Rolling Hills Healthcare

Q: What neighborhood is Rolling Hills Healthcare in?

Rolling Hills Healthcare is in the 13th Avenue neighborhood of Belle Fourche.

Q: Is Rolling Hills Healthcare in a walkable area?

Rolling Hills Healthcare has a walk score of 8. Car-dependent. Most errands require a car, with limited nearby walkable options.

Q: What is the license number of Rolling Hills Healthcare?

According to SD state health department records, Rolling Hills Healthcare's license number is 10594.

Q: When does Rolling Hills Healthcare's license expire?

According to SD state health department records, Rolling Hills Healthcare's license expires on June 30, 2026.

Q: What is the occupancy rate at Rolling Hills Healthcare?

Rolling Hills Healthcare's occupancy is 63%.

Q: Who is the administrator of Rolling Hills Healthcare?

Gerald Bosen is the administrator of Rolling Hills Healthcare.

Q: How many beds does Rolling Hills Healthcare have?

Rolling Hills Healthcare has 83 beds.

Nursing Home & Hospice Care · South Dakota, SD

CMS overall rating

2200 13Th Ave, Belle Fourche, SD 57717 View map

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Rolling Hills Healthcare accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Rolling Hills Healthcare accepts Medicaid, Medicare, and private pay.

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

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to South Dakota state averages

Total nursing care / resident

2h 39m per day

This facility South Dakota avg (4h 20m per day)

vs South Dakota avg

-39%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +26% above state avg

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.	26m per day	▼ 47% 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.	37m per day	▲ 26% 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 16m per day	▼ 14% 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.	2h 31m per day	▼ 24% 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.	2m per day	▼ 32% 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.	13m per day	▼ 59% State avg: 31m per day · National avg: 29m per day

Capacity and availability

220 days

83-bed community

A larger shared setting that may offer more common spaces and organized community services.

47 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 8 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

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

Occupancy

Occupancy rate

63%

Lower than the South Dakota average: 79.9%

Occupied beds

52 / 83

Average occupied beds in South Dakota homes 51 beds

Facility TypeNursing Home

StatusActive

IssuanceJanuary 7, 2025

ExpirationJune 30, 2026

CountyButte

License Number10594

Rolling Hills Healthcare is administrated by Gerald Bosen.

Staffing

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

ContactTracy Harwood, Executive Director

Accept Medicaid

Accept Medicare

Rehabilitation Services

Licensed Professional Staff

Dental Care

Dialysis

Podiatry Services

Specific ProgramsLong & Short Term Care

Since 2022 · 4 years of data 38 deficiencies

Inspection Scorecard 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.

Since 2022 vs. South Dakota state average

Overall vs. SD average

Latest Inspection September 29, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	SD Average	vs. SD Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	38	19	This facility has 100% more total deficiencies than a typical South Dakota nursing home (38 vs. SD avg 19).↑ 100% worse
Deficiencies per year Average deficiencies per year since 2022.	9.5	4.8	This facility has 98% more deficiencies per year than a typical South Dakota nursing home (9.5 vs. SD avg 4.8).↑ 98% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

September 29, 2025 complaint investigation found three deficiencies including failure to prevent burns, inadequate trauma-informed care for PTSD, and missing seizure medication.
June 3, 2025 annual inspection cited failure to provide bathing assistance to 7 of 18 residents and poor documentation of baths.
May 8, 2023 annual inspection found no health deficiencies, indicating compliance at that time.

Show Inspection Reports

Inspections since 2022

Total health inspections 8

South Dakota average 4.5

Last Health inspection on Sep 2025

Total health citations

South Dakota average 14.8

Citations per inspection

3.38

South Dakota average 3.34

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).

