Rolling Hills Healthcare
2200 13Th Ave, Belle Fourche, SD, 57717
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Eduro Healthcare
- Certified beds
- 83 · avg 55 residents/day
- Total nursing staff turnover
- 74.4% — higher than most South Dakota nursing homesSouth Dakota avg: 49.0% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 75% — higher than most South Dakota nursing homesSouth Dakota avg: 37.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the South Dakota averageSouth Dakota avg: 0.3 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $94,359 total
Medicare certification
- CMS Certification Number
- 435035
- Certified beds
- 83 beds · avg 55 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Belle Fourche Nursing And Rehab Center Llc
- Chain affiliation
- Eduro Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Eduro Healthcare chain — 35 facilities across 7 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (4 on record)
- Brian j Ramos
5% or Greater Indirect Ownership Interest · 50% · since 2019
- Christopher m Thompson
Corporate Officer · since 2019
- Eduro Healthcare Llc
5% or Greater Direct Ownership Interest · 100% · since 2019
- Michael c Bewsey
5% or Greater Indirect Ownership Interest · 50% · since 2019
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 34)
- E0880·Feb 12, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0761·Feb 12, 2026
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- F0727·Feb 12, 2026
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- E0695·Feb 12, 2026
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- G0686·Feb 12, 2026
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D0658·Feb 12, 2026
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- D0655·Feb 12, 2026
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D0578·Feb 12, 2026
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Federal penalties
By year
- 20252 fines · $46K
- 20242 fines · $48K
Most recent events
- Sep 29, 2025Fine · $39K
- Jan 28, 2025Fine · $7,008
- Oct 17, 2024Fine · $17K
- Sep 4, 2024Fine · $31K
Largest single fine on record: $39K.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Oct 17, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Rolling Hills Healthcareinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.