (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
34,586 staff hours this quarter
See full South Dakota ranking →89.4% of staff hours were worked by the facility's own employees
South Dakota average: 87.9% · Contractors this quarter: Respiratory Therapy Technician (8), Physical Therapy Assistant (7), Physical Therapy Aide (4), Qualified Social Worker (2), Speech Language Pathologist (2), Occupational Therapy Aide (1), Occupational Therapy Assistant (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
10
Rank #55 / 55Bed count — State benchmarked This nursing home is ranked 55th out of 55 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
10
Rank #55 / 55Bed count — State benchmarked This nursing home is ranked 55th out of 55 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #3 / 51Years in operation — State benchmarked This nursing home is ranked 3rd out of 51 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #3 / 51Years in operation — State benchmarked This nursing home is ranked 3rd out of 51 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1
year
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #46 / 57Walk Score — State benchmarked This nursing home is ranked 46th out of 57 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #46 / 57Walk Score — State benchmarked This nursing home is ranked 46th out of 57 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
16
/ 100
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.
113
days
About This Community
IssuanceJanuary 7, 2025
CountyPennington
License Number10757
Fountain Springs Healthcare Center is administered by Kristine Harvey.
CNA Training Program
Transportation
Pets not allowed
Building TypeSingle-story
Room Types
Private Rooms
Semi-Private Rooms
CMS Health Inspection History
Total health inspections
8
↑ 60% · SD 5This facility: 8, 60% above the South Dakota average of 5 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
18
Rank #25 / 50Health citations — State benchmarked This nursing home is ranked 25th out of 50 nursing homes we track in South Dakota for health citations. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 50 SD facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 1% · SD 17.8This facility: 18, 1% above the South Dakota average of 17.8 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
2.25
Rank #10 / 50Citations per inspection — State benchmarked This nursing home is ranked 10th out of 50 nursing homes we track in South Dakota for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 50 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 38% · SD 3.64This facility: 2.25, 38% below the South Dakota average of 3.64 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
94% corrected
17 of 18 citations corrected · 1 still open
Critical
J–L
1
↑ 233% · SD 0.3This facility: 1, 233% above the South Dakota average of 0.3 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
Immediate jeopardy
Serious
G–I
1
↓ 55% · SD 2.2This facility: 1, 55% below the South Dakota average of 2.2 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
Actual harm
Moderate
D–F
16
↑ 5% · SD 15.3This facility: 16, 5% above the South Dakota average of 15.3 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
93% corrected · 1 open
No harm, more than minimal risk
Minor
A–C
0
South Dakota avg 0 (In line with South Dakota average)
No harm, minimal riskSouth Dakota avg 0 (In line with South Dakota average)Latest inspection: Feb 12, 2026 · 1 citation (Quality of Care, moderate), not yet corrected
Most cited category: Quality of Life & Care, 6 of 18 citations · 7 categories in total
Citations history
Most recent first
Feb 12, 2026
1 citation
Quality of Care moderate citation
Dec 09, 2025
9 citations
Quality of Care moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
May 28, 2025
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
Aug 15, 2024
1 citation
Quality of Care critical citation
Corrected
Corrected
May 22, 2024
1 citation
Quality of Care moderate citation
Corrected
Corrected
Apr 04, 2024
1 citation
Infection Control moderate citation
Corrected
Corrected
Jan 02, 2024
1 citation
Quality of Care serious citation
Corrected
Corrected
Mar 02, 2023
3 citations
Infection Control moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Top deficiency categories
Share of 18 citations
Quality of Life & Care
6 deficiencies (33%)
Resident Assessment & Care Planning
4 deficiencies (22%)
Resident Rights
3 deficiencies (17%)
Infection Control
2 deficiencies (11%)
Abuse, Neglect & Exploitation
1 deficiency (6%)
Nursing & Physician Services
1 deficiency (6%)
Pharmacy Services
1 deficiency (6%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 18 citations resulted from standard inspections; and 7 of 18 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
Enforcement
Penalties and fines
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 Oct 2026
2 penalties in the past 3 years
Latest: Aug 15, 2024 · $16,801 civil money penalty
Aug 15, 2024 · $16,801 civil money penalty
Jan 2, 2024 · $5,725 civil money penalty
Total fines
$22,526
↓ 59% · SD $54KThis facility: $22,526, 59% below the South Dakota average of $54,430. Average among the 72 South Dakota facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #28 / 51Federal fines — State benchmarked This nursing home is ranked 28th out of 51 nursing homes we track in South Dakota for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 51 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
2
↓ 20% · SD 2.5This facility: 2, 20% below the South Dakota average of 2.5. Average among the 72 South Dakota facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Aug 15, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$16,801
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$16,801
Jan 2, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$5,725
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$5,725Fine amount comparison
This facility
$22,526
South Dakota average
$54,430