Breakdown of citation severity (last 4 years)

Critical health citations

233% worse than South Dakota average

South Dakota average: 0.3

Serious health citations

67% worse than South Dakota average

South Dakota average: 1.8

1 critical citation South Dakota average: 0.3

3 serious citations South Dakota average: 1.8

23 moderate citations South Dakota average: 12.6

0 minor citations South Dakota average: 0

Citations history (last 4 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

Total staff 80

Employees 61

Contractors 19

Staff to resident ratio 1.57 : 1

19% fewer staff per resident than South Dakota average

Avg staff/day 26

Average shift 8.6 hours

12% better than South Dakota average

Total staff hours (quarter) 20,585

Nursing staff breakdown

7.9 hours

9.5 hours

8.8 hours

Contractor staffing

1,529 contractor hours this quarter

Certified Nursing Assistant: 17 Licensed Practical Nurse: 1 Physical Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	27	17	44	9,762	92	100%	8.8
Licensed Practical Nurse	7	1	8	2,559	92	100%	9.5
Registered Nurse	6	0	6	1,633	88	96%	7.9
Medication Aide/Technician	3	0	3	1,513	92	100%	9.6
Physical Therapy Aide	4	0	4	662	65	71%	8
Dental Services Staff	1	0	1	593	65	71%	9.1
Administrator	1	0	1	512	64	70%	8
Nurse Practitioner	1	0	1	512	64	70%	8
RN Director of Nursing	1	0	1	504	63	68%	8
Mental Health Service Worker	1	0	1	496	62	67%	8
Qualified Social Worker	1	0	1	475	60	65%	7.9
Dietitian	1	0	1	456	57	62%	8
Speech Language Pathologist	2	0	2	404	56	61%	6.9
Physical Therapy Assistant	0	1	1	278	40	43%	7
Respiratory Therapy Technician	2	0	2	171	30	33%	5.7
Nurse Aide in Training	3	0	3	53	7	8%	7.6

44 Certified Nursing Assistant

% of Days 100%

8 Licensed Practical Nurse

% of Days 100%

6 Registered Nurse

% of Days 96%

3 Medication Aide/Technician

% of Days 100%

4 Physical Therapy Aide

% of Days 71%

1 Dental Services Staff

% of Days 71%

1 Administrator

% of Days 70%

1 Nurse Practitioner

% of Days 70%

1 RN Director of Nursing

% of Days 68%

1 Mental Health Service Worker

% of Days 67%

1 Qualified Social Worker

% of Days 65%

1 Dietitian

% of Days 62%

2 Speech Language Pathologist

% of Days 61%

1 Physical Therapy Assistant

% of Days 43%

2 Respiratory Therapy Technician

% of Days 33%

3 Nurse Aide in Training

% of Days 8%

View All Staffing Data

Total fines amount $71K

78% higher than South Dakota average

South Dakota average: $40K

Number of fines 3

48% more fines than South Dakota average

South Dakota average: 2.0

Payment Denials 0

In line with South Dakota average

South Dakota average: 0.0

Fines amount comparison

This facility $71K

South Dakota average $40K

Penalty History

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

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

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

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

Average South Dakota avg: 2.6

Need for Help with Daily Activities Increased 18.5%

17% better than South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened 28.6%

25% worse than South Dakota average

South Dakota average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence 37.6%

41% worse than South Dakota average

South Dakota average: 26.7%

Falls with Major Injury 3.4%

33% better than South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers 5.8%

