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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 27th out of 57 homes in South Dakota. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 49m per day | ■ Avg State avg: 48m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 39m per day | ▲ 34% State avg: 29m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 28m per day | ▼ 6% State avg: 2h 37m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 17m per day | ■ Avg State avg: 3h 19m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 10m per day | ▲ 233% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 31m per day | ■ Avg State avg: 31m per day · National avg: 29m per day |
Higher than the South Dakota average: 79.9%Fountain Springs Healthcare Center is administrated by Kristine Harvey.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the South Dakota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | SD Average | vs. SD Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 25 | 19 | This facility has 32% more total deficiencies than a typical South Dakota nursing home (25 vs. SD avg 19).↑ 32% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 8.3 | 6.3 | This facility has 32% more deficiencies per year than a typical South Dakota nursing home (8.3 vs. SD avg 6.3).↑ 32% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 9, 2025, identified deficiencies related to baseline care planning, Wander Guard documentation, and securing a resident’s wheelchair during transport. Earlier inspections showed a pattern of issues involving medication management, infection control, resident safety, and timely reporting of incidents. Complaint investigations substantiated failures in abuse reporting, emergency response to choking, and maintaining a secure environment for residents with wandering behavior. Enforcement actions such as corrective plans, staff education, and disciplinary measures were implemented, but no fines or license suspensions were listed in the available reports. The facility’s deficiencies have persisted over time with some corrective actions noted, though recent findings indicate ongoing challenges in resident care and safety protocols.
South Dakota average 4.5
Last Health inspection on May 2025
South Dakota average 14.8
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.
233% worse than South Dakota averageSouth Dakota average: 0.3
44% better than South Dakota averageSouth Dakota average: 1.8
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
11% worse than South Dakota average
5% better than South Dakota average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 15 RN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursAssists with medical care and medications.
All 14 LPN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
All 60 CNA Staff are full-time employees. No contractors work on this role.
60
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 60 | 0 | 60 | 15,449 | 92 | 100% | 7.8 |
| Physical Therapist | 13 | 0 | 13 | 5,364 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 14 | 0 | 14 | 4,261 | 92 | 100% | 8.9 |
| Registered Nurse | 15 | 0 | 15 | 3,423 | 92 | 100% | 9.7 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,148 | 74 | 80% | 8.4 |
| Medication Aide/Technician | 17 | 0 | 17 | 1,524 | 86 | 93% | 8.2 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,282 | 83 | 90% | 7.1 |
| Mental Health Service Worker | 2 | 0 | 2 | 1,089 | 68 | 74% | 8.8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 1,073 | 80 | 87% | 9 |
| RN Director of Nursing | 2 | 0 | 2 | 1,049 | 77 | 84% | 9.9 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Dietitian | 1 | 0 | 1 | 437 | 63 | 68% | 6.9 |
| Nurse Aide in Training | 1 | 0 | 1 | 76 | 10 | 11% | 7.6 |
Includes penalties issued in 2024
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)
19% lower than South Dakota averageSouth Dakota average: $40K
48% more fines than South Dakota averageSouth Dakota average: 2.0
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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.
Jan 2, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Percent of long-stay residents whose ability to move independently worsened
14.0%
39% better than South Dakota averageSouth Dakota average: 22.8%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
7.0%
55% worse than South Dakota averageSouth Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
0.4%
88% better than South Dakota averageSouth Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
4.9%
10% better than South Dakota averageSouth Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than South Dakota averageSouth Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
27.4%
13% worse than South Dakota averageSouth Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.1%
In line with South Dakota averageSouth Dakota average: 95.7%
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%
Number of hospitalizations per 1,000 long-stay resident days.
1.42
6% better than South Dakota averageSouth Dakota average: 1.51
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
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
17% better than South Dakota averageSouth Dakota average: 84.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
18% worse than South Dakota averageSouth Dakota average: 1.8%
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%
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%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.2%
21% better than South Dakota averageSouth Dakota average: 11.7%
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%
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%
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.
53% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
80State-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.
Historical financial and operational data for Fountain Springs Healthcare Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #21 / 55Payroll — State benchmarkedThis home is ranked 21st out of 55 homes in South Dakota. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
4.4 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.
— 1.4 miles to nearest hospital (Elevation Inn & Suites)
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Fountain Springs Healthcare Center is located in Rapid City, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
Fountain Springs Healthcare Center has a walk score of 16. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to SD state health department records, Fountain Springs Healthcare Center's license number is 10757.
According to SD state health department records, Fountain Springs Healthcare Center's license expires on June 30, 2026.
Fountain Springs Healthcare Center's occupancy is 87%.
Kristine Harvey is the administrator of Fountain Springs Healthcare Center.
Fountain Springs Healthcare Center has 10 beds.
Yes — there are 3 photos of Fountain Springs Healthcare Center in the photo gallery on this page.
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