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Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
May offer a more intimate, personalized care environment.
Lower occupancy suggests more openings may be available.
Most residents typically stay for a few weeks or months before returning home or moving on.
70% of new residents, usually for short-term rehab.
23% of new residents, often for short stays.
7% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Rolling Hills Healthcare is administrated by Bosen, Gerald.
Ways to qualify for care at this community, including accepted programs and payment options.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
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.
South Dakota average 4.5
Last Health inspection on Sep 2025
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 27 citations resulted from standard inspections; 10 of 27 resulted from complaint investigations; and 1 of 27 came from combined inspections (standard and complaint).
1
233% worse than South Dakota average
South Dakota average: 0.3
3
67% worse than South Dakota average
South Dakota average: 1.8
Corrected
Corrected
Corrected
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
+30% 
-14% +19% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-22% -27% -1% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
+29% -20% -23% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
+52% -36% -6% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-24% -39% -21% 
Alcester Care and Rehab Center
+30%
-14%
+19%
-22%
-27%
-1%
Aurora Brule Nursing Home Inc.
+29%
-20%
-23%
+52%
-36%
-6%
Rolling Hills Healthcare
-24%
-39%
-21%
0.0 miles from city center
Belle Fourche, SD 57717
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Source: CMS Payroll-Based Journal (Q2 2025)
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 5 | 8.4 | No |
| Licensed Practical Nurse | 5 | 10.5 | Yes |
| Certified Nursing Assistant | 27 | 8.4 | Yes |
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 19 | 8 | 27 | 6,303 | 91 | 100% | 8.4 |
| Medication Aide/Technician | 6 | 0 | 6 | 1,552 | 91 | 100% | 9.6 |
| Licensed Practical Nurse | 3 | 2 | 5 | 1,344 | 85 | 93% | 10.5 |
| Physical Therapy Aide | 3 | 1 | 4 | 1,162 | 78 | 86% | 7.3 |
| Registered Nurse | 5 | 0 | 5 | 1,057 | 87 | 96% | 8.4 |
| Dental Services Staff | 1 | 0 | 1 | 609 | 66 | 73% | 9.2 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 575 | 69 | 76% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 503 | 63 | 69% | 8 |
| Dietitian | 1 | 0 | 1 | 500 | 63 | 69% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 455 | 61 | 67% | 7.1 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 418 | 55 | 60% | 7.6 |
| RN Director of Nursing | 1 | 0 | 1 | 232 | 29 | 32% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 192 | 24 | 26% | 8 |
| Nurse Aide in Training | 1 | 0 | 1 | 4 | 1 | 1% | 4 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
13.6
13% worse than South Dakota average
South Dakota average: 12.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.2
18% worse than South Dakota average
South Dakota average: 23.9
Percent of long-stay residents whose need for help with daily activities has increased
18.5%
17% better than South Dakota average
South Dakota average: 22.3%
Percent of long-stay residents whose ability to move independently worsened
28.6%
25% worse than South Dakota average
South Dakota average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
37.6%
41% worse than South Dakota average
South Dakota average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
33% better than South Dakota average
South Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
5.8%
28% worse than South Dakota average
South Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
8.2%
136% worse than South Dakota average
South Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
12.0%
121% worse than South Dakota average
South Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than South Dakota average
South Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
13.4%
45% better than South Dakota average
South Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than South Dakota average
South Dakota average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
In line with South Dakota average
South Dakota average: 96.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
12% better than South Dakota average
South Dakota average: 84.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
20% better than South Dakota average
South Dakota average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
17% better than South Dakota average
South Dakota average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
78% higher than South Dakota average
South Dakota average: $40K
48% more fines than South Dakota average
South 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 average
South Dakota average: 0.0
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 28, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 17, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 4, 2024
Last updated: Jan 2026
Historical financial and operational data for Rolling Hills Healthcare based on CMS SNF Cost Reports.
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