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. South Dakota and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the South Dakota average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 24% · SD 2.6This facility: 2.0, 24% below the SD average of 2.6 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↑ 14% · SD 2.6This facility: 3.0, 14% above the SD average of 2.6 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
18.1
Score · lower is better
↑ 64% · SD 11.0This facility: 18.1, 64% above the SD average of 11.0 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
31.1
Score · lower is better
↑ 45% · SD 21.4This facility: 31.1, 45% above the SD average of 21.4 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 5 better, 5 worse, 3 near SD average
8 short-stay measures: 3 better, 1 worse, 1 near SD average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
20.5%
↓ 5% · SD 21.5This facility: 20.5, 5% below the SD average of 21.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
20.5%
↓ 5% · SD 21.5This facility: 20.5, 5% below the SD average of 21.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
40.6%
↑ 121% · SD 18.3This facility: 40.6, 121% above the SD average of 18.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
40.6%
↑ 121% · SD 18.3This facility: 40.6, 121% above the SD average of 18.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.3%
↑ 32% · SD 24.5This facility: 32.3, 32% above the SD average of 24.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.3%
↑ 32% · SD 24.5This facility: 32.3, 32% above the SD average of 24.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
1.3%
↓ 55% · SD 2.9This facility: 1.3, 55% below the SD average of 2.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.3%
↓ 55% · SD 2.9This facility: 1.3, 55% below the SD average of 2.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
9.7%
↑ 76% · SD 5.5This facility: 9.7, 76% above the SD average of 5.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
9.7%
↑ 76% · SD 5.5This facility: 9.7, 76% above the SD average of 5.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
8.0%
↑ 78% · SD 4.5This facility: 8.0, 78% above the SD average of 4.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
8.0%
↑ 78% · SD 4.5This facility: 8.0, 78% above the SD average of 4.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
11.7%
↑ 107% · SD 5.7This facility: 11.7, 107% above the SD average of 5.7 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
11.7%
↑ 107% · SD 5.7This facility: 11.7, 107% above the SD average of 5.7 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.4%
↓ 93% · SD 5.9This facility: 0.4, 93% below the SD average of 5.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.4%
↓ 93% · SD 5.9This facility: 0.4, 93% below the SD average of 5.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
25.0%
↑ 1% · SD 24.8This facility: 25.0, 1% above the SD average of 24.8 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
25.0%
↑ 1% · SD 24.8This facility: 25.0, 1% above the SD average of 24.8 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
↑ 3% · SD 94.9This facility: 97.9, 3% above the SD average of 94.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
↑ 3% · SD 94.9This facility: 97.9, 3% above the SD average of 94.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.5%
↑ 1% · SD 97.2This facility: 98.5, 1% above the SD average of 97.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.5%
↑ 1% · SD 97.2This facility: 98.5, 1% above the SD average of 97.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.42
↓ 6% · SD 1.51This facility: 1.42, 6% below the SD average of 1.51 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.42
↓ 6% · SD 1.51This facility: 1.42, 6% below the SD average of 1.51 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.73
↓ 61% · SD 1.85This facility: 0.73, 61% below the SD average of 1.85 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.73
↓ 61% · SD 1.85This facility: 0.73, 61% below the SD average of 1.85 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
42.2%
↓ 21% · US 53.7This facility: 42.2, 21% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
42.2%
↓ 21% · US 53.7This facility: 42.2, 21% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
58.2%
↑ 15% · US 50.6This facility: 58.2, 15% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
58.2%
↑ 15% · US 50.6This facility: 58.2, 15% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
↓ 21% · US 0.8This facility: 0.6, 21% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
↓ 21% · US 0.8This facility: 0.6, 21% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
↑ 38% · SD 2.2This facility: 3.0, 38% above the SD average of 2.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
↑ 38% · SD 2.2This facility: 3.0, 38% above the SD average of 2.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.3%
↑ 3% · SD 83.9This facility: 86.3, 3% above the SD average of 83.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.3%
↑ 3% · SD 83.9This facility: 86.3, 3% above the SD average of 83.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.1%
↑ 13% · SD 75.5This facility: 85.1, 13% above the SD average of 75.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.1%
↑ 13% · SD 75.5This facility: 85.1, 13% above the SD average of 75.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.2%
↓ 20% · SD 21.5This facility: 17.2, 20% below the SD average of 21.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.2%
↓ 20% · SD 21.5This facility: 17.2, 20% below the SD average of 21.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.2%
↓ 21% · SD 11.7This facility: 9.2, 21% below the SD average of 11.7 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
9.2%
↓ 21% · SD 11.7This facility: 9.2, 21% below the SD average of 11.7 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Fountain Springs Healthcare Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 45 South Dakota nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Breaking even on care
1.3% operating margin
+2.4 pts vs prior year
Positive margin in 7 of the last 8 reported years. Net income $0.2M after other income.