28% worse than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection 8.2%

136% worse than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight 12.0%

121% worse than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms 0.0%

100% better than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use 13.4%

45% better than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine 100.0%

5% better than South Dakota average

South Dakota average: 95.7%

Influenza Vaccine 98.0%

In line with South Dakota average

South Dakota average: 96.9%

Hospitalizations per 1,000 days 0.62

59% better than South Dakota average

South Dakota average: 1.51

ED visits per 1,000 days 2.34

26% worse than South Dakota average

South Dakota average: 1.85

Short-stay resident measures

Below average South Dakota avg: 2.6

Pneumococcal Vaccine 94.9%

12% better than South Dakota average

South Dakota average: 84.4%

Antipsychotic medication increase 1.4%

20% better than South Dakota average

South Dakota average: 1.8%

Influenza Vaccine 91.4%

17% better than South Dakota average

South Dakota average: 78.2%

Re-hospitalized after SNF stay 16.3%

24% better than South Dakota average

South Dakota average: 21.5%

Emergency department visits 13.1%

12% worse than South Dakota average

South Dakota average: 11.7%

Falls with major injury 1.8%

136% worse than South Dakota average

South Dakota average: 0.8%

Ability to care for self at discharge 35.9%

33% worse than South Dakota average

South Dakota average: 53.7%

Successful return to home or community 55.1%

9% better than South Dakota average

South Dakota average: 50.6%

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

Total residents 51

Medicare

49% of residents

Medicaid

51% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Rolling Hills Healthcare from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 63.1% ↓ 2.2pp vs 2022

Net Patient Income $22.2K ↓ ~$832.6K vs 2022

Payroll Costs $3.6M ↑ ~$478.7K vs 2022

Operating Margin 0.3% ↓ 11.1pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2019	2020	2021	2022	2023
Occupancy %	94.0%	94.2%	95.6%	93.0%	90.2%	93.1%	90.2%	88.8%	77.7%	67.0%	65.3%	63.1%
Beds	83	83	83	83	83	83	83	83	83	83	83	83
Net Income	$208,612	$464,401	$437,991	$192,117	$23,350	$151,549	$128,663	-$2,513,329	$1,089,426	$1,914,213	$1,624,874	$244,943
Gross Revenue	$7,398,522	$7,891,696	$8,534,429	$8,783,345	$8,925,892	$9,568,427	$10,665,988	$10,963,369	$8,926,715	$8,110,357	$9,050,519	$8,273,742
Operating Expenses	$6,021,336	$6,110,743	$6,129,770	$6,249,459	$6,498,164	$7,261,341	$7,101,430	$7,325,661	$6,424,635	$6,188,647	$6,621,574	$7,132,436
Net Patient Income	-$331,577	-$133,189	$205,500	$53,154	-$194,519	-$82,475	-$93,034	-$273,104	$679,438	$87,076	$854,797	$22,199
Net Patient Revenue	$5,689,759	$5,977,554	$6,335,270	$6,302,613	$6,303,645	$7,178,866	$7,008,396	$7,052,557	$7,104,073	$6,275,723	$7,476,371	$7,154,635
Payroll Costs	$3,178,858	$3,222,622	$3,130,763	$3,035,377	$3,223,612	$3,500,595	$3,432,507	$3,346,582	$3,566,078	$3,458,963	$3,096,949	$3,575,629
Operating Margin %	-5.8%	-2.2%	3.2%	0.8%	-3.1%	-1.2%	-1.3%	-3.9%	9.6%	1.4%	11.4%	0.3%
Medicare %	7.2%	9.2%	12.1%	10.2%	12.7%	18.3%	15.7%	13.7%	13.3%	12.3%	14.5%	13.8%
Medicaid %	65.7%	59.8%	56.5%	61.5%	65.5%	51.4%	53.3%	63.1%	63.3%	63.0%	65.8%	64.6%
Private %	27.2%	31.0%	31.3%	28.3%	21.9%	30.3%	31.0%	23.2%	23.4%	24.8%	19.8%	21.7%
Net Patient Revenue/Day	$203	$209	$219	$224	$231	$254	$257	$242	$301	$309	$378	$374
Cost/Day	$215	$214	$212	$222	$238	$257	$260	$251	$272	$305	$335	$373
Avg Length of Stay	280.7 days	238.4 days	344.8 days	234.9 days	191.0 days	158.8 days	151.7 days	160.4 days	200.1 days	218.3 days	232.6 days	219.6 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$7.2M

Net patient income

$22.2K

Privately-owned community Operated by a single business entity.

Net patient revenue

$7.2M

Net patient income

$22.2K

Other income

$222.7K

Payroll costs

$3.6M 50% of net patient revenue

Other operating costs

$3.6M

Total costs

$7.1M

What does this home offer?

Building Type: Single-story

Fitness and Recreation

TYPE OF STAY

Mostly short-term rehab stays

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

Most new residents arrive under Medicare (70% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 70%

Private pay 23%

Medicaid 7%

Coverage residents most often leave under.

