Rolling Hills Healthcare

Rolling Hills Healthcare is a Nursing Home in South Dakota

Rolling Hills Healthcare is a Nursing Home in South Dakota

Rolling Hills Healthcare

2200 13th Ave, Belle Fourche, SD 57717 View Map

Rolling Hills Healthcare is a Nursing Home in South Dakota

Rolling Hills Healthcare is a Nursing Home in South Dakota

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Overview of Rolling Hills Healthcare

Situated in the gorgeous town of Belle Fourche, South Dakota, Rolling Hills Healthcare offers a wide range of care options for seniors, including long term & short term care and rehab therapies. Whether you need physical, occupational, or speech therapy, their dedicated team is there to help. Seniors can enjoy the peaceful surroundings and friendly atmosphere of the community, making it a great place to relax and focus on wellness.

Rolling Hills Healthcare goes above and beyond in providing high-quality care with a personal touch. They aim to make every resident feel respected and well-cared-for by offering tailored care plans. The community features a variety of programs and amenities, including advanced therapies, pain management, dental care, dialysis, hospice services, and more. With a focus on individual wellness and rehabilitation, Rolling Hills Healthcare ensures that each resident receives the best possible care in a supportive and compassionate environment.

(605) 892-3331

Managed by Gerald Bosen

Administrator

Gerald Bosen serves as the Administrator at Rolling Hills Healthcare, leading the community with a focus on personalized care and holistic healing. Under his leadership, the team prioritizes the safety and well-being of residents, especially during challenging times such as the COVID-19 pandemic, ensuring a family-like environment and customized therapy plans for each guest.

Rating

1 / 5

Overall rating based on health inspections, staffing and quality measures.

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 83

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the South Dakota average
Occupancy rate 63.4%
Residents per day (avg) 48
Occupancy rate
63.4%
Residents per day (avg)
48

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

64% of new residents, usually for short-term rehab.

Typical stay 8 - 9 months

Private pay

28% of new residents, often for short stays.

Typical stay 5 - 6 months

Medicaid

8% of new residents, often for long-term daily care.

Typical stay 1 years

Finances and operations

Proprietary home
Individual
Home revenue
$9.1M
Profit
$1.6M
Proprietary home Individual
Home revenue
$9,050,519.00
Profit
$1,624,874.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.6M
28.3% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.1M
Total costs $6.6M
Bed community size
83-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
18+ years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 8 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

License Status
Active
Facility Type
Nursing Home
License Date
January 7, 2025
License Expiration
June 30, 2026

Additional licensing details

License number: 10594
County: Butte

Ownership & operating entity

Rolling Hills Healthcare is administrated by Bosen, Gerald.

Staffing

Key information about the people who lead and staff this community.

Leadership

Contact: Tracy Harwood, Executive Director

What does this home offer?

Check icon

Building Type: Single-story

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Fitness and Recreation

Types of Care at Rolling Hills Healthcare

Skilled Nursing
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Places of interest near Rolling Hills Healthcare

Address 54.5 miles from city center

Address 2200 13th Ave, Belle Fourche, SD 57717

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

60
Total Staff
49
Employees
11
Contractors
15,841
Total Hours (Quarter)
21
Avg Staff/Day
8.3
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse58.4 No
Licensed Practical Nurse510.5 Yes
Certified Nursing Assistant278.4 Yes
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
45 staff
8.8hs shift avg
Physicians & Practitioners
2 staff
7.7hs shift avg
Therapy Services
8 staff
7.5hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
8hs shift avg
Dietary Services
1 staff
7.9hs shift avg
Other Services
2 staff
8.6hs shift avg
Contractor Analysis
15.3%
of total hours from contractors
2,430 contractor hours this quarter
Certified Nursing Assistant: 8 Physical Therapy Aide: 1 Licensed Practical Nurse: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant198276,30391100%8.4
Medication Aide/Technician6061,55291100%9.6
Licensed Practical Nurse3251,3448593%10.5
Physical Therapy Aide3141,1627886%7.3
Registered Nurse5051,0578796%8.4
Dental Services Staff1016096673%9.2
Respiratory Therapy Technician2025756976%8
Qualified Social Worker1015036369%8
Dietitian1015006369%7.9
Mental Health Service Worker1014966268%8
Speech Language Pathologist2024556167%7.1
Administrator1014405560%8
Nurse Practitioner1014185560%7.6
RN Director of Nursing1012322932%8
Clinical Nurse Specialist1011922426%8
Nurse Aide in Training101411%4

Health Inspection History

Source: CMS Health Citations (Sep 2022 – Sep 2025)

