Rolling Hills Healthcare: Staffing, Turnover, and Inspection Record
Rolling Hills Healthcare is a 83-bed for-profit nursing home in Belle Fourche, South Dakota, part of Eduro Healthcare. In the CMS August 2026 release it reported 2.47 nurse aide hours per resident per day, about the same as the South Dakota average of 2.52, and 65.1% nursing staff turnover (South Dakota average 48.2%).
Rolling Hills Healthcare
2200 13th AveBelle Fourche, SD 57717
Butte County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Rolling Hills Healthcare, nurse aides logged 2.47 hours per resident per day, about the same as the South Dakota average. With about 58 residents a day, that works out to roughly 143 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 19% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.47 | 2.52 | 2.32 |
| Licensed practical nurses | 0.58 | 0.47 | 0.86 |
| Registered nurses | 0.57 | 0.80 | 0.69 |
| All nursing staff | 3.62 | 3.79 | 3.86 |
| All nursing staff, weekends | 2.93 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
65.1% of nursing staff at Rolling Hills Healthcare left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. Registered nurse turnover was 66.7%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 12, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 12 health deficiencies (South Dakota average 6.9). CMS lists 4 fines totaling $80,634 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 29, 2025 | Fine | $25,490 |
| Jan 28, 2025 | Fine | $7,008 |
| Oct 17, 2024 | Fine | $16,656 |
| Sep 4, 2024 | Fine | $31,480 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Rolling Hills Healthcare holds 1 of 5 overall; the South Dakota average is 2.9.
About Rolling Hills Healthcare
- Ownership: For profit - Limited Liability company
- Chain: Eduro Healthcare, 34 homes
- Legal name: Belle Fourche Nursing and Rehab Center LLC
- Medicare and Medicaid certified since: Mar 10, 1986
- Councils: resident council
- Area: rural
Nursing homes near Rolling Hills Healthcare
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Spearfish Canyon Healthcare Spearfish · abuse citation | 10.8 | 105 | 2.38 | 3.37 | 58.8% | 2 | $9,718 |
| Monument Health Sturgis Care Center Sturgis | 23.6 | 40 | 3.67 | 5.09 | 54.7% | 3 | $26,272 |
| Crook County Medical Services District Long Term C Sundance | 31.5 | 32 | 3.31 | 4.77 | 78.2% | 2 | $8,981 |
| Good Samaritan Society - St Martin Village Rapid City | 46.2 | 60 | 2.04 | 3.73 | 60.0% | 2 | None |
| Fountain Springs Healthcare Rapid City | 47.7 | 90 | 2.12 | 3.79 | 53.7% | 3 | $22,526 |
| Avantara North Rapid City | 48.5 | 68 | 1.86 | 3.06 | 35.4% | 3 | $24,108 |
| Clarkson Health Care Rapid City | 49.1 | 49 | 2.40 | 4.20 | 34.0% | 5 | None |
| Avantara Mountain View Rapid City | 49.2 | 101 | 2.40 | 3.61 | 41.4% | 2 | $9,318 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.