Medicare 53%

Private pay 26%

Medicaid 21%

Managed by Gerald Bosen

Administrator

54.5 miles from city center Estimated distance in miles from Belle Fourche's city center to Rolling Hills Healthcare's address, calculated via Google Maps. — 0.8 miles to nearest hospital (Tri State Medical Center, PLLC)

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Compare Nursing Home around South Dakota

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

5 facilities compared · CMS & SD Dept. of Health data


Avera Maryhouse	NH AL HC	Pierre	67 Facility 67 SD AVG 69 Rank #49 / 117	-	-	5.30 Facility 5.30 SD AVG 4.34 Rank #7 / 65	+18%	+22%	$0 Facility $0 SD AVG $38.5k Rank #1 / 67	9 Facility 9 SD AVG 14.8 Rank #17 / 67	2.3 Facility 2.3 SD AVG 3.3 Rank #20 / 67	-	59	-	60 Facility 60 SD AVG 39 Rank #39 / 159	-	-	-	-	435034
Bethesda Home of Aberdeen	NH AL HC NC RC	Aberdeen (Melrose Addition)	86 Facility 86 SD AVG 69 Rank #27 / 117	92.8% Facility 92.8% SD AVG 79.9% Rank #10 / 62	+16%	4.38 Facility 4.38 SD AVG 4.34 Rank #19 / 65	-22%	+1%	$0 Facility $0 SD AVG $38.5k Rank #1 / 67	7 Facility 7 SD AVG 14.8 Rank #9 / 67	2.3 Facility 2.3 SD AVG 3.3 Rank #20 / 67	-	85	-	12 Facility 12 SD AVG 39 Rank #127 / 159	Scott Eisenbeisz	$9.7M Facility $9.7M SD AVG $6.7M Rank #17 / 63	$7.2M Facility $7.2M SD AVG $2.6M Rank #5 / 63	74.3% Facility 74.3% SD AVG 40.8% Rank #6 / 63	435073
Fountain Springs Healthcare Center	NH AL IL	Rapid City	10 Facility 10 SD AVG 69 Rank #116 / 117	87.3% Facility 87.3% SD AVG 79.9% Rank #24 / 62	+9%	3.82 Facility 3.82 SD AVG 4.34 Rank #33 / 65	-2%	-12%	$22.5k Facility $22.5k SD AVG $38.5k Rank #40 / 67	11 Facility 11 SD AVG 14.8 Rank #21 / 67	1.6 Facility 1.6 SD AVG 3.3 Rank #12 / 67	2	82	-	16 Facility 16 SD AVG 39 Rank #120 / 159	-	$6.8M Facility $6.8M SD AVG $6.7M Rank #26 / 63	$3.1M Facility $3.1M SD AVG $2.6M Rank #27 / 63	45.6% Facility 45.6% SD AVG 40.8% Rank #31 / 63	435110
Avera Mother Joseph Manor Retirement Community	NH AL HC IL	Aberdeen	81 Facility 81 SD AVG 69 Rank #32 / 117	-	-	4.62 Facility 4.62 SD AVG 4.34 Rank #14 / 65	-24%	+6%	$8.8k Facility $8.8k SD AVG $38.5k Rank #18 / 67	12 Facility 12 SD AVG 14.8 Rank #26 / 67	1.7 Facility 1.7 SD AVG 3.3 Rank #13 / 67	3	76	-	31 Facility 31 SD AVG 39 Rank #93 / 159	-	-	-	-	435042
Rolling Hills Healthcare	NH HC	Belle Fourche (13Th Avenue)	83 Facility 83 SD AVG 69 Rank #30 / 117	63.1% Facility 63.1% SD AVG 79.9% Rank #57 / 62	-21%	2.65 Facility 2.65 SD AVG 4.34 Rank #62 / 65	-33%	-39%	$94.4k Facility $94.4k SD AVG $38.5k Rank #57 / 67	27 Facility 27 SD AVG 14.8 Rank #58 / 67	3.4 Facility 3.4 SD AVG 3.3 Rank #40 / 67	4	55	A+	8 Facility 8 SD AVG 39 Rank #139 / 159	-	$7.2M Facility $7.2M SD AVG $6.7M Rank #27 / 63	$3.6M Facility $3.6M SD AVG $2.6M Rank #29 / 63	50% Facility 50% SD AVG 40.8% Rank #29 / 63	435035

Nursing Home Explorer

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

Age 65+ or disabled

General 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).