8
Inspections
27
Total Citations
1
Critical (J-L)
3
Serious (G-I)
3.38
Citations/Inspection
Sep 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
23
Serious (G-I)
3
Critical (J-L)
1
What do these levels mean?
Top Deficiency Categories
Resident Rights
6
22% of total
Quality of Life & Care
4
15% of total
Infection Control
3
11% of total
Abuse, Neglect & Exploitation
3
11% of total
Pharmacy Services
2
7% of total
Citation Sources
Standard Inspections 17
Complaint Investigations 11
State Comparison (SD)
Avg Citations (State)
14.8
This Facility: 27
Avg Critical (State)
0.3
This Facility: 1
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Sep 29, 2025 D PharmacyF0755 Corrected
Sep 29, 2025 G Quality of CareF0689 Corrected
Sep 29, 2025 D Quality of CareF0699 Corrected
Jun 03, 2025 E Resident RightsF0550 Corrected
Jan 28, 2025 G Abuse/NeglectF0600 Corrected
Oct 17, 2024 D Abuse/NeglectF0610 Corrected
Oct 17, 2024 F NutritionF0804 Corrected
Oct 17, 2024 E NutritionF0812 Corrected
Oct 17, 2024 G Quality of CareF0686 Corrected
Oct 17, 2024 D Care PlanningF0657 Corrected
Oct 17, 2024 D Care PlanningF0658 Corrected
Oct 17, 2024 E Resident RightsF0550 Corrected
Oct 17, 2024 D Resident RightsF0584 Corrected
Sep 04, 2024 D Infection ControlF0880 Corrected
Sep 04, 2024 D NutritionF0801 Corrected
Sep 04, 2024 L NutritionF0812 Corrected
Jun 27, 2024 D Abuse/NeglectF0600 Corrected
Jun 27, 2024 D Care PlanningF0658 Corrected
Sep 27, 2023 D Infection ControlF0880 Corrected
Sep 27, 2023 D NutritionF0812 Corrected
Sep 27, 2023 D PharmacyF0761 Corrected
Sep 27, 2023 E Quality of CareF0684 Corrected
Sep 27, 2023 D Resident RightsF0558 Corrected
Sep 27, 2023 D Resident RightsF0561 Corrected
Sep 27, 2023 E Resident RightsF0584 Corrected
Sep 08, 2022 D Infection ControlF0880 Corrected
Sep 08, 2022 D Care PlanningF0658 Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Part of: Eduro Healthcare
Resident Census by Payment Source
51 Total Residents
Medicare 25 (49%)
Medicaid 26 (51%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
13.6 Score
13% worse than avg State avg: 12.0

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
28.2 Score
18% worse than avg State avg: 23.9

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
18.5%
Lost Too Much Weight
12.0%
Urinary Tract Infection
8.2%
Depressive Symptoms
0.0%
Falls with Major Injury
3.4%
Pneumococcal Vaccine
100.0%
Antipsychotic Use
13.4%
Walking Ability Worsened
28.6%
Influenza Vaccine
98.0%
High Risk Residents with Pressure Ulcers
5.8%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
37.6%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
94.9% 12% better than avg State: 84.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
1.4% 20% better than avg State: 1.8%
Influenza Vaccine
91.4% 17% better than avg State: 78.2%

Penalties & 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 $71K State avg: $40K 78% worse than avg
Number of Fines 3 State avg: 2.0
Compared to State Average Facility: $71K | State Avg: $40K
Penalty History

Showing all 3 penalties (Sep 2024 - Jan 2025)

Jan 28, 2025 Civil Money Penalty
$14K
Oct 17, 2024 Civil Money Penalty
$26K
Sep 4, 2024 Civil Money Penalty
$31K
Check out this article

Guides for Better Senior Living

From costs to care, explore the most important topics to make informed decisions about your future.

Claim What’s Yours: Financial Aid for South Dakota Seniors

Program
State Program Name
Eligibility
Benefits
Home and Community Based Services Waiver
SD Medicaid HCBS Waiver
Official government program page
  • General: Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • SD Specifics: Sparse population aids rural access; limited providers.
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
South Dakota Elderly Services Program
SD ESP
  • General: Age 60+, South Dakota resident, at risk of decline.
  • Income Limits: ~$1,732/month (individual, varies).
  • Asset Limits: $5,000 (individual).
  • SD Specifics: Limited funding; rural focus.
  • Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
Medicare Savings Program (MSP)
South Dakota Medicare Savings Program
  • General: Age 65+ or disabled, SD resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • SD Specifics: Three tiers; includes Extra Help for Part D; no waitlist.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Low-Income Home Energy Assistance Program (LIEAP)
  • General: Age 60+ prioritized, SD resident, low-income household.
  • Income Limits (2025): ~$3,970/month (individual, 185% FPL).
  • Asset Limits: Not assessed; income-focused.
  • SD Specifics: Covers gas, electric, propane; weatherization add-on available.
  • Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Family Caregiver Support Program (FCSP)
South Dakota Family Caregiver Support Program
  • General: Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
  • Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).
  • Asset Limits: Not assessed; need-based.
  • SD Specifics: Rural emphasis; includes grandparent caregivers.
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
  • General: Age 55+, unemployed, low-income, SD resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified; income-focused.
  • SD Specifics: Priority for veterans, rural residents; AARP partnership.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
South Dakota VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth limit).
  • SD Specifics: Supports rural veterans; high demand near Sioux Falls VA.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Property Tax Reduction Program
South Dakota Property Tax Reduction from Municipal Taxes
Official government program page
  • General: Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.
  • Income Limits (2025): ~$20,192/year (single), ~$24,679/year (multiple-member household).
  • Asset Limits: Not assessed; income-focused.
  • SD Specifics: Refunds up to $575; ~10,000 seniors benefit annually.
  • Services: Tax refund (~$250-$575/year based on income).
Senior Farmers’ Market Nutrition Program (SFMNP)
  • General: Age 60+, SD resident, low-income.
  • Income Limits (2025): ~$2,322/month (individual, 185% FPL).
  • Asset Limits: Not assessed.
  • SD Specifics: Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.
  • Services: Vouchers (~$50/season) for fresh produce at approved markets.
Freeze on Assessments for Dwellings of Disabled and Senior Citizens
South Dakota Property Tax Freeze
Official government program page
  • General: Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.
  • Income Limits (2025): ~$35,000/year (single), ~$45,000/year (multiple-member household).
  • Asset Limits: Property value < $250,000 (single), $300,000 (multiple).
  • SD Specifics: Saves ~$300-$600/year avg.; applies to primary residence.
  • Services: Assessment freeze (~$300-$600/year savings).
Older Americans Act (OAA) Services
South Dakota OAA Services
  • General: Age 60+, SD resident (or spouse of any age); no income/asset limits.
  • Income Limits (2025): None; donations encouraged for some services.
  • Asset Limits: Not assessed.
  • SD Specifics: 6 AAAs; rural focus due to sparse population.
  • Services: Meals (home-delivered or congregate, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.

