Occupancy rate
153%
In line with South Dakota averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Westhills Village
Memory Care in Rapid City
CMS overall rating
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.
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.
Westhills Village
Memory Care in Rapid City
CMS overall rating
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.
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.
Overview of Westhills Village
Relish a life filled with enriching experiences and a supportive environment. Nestled in Rapid City, South Dakota, Westhills Village Health Care Facility provides a range of options tailored to meet the needs of seniors such as independent senior living and retirement community to assisted living and health care services. This assisted living community has a vibrant and engaging atmosphere, ensuring residents feel right at home.
With an unwavering dedication to surpassing the needs and expectations of retirees, Westhills Village offers a comprehensive care program. Westhills Village seamlessly combines comfort, care, and convenience, making it an ideal destination for senior residents seeking an independent lifestyle and those who require additional support.
Kelsey Bertsch serves as the Administrator of health care at Westhills Village Health Care Facility. She leads the team dedicated to meeting the physical and emotional needs of residents in a compassionate and professional environment, ensuring high-quality care throughout their stay.
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 11th out of 64 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 11th out of 64 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.
4h 36m per day
vs South Dakota avg
+22%
Standout metric
Physical Therapist is +200% above state avg
| Staff type | Hours / day | 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.
| 1h 4m per day | ▲ 33% State avg: 48m per day · National avg: 41m 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 45m per day | ▲ 5% State avg: 2h 37m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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.
| 3h 34m per day | ▲ 8% 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.
| 9m per day | ▲ 200% State avg: 3m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 44m per day | ▲ 42% State avg: 31m per day · National avg: 29m per day |
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
44
Avg. Length of Stay
89 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
67% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
33% of new residents, often for short stays.
Typical stay
9 - 10 months
Finances and operations
Voluntary non-profit community
Home revenue
$28.5M
Surplus of revenue
$10.3M
Voluntary non-profit community
Home revenue
$28.5M
Surplus of revenue
$10.3M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$18.2M
44-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 21 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Occupancy
In line with South Dakota averageOccupied beds
67 / 44
Average residents
51 per day
Facility TypeNursing Home
StatusActive
IssuanceJanuary 7, 2025
ExpirationJune 30, 2026
CountyPennington
License Number10721
AwardsBest of the Black Hills in multiple categories every year since 2019
Westhills Village is administrated by Bertsch, Kelsey.
Accept Medicare
Rehabilitation Services
Respite Care
Nursing Services
Skilled Nursing
24-Hour Staffing
Volunteer ProgramsYes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicare Accepted
This facility is certified for eligible Medicare services.
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.
4 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Show Inspection Reports
Latest inspection
Date
July 8, 2025
Complaint Investigation11 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
South Dakota average: 19 deficiencies
Inspection Report Summary for Westhills Village
The most recent inspection on July 8, 2025, found deficiencies related to a medication error involving the wrong insulin administration that led to a resident’s hospitalization and a failure to timely report the incident. Earlier inspections showed a pattern of issues including resident care concerns, such as unprofessional conduct by staff and problems with dignified communication, as well as medication management and infection control deficiencies. Complaint investigations substantiated problems with staff behavior and medication errors, while prior annual inspections cited failures in call light accessibility, adherence to physician orders, and infection prevention practices. Enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history indicates ongoing challenges with medication safety and resident dignity, with no clear trend of improvement or worsening over time.
Health Inspection History
Inspections
Total health inspections
3
South Dakota average 4.5
Last Health inspection on Jul 2025
Total health citations
9
South Dakota average 14.8
Citations per inspection
3
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 9 citations resulted from standard inspections; 2 of 9 resulted from complaint investigations; and 1 of 9 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
1
1
44% better than South Dakota averageSouth Dakota average: 1.8
0 critical citations
1 serious citation
8 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 08, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 08, 2025
Corrected
Pharmacy serious citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 08, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 08, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Nov 21, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Nov 21, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 21, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 21, 2024
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.
Compare Memory Care around Rapid City The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Filter by care type
| Westhills Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rapid City (Texas Street) | 44 | No | 21 | - | 1 | - | Bertsch, Kelsey |
| Black Hills Care And Rehabilitation Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rapid City (Sioux San Drive) | - | No | 33 | - | - | - | - |
Financial Assistance for
Memory Care in South Dakota
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Places of interest near Westhills Village
2.3 miles from city center
Estimated distance in miles from Rapid City's city center to Westhills Village's address, calculated via Google Maps.
