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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 2.65/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5

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 63.1%
Residents per day (avg) 48
Occupancy rate
63.1%
Residents per day (avg)
48

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

70% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

23% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

7% of new residents, often for long-term daily care.

Typical stay 5 - 6 years

Finances and operations

Proprietary home
Other
Home revenue
$8.5M
Profit
$244.9K
Proprietary home Other
Home revenue
$8,496,486.00
Profit
$244,943.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
35.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.2M
Total costs $8.3M
Bed community size
83-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
47 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?

Building type icon
Building type icon

Building Type: Single-story

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Rolling Hills Healthcare

Skilled Nursing

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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Address

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

Total Health inspections 8
78% above South Dakota average
South Dakota average: 4.5

Last Health inspection on Sep 2025

Total Health citations 27
82% above South Dakota average
South Dakota average: 14.8

3.38 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 17 citations
Complaint investigations 11 citations
Breakdown of citations
Critical Health citations 1
233% above South Dakota average
South Dakota average: 0.3
Serious Health citations 3
67% above South Dakota average
South Dakota average: 1.8
Moderate Health citations 23

Minor Health citations 0
Citations history (last 3 years)
Pharmacy moderate citation Sep 29, 2025
Corrected

Quality of Care serious citation Sep 29, 2025
Corrected

Quality of Care moderate citation Sep 29, 2025
Corrected

Resident Rights moderate citation Jun 03, 2025
Corrected

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 of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score 13.6
13% worse than South Dakota average
South Dakota average: 12.0
Functional decline score 28.2
18% worse than South Dakota average
South Dakota average: 23.9
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 18.5%
17% below South Dakota average.

Walking Ability Worsened 28.6%
25% above South Dakota average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 37.6%
41% above South Dakota average.
Safety & clinical stability

Falls with Major Injury 3.4%
33% below South Dakota average.

High Risk Residents with Pressure Ulcers 5.8%
28% above South Dakota average.

Urinary Tract Infection 8.2%
136% above South Dakota average.
Emotional & behavioral wellbeing

Depressive Symptoms 0.0%
100% below South Dakota average.

Antipsychotic Use 13.4%
45% below South Dakota average.
Preventive care

Pneumococcal Vaccine 100.0%
5% above South Dakota average.

Influenza Vaccine 98.0%
1% above South Dakota average.
Nutrition & physical health

Lost Too Much Weight 12.0%
121% above South Dakota average.
Short-stay resident measures
Pneumococcal Vaccine 94.9%

12% better than South Dakota average
Antipsychotic medication increase 1.4%

20% better than South Dakota average
Influenza Vaccine 91.4%

17% better than South Dakota average

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $71K
This home paid 78% more in fines than the state average.
South Dakota average: $40K
Number of Fines 3
This home received 48% more fines than the state average.
South Dakota average: 2.0
Payment Denials 0
This home is near the state average.
South Dakota average: 0.0
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

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

Last updated: Jan 2026

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Financial Aid for South Dakota Seniors

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Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Sparse population aids rural access; limited providers.

South Dakota Elderly Services Program

SD ESP

Age 60+, South Dakota resident, at risk of decline.

~$1,732/month (individual, varies).

$5,000 (individual).

Limited funding; rural focus.

Medicare Savings Program (MSP)

South Dakota Medicare Savings Program

Age 65+ or disabled, SD resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

Age 60+ prioritized, SD resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers gas, electric, propane; weatherization add-on available.

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

Rural emphasis; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

South Dakota SCSEP

Age 55+, unemployed, low-income, SD resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

South Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

Supports rural veterans; high demand near Sioux Falls VA.

Property Tax Reduction Program

South Dakota Property Tax Reduction from Municipal Taxes

Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.

~$20,192/year (single), ~$24,679/year (multiple-member household).

Not assessed; income-focused.

Refunds up to $575; ~10,000 seniors benefit annually.

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

Age 60+, SD resident, low-income.

~$2,322/month (individual, 185% FPL).

Not assessed.

Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.

~$35,000/year (single), ~$45,000/year (multiple-member household).

Property value < $250,000 (single), $300,000 (multiple).

Saves ~$300-$600/year avg.; applies to primary residence.

Older Americans Act (OAA) Services

South Dakota OAA Services

Age 60+, SD resident (or spouse of any age); no income/asset limits.

None; donations encouraged for some services.

Not assessed.

6 AAAs; rural focus due to sparse population.

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