Claim What’s Yours Financial Aid for South Dakota Seniors

SD Medicaid HCBS Waiver

Home and Community Based Services Waiver

Requirements:
  • General:
    Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • SD Specifics:
    Sparse population aids rural access; limited providers.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
SD ESP

South Dakota Elderly Services Program

Requirements:
  • General:
    Age 60+, South Dakota resident, at risk of decline.
  • Income Limits:
    ~$1,732/month (individual, varies).
  • Asset Limits:
    $5,000 (individual).
  • SD Specifics:
    Limited funding; rural focus.
Benefits without Contact:
  • Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
South Dakota Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, SD resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • SD Specifics:
    Three tiers; includes Extra Help for Part D; no waitlist.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
South Dakota LIEAP

Low-Income Home Energy Assistance Program (LIEAP)

Requirements:
  • General:
    Age 60+ prioritized, SD resident, low-income household.
  • Income Limits (2025):
    ~$3,970/month (individual, 185% FPL).
  • Asset Limits:
    Not assessed; income-focused.
  • SD Specifics:
    Covers gas, electric, propane; weatherization add-on available.
Benefits without Contact:
  • Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
South Dakota Family Caregiver Support Program

Family Caregiver Support Program (FCSP)

Requirements:
  • General:
    Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
  • Income Limits (2025):
    No strict cap; prioritizes low-income (~$24,980/year).
  • Asset Limits:
    Not assessed; need-based.
  • SD Specifics:
    Rural emphasis; includes grandparent caregivers.
Benefits without Contact:
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
South Dakota SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, SD resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified; income-focused.
  • SD Specifics:
    Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
South Dakota VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth limit).
  • SD Specifics:
    Supports rural veterans; high demand near Sioux Falls VA.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
South Dakota Property Tax Reduction from Municipal Taxes

Property Tax Reduction Program

Requirements:
  • General:
    Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.
  • Income Limits (2025):
    ~$20,192/year (single), ~$24,679/year (multiple-member household).
  • Asset Limits:
    Not assessed; income-focused.
  • SD Specifics:
    Refunds up to $575; ~10,000 seniors benefit annually.
Benefits without Contact:
  • Services: Tax refund (~$250-$575/year based on income).
South Dakota SFMNP

Senior Farmers’ Market Nutrition Program (SFMNP)

Requirements:
  • General:
    Age 60+, SD resident, low-income.
  • Income Limits (2025):
    ~$2,322/month (individual, 185% FPL).
  • Asset Limits:
    Not assessed.
  • SD Specifics:
    Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.
Benefits without Contact:
  • Services: Vouchers (~$50/season) for fresh produce at approved markets.
South Dakota Property Tax Freeze

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

Requirements:
  • General:
    Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.
  • Income Limits (2025):
    ~$35,000/year (single), ~$45,000/year (multiple-member household).
  • Asset Limits:
    Property value < $250,000 (single), $300,000 (multiple).
  • SD Specifics:
    Saves ~$300-$600/year avg.; applies to primary residence.
Benefits without Contact:
  • Services: Assessment freeze (~$300-$600/year savings).
South Dakota OAA Services

Older Americans Act (OAA) Services

Requirements:
  • General:
    Age 60+, SD resident (or spouse of any age); no income/asset limits.
  • Income Limits (2025):
    None; donations encouraged for some services.
  • Asset Limits:
    Not assessed.
  • SD Specifics:
    6 AAAs; rural focus due to sparse population.
Benefits without Contact:
  • Services: Meals (home-delivered or congregate, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
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