— 0.17 miles to nearest hospital (Black Hills Heart and Vascular Institute)
Calculate Travel Distance to Westhills Village
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
100
Employees
81
Contractors
19
Staff to resident ratio
2.70:1
41% better than South Dakota averageSouth Dakota average ratio: 1.91:1
Avg staff/day
30
Average shift
6.6 hours
14% worse than South Dakota averageSouth Dakota average: 7.7 hours
Total staff hours (quarter)
17,895
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
43
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
11.4%
2,041 contractor hours this quarter
Respiratory Therapy Technician: 8
Speech Language Pathologist: 4
Physical Therapy Assistant: 3
Qualified Social Worker: 2
Physical Therapy Aide: 2
Staff by category
| Certified Nursing Assistant | 43 | 0 | 43 | 7,474 | 91 | 100% | 7.2 |
| Registered Nurse | 12 | 0 | 12 | 2,788 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 8 | 0 | 8 | 1,645 | 91 | 100% | 7.3 |
| Medication Aide/Technician | 11 | 0 | 11 | 1,356 | 87 | 96% | 7.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 720 | 70 | 77% | 6.7 |
| Speech Language Pathologist | 0 | 4 | 4 | 691 | 70 | 77% | 4.3 |
| Dental Services Staff | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 496 | 61 | 67% | 8.1 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Respiratory Therapy Technician | 0 | 8 | 8 | 474 | 80 | 88% | 2.5 |
| Physical Therapy Assistant | 0 | 3 | 3 | 430 | 64 | 70% | 4.9 |
| Nurse Practitioner | 1 | 0 | 1 | 376 | 47 | 52% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 255 | 65 | 71% | 2.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 191 | 41 | 45% | 4.7 |
43 Certified Nursing Assistant
% of Days
100%
12 Registered Nurse
% of Days
100%
8 Licensed Practical Nurse
% of Days
100%
11 Medication Aide/Technician
% of Days
96%
3 Other Dietary Services Staff
% of Days
77%
4 Speech Language Pathologist
% of Days
77%
1 Dental Services Staff
% of Days
70%
1 Clinical Nurse Specialist
% of Days
67%
1 Administrator
% of Days
67%
8 Respiratory Therapy Technician
% of Days
88%
3 Physical Therapy Assistant
% of Days
70%
1 Nurse Practitioner
% of Days
52%
2 Qualified Social Worker
% of Days
71%
2 Physical Therapy Aide
% of Days
45%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
37
Medicare
12
32.4% of residents
Private pay or other
25
67.6% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
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.
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.
9.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.9
17% better 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.
22.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.6
6% better 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
25.6%
Percent of long-stay residents whose need for help with daily activities has increased
25.6%
15% worse than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.7%
Percent of long-stay residents whose ability to move independently worsened
14.7%
36% better 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
27.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.5%
In line with South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
43% 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
0.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.0%
Percent of long-stay residents with a urinary tract infection
2.0%
43% better than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.6%
Percent of long-stay residents who lose too much weight
6.6%
21% 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
12.4%
Percent of long-stay residents who received an antipsychotic medication
12.4%
49% better than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.8%
11% worse than South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
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.
1.82
Number of hospitalizations per 1,000 long-stay resident days.
1.82
21% worse 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.
2.19
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.19
18% 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
86.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.5%
In line with South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Dakota averageSouth Dakota average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.6%
In line with 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.
24.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.4%
13% worse than South Dakota averageSouth Dakota average: 21.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.8%
16% better 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.
1.6%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
106% 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.
69.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.9%
30% better 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.
60.8%
Rate of successful return to home or community from a skilled nursing facility.
60.8%
20% 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.
Financial Trends
Historical financial and operational data for Westhills Village based on CMS SNF Cost Reports.
Occupancy Rate
152.5%
↓ 2.1pp vs 2022
Net Income
$10.3M
↑ ~$19.4M vs 2022
Total Payroll
$8.6M
↑ ~$684.9K vs 2022
Profit Margin
137.2%
↑ 271.3pp vs 2022
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