Sparse population aids rural access; limited providers.

Benefits

Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

South Dakota Elderly Services Program

SD ESP

Age 60+

General South Dakota resident, at risk of decline.

Income Limits ~$1,732/month individual, varies

Asset Limits $5,000 individual

Limited funding; rural focus.

Benefits

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

Age 65+ or disabled

General 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).

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

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

Age 60+ prioritized

General SD resident, low-income household.

Income Limits (2025) ~$3,970/month individual, 185% FPL

Asset Limits Not assessed; income-focused.

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

Benefits

Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

Age —

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.

Rural emphasis; includes grandparent caregivers.

Benefits

Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

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

South Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General 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

Supports rural veterans; high demand near Sioux Falls VA.

Benefits

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

Age 65+ (or disabled) by Jan 1

General 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.

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

Benefits

Tax refund (~$250-$575/year based on income)

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

Age 60+

General SD resident, low-income.

Income Limits (2025) ~$2,322/month individual, 185% FPL

Asset Limits Not assessed.

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

Benefits

Vouchers (~$50/season) for fresh produce at approved markets

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

Age 65+ (or disabled)

General 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).

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

Benefits

Assessment freeze (~$300-$600/year savings)

Older Americans Act (OAA) Services

South Dakota OAA Services

Age 60+

General SD resident (or spouse of any age); no income/asset limits.

Income Limits (2025) None; donations encouraged for some services.

Asset Limits Not assessed.

6 AAAs; rural focus due to sparse population.

Benefits

Meals (home-delivered or congregate, ~$5-$7/meal value) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

What neighborhood is Rolling Hills Healthcare in?

Rolling Hills Healthcare is in the 13th Avenue neighborhood of Belle Fourche.

Is Rolling Hills Healthcare in a walkable area?

Rolling Hills Healthcare has a walk score of 8. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Rolling Hills Healthcare?

According to SD state health department records, Rolling Hills Healthcare's license number is 10594.

When does Rolling Hills Healthcare's license expire?

According to SD state health department records, Rolling Hills Healthcare's license expires on June 30, 2026.

What is the occupancy rate at Rolling Hills Healthcare?

Rolling Hills Healthcare's occupancy is 63%.

Who is the administrator of Rolling Hills Healthcare?

Gerald Bosen is the administrator of Rolling Hills Healthcare.

How many beds does Rolling Hills Healthcare have?

Rolling Hills Healthcare has 83 beds.

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Rolling Hills Healthcare

Overview of Rolling Hills Healthcare

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Leadership

Payment & Insurance

Therapy & Rehabilitation

Amenities & Lifestyle

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Inspection History

Inspection Scorecard 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

44 Certified Nursing Assistant

8 Licensed Practical Nurse

6 Registered Nurse

3 Medication Aide/Technician

4 Physical Therapy Aide

1 Dental Services Staff

1 Administrator

1 Nurse Practitioner

1 RN Director of Nursing

1 Mental Health Service Worker

1 Qualified Social Worker

1 Dietitian

2 Speech Language Pathologist

1 Physical Therapy Assistant

2 Respiratory Therapy Technician

3 Nurse Aide in Training

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Managed by Gerald Bosen

Places of interest near Rolling Hills Healthcare

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Financial Assistance for Nursing Home in South Dakota

Home and Community Based Services Waiver

South Dakota Elderly Services Program

Medicare Savings Program (MSP)

Low-Income Home Energy Assistance Program (LIEAP)

Financial Assistance for
Nursing Home in South Dakota