Does it invest in staff?
Payroll in line with South Dakota homes
57.6% payroll share of revenue
SD average 58.8%Rank #17 / 45Payroll % of net patient revenue — State benchmarked This nursing home is ranked 17th out of 45 nursing homes we track in South Dakota for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the South Dakota average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $2.5M while revenue rose $1.3M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with South Dakota homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2014 → 2024Trend | SD median | Compared with SD homesRank in SD | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $11.6M | +$1.3M | Trend 20142024 | SD median $6.6M | Rank in SD Rank #4 / 45Net patient revenue — State benchmarked This nursing home is ranked 4th out of 45 nursing homes we track in South Dakota for net patient revenue. Shows this facility's net patient revenue compared to the South Dakota average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 93% of homes | Top 7% in SD Higher net patient revenue than 93% of SD homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $11.5M | +$1.0M | Trend 20142024 | SD median $6.6M | Rank in SD Rank #8 / 45Operating expenses — State benchmarked This nursing home is ranked 8th out of 45 nursing homes we track in South Dakota for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other South Dakota homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 84% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.1M | +$0.3M | Trend 20142024 | SD median $0.0M | Rank in SD Rank #16 / 45Net patient income — State benchmarked This nursing home is ranked 16th out of 45 nursing homes we track in South Dakota for net patient income. Shows net patient revenue minus operating expenses, compared with other South Dakota homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 66% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 1.3% | +2.4 pts | Trend 20142024 | SD median 0.7% | Rank in SD Rank #21 / 45Operating margin — State benchmarked This nursing home is ranked 21st out of 45 nursing homes we track in South Dakota for operating margin. Shows net patient income as a share of net patient revenue, compared with other South Dakota homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 55% of homes | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | SD median $0.1M | Rank in SD Rank #31 / 45Other income — State benchmarked This nursing home is ranked 31st out of 45 nursing homes we track in South Dakota for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other South Dakota homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 32% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.2M | +$0.1M | Trend — | SD median $0.2M | Rank in SD Rank #26 / 45Net income — State benchmarked This nursing home is ranked 26th out of 45 nursing homes we track in South Dakota for net income. Shows the bottom line after other income, compared with other South Dakota homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 43% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Staff spending in line with South Dakota homes
| Metric | FY 2024 | vs prior year | Trend 2014 → 2024Trend | SD median | Compared with SD homesRank in SD | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $6.7M | +$2.5M | Trend 20142024 | SD median $3.8M | Rank in SD Rank #8 / 45Payroll costs — State benchmarked This nursing home is ranked 8th out of 45 nursing homes we track in South Dakota for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the South Dakota average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 84% of homes | Above SD median Higher payroll than 84% of SD homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 57.6% | +16.8 pts | Trend 20142024 | SD median 55.7% | Rank in SD Rank #17 / 45Payroll % of net patient revenue — State benchmarked This nursing home is ranked 17th out of 45 nursing homes we track in South Dakota for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the South Dakota average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 64% of homes | Near SD average The SD average is 58.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2014–2024 2 charts · SD benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the South Dakota payroll average.
