Total health inspections
8
South Dakota average 4.5
Last Health inspection on Sep 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Rolling Hills Healthcare
Nursing Home & Skilled Nursing · South Dakota, SD
CMS overall rating
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.
Rolling Hills Healthcare
Nursing Home & Skilled Nursing · South Dakota, SD
CMS overall rating
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.
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.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 55th 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.
This home is ranked 55th 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.
2h 39m per day
Rank #55 / 57Nurse hours — State benchmarkedThis home is ranked 55th out of 57 homes in South Dakota. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 57 South Dakota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs South Dakota avg
-30%
Standout metric
Physical Therapist is +167% 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.
| 15m per day | ▼ 69% 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.
| 35m per day | ▲ 21% 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.
| 1h 54m per day | ▼ 27% 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 11m per day | ▼ 34% 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.
| 8m per day | ▲ 167% 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.
| 9m per day | ▼ 71% State avg: 31m per day · National avg: 29m per day |
Types of Care at Rolling Hills Healthcare
Skilled Nursing
Capacity and availability
This home usually has availability
Occupancy rate
63.1%
Rank #50 / 54Occupancy rate — State benchmarkedThis home is ranked 50th out of 54 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 54. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
220 days
83-bed community Rank #30 / 117Bed count — State benchmarkedThis home is ranked 30th out of 117 homes in South Dakota. Shows this facility's certified or reported bed count compared to other South Dakota SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
47 years in operation Rank #1 / 51Years in operation — State benchmarkedThis home is ranked 1st out of 51 homes in South Dakota. Shows how long this facility has been in operation compared to other South Dakota SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 8 / 100 Rank #139 / 159Walk Score — State benchmarkedThis home is ranked 139th out of 159 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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
How BBB ratings work
About this community
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
Inspection History
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.
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
2 Worse
Metrics worse than South Dakota average:
• Total deficiencies (100% above)
• Deficiencies per year (98% above) 0 Better No metrics in this bucket.
• Total deficiencies (100% above)
• Deficiencies per year (98% above) 0 Better No metrics in this bucket.
Latest Inspection
September 29, 2025
Complaint Investigation
Deficiencies
| 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.
The most recent inspection on September 29, 2025, identified deficiencies related to resident safety, trauma-informed care, and pharmaceutical services, including a burn from hot coffee, inadequate care planning for a resident with PTSD, and medication availability issues. Earlier inspections showed a pattern of issues involving resident care such as bathing assistance, medication management, environmental cleanliness, food service quality, and safety concerns including falls and elopement risks. Complaint investigations substantiated physical abuse by a staff member and other safety-related incidents, though enforcement actions like license suspensions or fines were not listed in the available reports. Most complaints were substantiated, with corrective actions taken, including staff termination and education. The facility’s inspection history shows ongoing challenges with resident care and safety, with no clear trend of consistent improvement or worsening over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
27
Rank #51 / 59Health citations — State benchmarkedThis home is ranked 51st out of 59 homes in South Dakota. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 59 SD SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
South Dakota average 14.8
Citations per inspection
3.38
Rank #35 / 59Citations per inspection — State benchmarkedThis home is ranked 35th out of 59 homes in South Dakota. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 59 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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
1
233% worse than South Dakota averageSouth Dakota average: 0.3
Serious health citations
3
67% worse than South Dakota averageSouth Dakota average: 1.8
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
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
80
Employees
61
Contractors
19
Staff to resident ratio
1.57:1
19% worse 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
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
44
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7.4%
1,529 contractor hours this quarter
Certified Nursing Assistant: 17
Licensed Practical Nurse: 1
Physical Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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%
Penalties and fines
Includes penalties issued in 2024-2025
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 Rank #54 / 59Federal fines — State benchmarkedThis home is ranked 54th out of 59 homes in South Dakota. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 59 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
78% higher than South Dakota averageSouth Dakota average: $40K
Number of fines
3
48% more fines than South Dakota averageSouth Dakota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
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
Fines amount comparison
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
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.
Jan 28, 2025
$14K
Civil Money Penalty
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.
Oct 17, 2024
$26K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 4, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 4, 2024
$31K
Last updated: Jan 2026
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.6
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 averageSouth Dakota average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.2
18% worse than South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.5%
Percent of long-stay residents whose need for help with daily activities has increased
18.5%
17% better than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
28.6%
Percent of long-stay residents whose ability to move independently worsened
28.6%
25% worse than South Dakota averageSouth Dakota average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
37.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
37.6%
41% worse than South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
33% better than South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.8%
Percent of long-stay high risk residents with pressure ulcers
5.8%
28% worse than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
8.2%
Percent of long-stay residents with a urinary tract infection
8.2%
136% worse than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
12.0%
Percent of long-stay residents who lose too much weight
12.0%
121% worse than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.4%
Percent of long-stay residents who received an antipsychotic medication
13.4%
45% better than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
In line with South Dakota averageSouth Dakota average: 96.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.62
Number of hospitalizations per 1,000 long-stay resident days.
0.62
59% better than South Dakota averageSouth Dakota average: 1.51
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.34
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.34
26% worse than South Dakota averageSouth Dakota average: 1.85
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
12% better than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
20% better than South Dakota averageSouth Dakota average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
17% better than South Dakota averageSouth Dakota average: 78.2%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.3%
24% better than South Dakota averageSouth Dakota average: 21.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
13.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.1%
12% worse than South Dakota averageSouth Dakota average: 11.7%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.8%
Percentage of SNF residents who experience falls with major injury during their stay.
1.8%
136% worse than South Dakota averageSouth Dakota average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
35.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
35.9%
33% worse than South Dakota averageSouth Dakota average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
55.1%
Rate of successful return to home or community from a skilled nursing facility.
55.1%
9% 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.
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
51
Medicare
25
49% of residents
Medicaid
26
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Rolling Hills Healthcare based on CMS SNF Cost Reports.
Occupancy Rate
63.1%
↓ 2.2pp vs 2022
Net Income
$244.9K
↓ ~$1.4M vs 2022
Total Payroll
$4.3M
↑ ~$540.3K vs 2022
Profit Margin
3.0%
↓ 15.0pp vs 2022
Finances and operations
Privately-owned community
Home revenue
$8.5M
Profit
$244.9K
Privately-owned community
Home revenue
$8.5M Rank #22 / 55Revenue — State benchmarkedThis home is ranked 22nd out of 55 homes in South Dakota. Shows this facility's annual revenue compared to the South Dakota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$244.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #23 / 55Payroll — State benchmarkedThis home is ranked 23rd 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.
$4.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #23 / 55Payroll — State benchmarkedThis home is ranked 23rd 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.3M
What does this home offer?
Building Type: Single-story
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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.
Places of interest near Rolling Hills Healthcare
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)
Calculate Travel Distance to Rolling Hills Healthcare
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Financial Assistance for
Nursing Home in South Dakota
Rolling Hills Healthcare is located in Belle Fourche, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
Frequently Asked Questions about Rolling Hills Healthcare
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.
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.
What is the phone number of Rolling Hills Healthcare?
(605) 892-3331 will put you in contact with the team at Rolling Hills Healthcare.
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