% of net patient revenue
Payroll share Operating margin SD payroll average No report
Year-by-year data, 2014–2024 every reported year · latest first, scroll sideways
| Metric | 2014 | 2015 | 2016 | 2017 | 2018no report | 2019no report | 2020 | 2021 | 2022 | 2023no report | 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $7.3M | $8.4M | $8.5M | $9.6M | $10.8M | $10.2M | $10.4M | $11.6M | |||
| Operating expenses | $6.6M | $7.9M | $8.3M | $9.2M | $10.3M | $9.9M | $10.5M | $11.5M | |||
| Net patient income | $0.7M | $0.5M | $0.1M | $0.4M | $0.4M | $0.3M | −$0.1M | $0.1M | |||
| Operating margin | 10.0% | 5.9% | 1.7% | 3.8% | 4.0% | 2.6% | −1.1% | 1.3% | |||
| Net income | $0.8M | $0.5M | $0.2M | $0.4M | $1.1M | $1.0M | $0.1M | $0.2M | |||
| Payroll costs | $3.1M | $3.8M | $4.0M | $4.0M | $4.6M | $4.6M | $4.2M | $6.7M | |||
| Payroll share of revenue | 42.3% | 44.9% | 46.9% | 42.1% | 42.6% | 45.4% | 40.8% | 57.6% | |||
| Beds | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | |||
| Gross revenue | $9.1M | $11.1M | $11.8M | $13.4M | $14.7M | $13.2M | $13.3M | $13.5M | |||
| Salaries | $2.6M | $3.1M | $3.3M | $3.4M | $4.0M | $4.1M | $3.7M | $5.9M | |||
| Wage-related costs | $0.5M | $0.6M | $0.6M | $0.6M | $0.6M | $0.6M | $0.6M | $0.8M | |||
| Contract labor | $0.5M | $0.8M | $0.9M | $1.3M | $1.4M | $1.5M | $1.8M | $1.2M | |||
| Other operating costs | $3.5M | $4.1M | $4.4M | $5.2M | $5.8M | $5.3M | $6.3M | $4.8M | |||
| Net patient revenue per day | $235 | $261 | $262 | $303 | $374 | $380 | $381 | $392 | |||
| Cost per day | $212 | $246 | $257 | $291 | $359 | $370 | $385 | $387 | |||
| Average length of stay | 270.4 days | 151.1 days | 136.5 days | 99.5 days | 123.8 days | 171.9 days | 81.5 days | 113.2 days |
Showing 2024–2022 · scroll sideways for 8 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
242 admissions · FY2024
Residents admitted during the year.
Medicare
127 · 52%
Medicaid
2 · 1%
Private pay & other
113 · 47%
Resident snapshot
82 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
16 · 20%
Medicaid
42 · 51%
Private pay & other
24 · 29%
Leaving
262 discharges · FY2024
Residents discharged during the year.
Medicare
124 · 47%
Medicaid
31 · 12%
Private pay & other
107 · 41%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Fountain Springs Healthcare Center
1.9 miles from city center
Estimated distance in miles from Rapid City's city center to Fountain Springs Healthcare Center's address, calculated via Google Maps.
Calculate Travel Distance to Fountain Springs Healthcare Center
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Compare Nursing Homes around Rapid City
Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Dakota average is: 58.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Westhills Village | NH AL HC IL PC SNF | Rapid City | 44
Facility
44
SD AVG
69
Rank
#41 / 55 |
93.0%
Facility
93.0%
SD AVG
86.2%
Rank
#7 / 29 | +8% | 4.79
Facility
4.79
SD AVG
4.54
Rank
#9 / 48 | +42% | +5% | $8.8k
Facility
$8.8k
SD AVG
$52.4k
Rank
#15 / 51 | 11
Facility
11
SD AVG
17.8
Rank
#12 / 50 | 3.7
Facility
3.7
SD AVG
3.6
Rank
#27 / 50 | 1 | 41 | - |
21
Facility
21
SD AVG
38
Rank
#43 / 57 | Bradley Archer | $7.1MFiscal year ending 09/2024
Facility
$7.1MFiscal year ending 09/2024
SD AVG
$7.6M
Rank
#19 / 45 | $8.8MFiscal year ending 09/2024
Facility
$8.8MFiscal year ending 09/2024
SD AVG
$4.5M
Rank
#4 / 45 | 123.7%Fiscal year ending 09/2024
Facility
123.7%Fiscal year ending 09/2024
SD AVG
58.8%
Rank
#1 / 45 | 435033 | ||||
| Avantara North | NH HOS MC SNF | Rapid City | 68
Facility
68
SD AVG
69
Rank
#21 / 55 |
93.2%
Facility
93.2%
SD AVG
86.2%
Rank
#6 / 29 | +8% | 3.07
Facility
3.07
SD AVG
4.54
Rank
#45 / 48 | +100% | -32% | $24.1k
Facility
$24.1k
SD AVG
$52.4k
Rank
#30 / 51 | 17
Facility
17
SD AVG
17.8
Rank
#21 / 50 | 3.4
Facility
3.4
SD AVG
3.6
Rank
#24 / 50 | 2 | 63 | - |
39
Facility
39
SD AVG
38
Rank
#25 / 57 | - | $7.9MFiscal year ending 12/2024
Facility
$7.9MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#15 / 45 | $4.2MFiscal year ending 12/2024
Facility
$4.2MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#20 / 45 | 53.1%Fiscal year ending 12/2024
Facility
53.1%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#29 / 45 | 435064 | ||||
| Avantara Mountain View | NH SNF | Rapid City | 95
Facility
95
SD AVG
69
Rank
#10 / 55 | - | - | 3.72
Facility
3.72
SD AVG
4.54
Rank
#29 / 48 | +18% | -18% | $38.6k
Facility
$38.6k
SD AVG
$52.4k
Rank
#18 / 51 | 22
Facility
22
SD AVG
17.8
Rank
#32 / 50 | 3.7
Facility
3.7
SD AVG
3.6
Rank
#27 / 50 | 2 | 85 | - |
83
Facility
83
SD AVG
38
Rank
#2 / 57 | - | $10.6MFiscal year ending 12/2024
Facility
$10.6MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#8 / 45 | $5.6MFiscal year ending 12/2024
Facility
$5.6MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#12 / 45 | 52.8%Fiscal year ending 12/2024
Facility
52.8%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#30 / 45 | 435040 | ||||
| Fountain Springs Healthcare Center | NH MC RC SNF | Rapid City | 10
Facility
10
SD AVG
69
Rank
#55 / 55 | - | - | 3.39
Facility
3.39
SD AVG
4.54
Rank
#37 / 48 | -26% | -25% | $22.5k
Facility
$22.5k
SD AVG
$52.4k
Rank
#28 / 51 | 18
Facility
18
SD AVG
17.8
Rank
#25 / 50 | 2.3
Facility
2.3
SD AVG
3.6
Rank
#10 / 50 | 2 | 84 | - |
16
Facility
16
SD AVG
38
Rank
#46 / 57 | - | $11.6MFiscal year ending 12/2024
Facility
$11.6MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#4 / 45 | $6.7MFiscal year ending 12/2024
Facility
$6.7MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#8 / 45 | 57.6%Fiscal year ending 12/2024
Facility
57.6%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#17 / 45 | 435110 | ||||
| Avantara Saint Cloud | NH MC SNF | Rapid City | 78
Facility
78
SD AVG
69
Rank
#19 / 55 |
88.1%
Facility
88.1%
SD AVG
86.2%
Rank
#21 / 29 | +2% | 3.23
Facility
3.23
SD AVG
4.54
Rank
#42 / 48 | -4% | -29% | $39.1k
Facility
$39.1k
SD AVG
$52.4k
Rank
#32 / 51 | 17
Facility
17
SD AVG
17.8
Rank
#21 / 50 | 2.4
Facility
2.4
SD AVG
3.6
Rank
#12 / 50 | 3 | 69 | - | - | Laura Henney | $7.6MFiscal year ending 12/2024
Facility
$7.6MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#16 / 45 | $4.1MFiscal year ending 12/2024
Facility
$4.1MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#21 / 45 | 53.2%Fiscal year ending 12/2024
Facility
53.2%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#28 / 45 | 435060 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other SD nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in South Dakota
Fountain Springs Healthcare Center is located in Rapid City, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
Know before you visit
Frequently Asked Questions about Fountain Springs Healthcare Center
Quick answers from public records and the community's own listing.01 Is Fountain Springs Healthcare Center in a walkable area?
Fountain Springs Healthcare Center has a walk score of 16. Car-dependent. Most errands require a car, with limited nearby walkable options.
02 What is the license number of Fountain Springs Healthcare Center?
According to SD state health department records, Fountain Springs Healthcare Center's license number is 10757.
03 What is the occupancy rate at Fountain Springs Healthcare Center?
Fountain Springs Healthcare Center's occupancy is 90.1%.
04 How long has Fountain Springs Healthcare Center been in business?
Fountain Springs Healthcare Center has been operating for approximately 1 year, based on available licensing and registration records.
05 Are pets allowed at Fountain Springs Healthcare Center?
No, Fountain Springs Healthcare Center has a no-pet policy.
06 Does Fountain Springs Healthcare Center operate as a for-profit or non-profit?
Fountain Springs Healthcare Center is registered as a for-profit in SD.
07 Who is the administrator of Fountain Springs Healthcare Center?
Kristine Harvey is the administrator of Fountain Springs Healthcare Center.
Updated on
