Rolling Hills Healthcare

    2200 13th Ave, Belle Fourche, SD, 57717
    4.3 · 38 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Caring Staff, Dangerous Management Failures

    I have a deeply mixed experience. The CNAs, nurses and other frontline staff were kind, attentive and went above and beyond - the place is clean, spacious, with good food, activities, a warm family feel and beautiful views. But chronic understaffing, poor administration, bad communication and questionable medical oversight left residents unsafe - my loved one was left unattended after a fall and later died; doctor no-shows, cancelled appointments, Medicaid/billing pressure and alleged neglect forced me to report concerns to regulators and pursue legal action. Despite the wonderful staff, I cannot recommend the facility given those safety and management failures.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.26 · 38 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      4.0
    • Meals

      5.0
    • Amenities

      4.0
    • Value

      1.3

    Pros

    • Highly compassionate, kind, and attentive direct-care staff (CNAs and nurses)
    • Staff who go above and beyond for residents and families
    • Clean and pleasant facility environment
    • Good quality food and dining experience
    • Positive social atmosphere with activities, celebrations, and multiple church services
    • Small facility size that promotes personalized, family-like bonds
    • Helpful and responsive staff (timely paging responses, fulfilled cleaning requests)
    • Administration/leadership described as experienced and able to work with families (by some reviewers)
    • Accommodating staff who address individual needs
    • Safe environment reported by multiple reviewers
    • Spacious design and attractive views (noted by some residents)
    • Staff who treat residents with respect and dignity
    • Positive interactions and comforting experiences reported by families
    • Staff that collaborate with families to solve problems
    • Welcoming and friendly atmosphere at admission and ongoing

    Cons

    • Chronic understaffing and staffing shortages
    • Allegations of neglectful care (residents left unattended on toilet/bathroom for 20–30 minutes)
    • Reported intimidation, bullying, and dishonesty by some staff members
    • Administration and management issues, including poor communication
    • Problems with medical oversight: canceled or changed doctor appointments without consultation
    • Poor doctor availability and long waits for medical attention
    • Reports of Medicaid/financial pressure and aggressive billing practices
    • Serious safety concerns and alleged malpractice (including a fall with fatal outcome reported by a reviewer)
    • Regulatory health investigation initiated (per reviewer reports)
    • Activities reduced since COVID and fewer engagement opportunities
    • Facility needs remodeling / some areas worn out
    • High cost / fee-related financial hardship for some families
    • Location/distance inconvenient for some families
    • Distrust of staff by some families and intent to pursue legal action
    • Inconsistent quality of care — strong praise from some families and severe criticisms from others

    Summary review

    Overall sentiment across the reviews is mixed but centers on two consistent themes: the frontline caregiving staff are widely praised for kindness, attentiveness, and forming family-like bonds with residents, while systemic problems — particularly understaffing, administrative failures, and medical oversight issues — have led to serious negative experiences for other families.

    Care quality and direct caregiving: The largest body of positive feedback concerns CNAs, nurses, and other direct-care staff. Many reviewers emphasize that staff are compassionate, respectful, and treat residents like real people. Multiple comments describe staff going above and beyond, responding promptly to paging, fulfilling requests, and working collaboratively with families to address concerns. These reports portray a warm, comforting, and person-centered caregiving culture in day-to-day interactions, and several families state their loved ones are happy there.

    However, there are multiple and consistent reports of critical lapses in care that cannot be overlooked. Several reviewers allege neglectful incidents — specifically residents being left unattended in bathrooms or on toilets for 20–30 minutes — and at least one reviewer reports a resident fall with a fatal outcome after not receiving timely help. These kinds of safety incidents, combined with allegations of intimidation, dishonesty, and bullying by some staff members, create a strong counter-narrative to the otherwise positive descriptions of frontline caregivers.

    Medical care and oversight: A frequent complaint involves physician availability and coordination. Reviewers report canceled or rescheduled doctor appointments without family consultation, brief or rare doctor visits, and long waits for medical attention. Some reviews state that appointments were changed illegally or that power-of-attorney directions were ignored. These problems point to weaknesses in clinical management and communication between the facility, external clinicians, residents, and families.

    Administration, communication, and regulatory concerns: Several reviews cite management and administrative shortcomings — poor communication (worsened during COVID), billing pressure related to Medicaid, and a perceived focus on finances over resident well-being. A number of reviewers describe attempts to escalate issues, distrust of administration, and at least one mention of a regulatory health investigation. A few reviewers explicitly state intent to pursue legal action, reflecting the severity of their concerns. At the same time, other reviewers describe experienced leaders who work with families, indicating inconsistency in perceptions of administration.

    Facilities, activities, and environment: Many reviewers praise the facility as clean and pleasant, with a safe environment, good food, and a social calendar that includes activities, celebrations, and multiple church services. The small size of the facility is repeatedly noted as a benefit for personalized attention and strong bonds. Conversely, some reviewers report that activities were reduced after COVID and that parts of the facility are worn and in need of remodeling (carpet in commons areas was specifically suggested for removal). There are also comments that costs are high and that the location may be inconvenient for some families.

    Patterns and overall assessment: The dominant pattern is a split between consistently high marks for direct caregiving staff and recurring, potentially serious problems at the system level (staffing levels, medical oversight, administration, and billing practices). Many families have positive experiences focused on kindness and responsiveness of front-line workers; others report traumatic safety failures and administrative behaviors that undermine trust. Prospective families should weigh the clear strengths in compassionate daily care against documented risks tied to understaffing, inconsistent medical coverage, and reported administrative/accounting pressures. For any family considering Rolling Hills Healthcare, it would be prudent to ask specific questions about current staffing levels, physician coverage/coordination, recent regulatory actions, and how the facility has addressed past complaints before making a placement decision.

    Location

    Map showing location of Rolling Hills Healthcare

    About Rolling Hills Healthcare

    Rolling Hills Healthcare provides a comprehensive range of skilled nursing and rehabilitation services tailored to the needs of each resident. With an experienced nursing staff dedicated to managing care, pain, medication, and hygiene, the facility ensures that every individual’s comfort and well-being are prioritized throughout their stay. Residents can feel confident that their unique needs will be met with compassion and professionalism, whether they are in need of assistance with daily living activities or require more specialized medical attention.

    The expertise of Rolling Hills Healthcare extends into rehabilitation, with physical, occupational, and speech therapists who specialize in post-surgical recovery and individualized therapy plans. Therapists work closely with residents to create personalized goals aimed at restoring independence and improving quality of life. Whether the focus is on regaining mobility, strengthening daily living skills, or enhancing communication, each therapy plan is structured to support residents on their journey to greater wellness.

    Rolling Hills Healthcare is committed to fostering a warm, inviting atmosphere where residents can feel safe and supported. The building itself features a spacious design and offers beautiful views, creating an uplifting environment ideal for both recovery and relaxation. Residents benefit from meaningful interaction and the opportunity to connect with others who are experiencing similar life transitions, which promotes a sense of community and emotional well-being.

    The entire team at Rolling Hills Healthcare, including nursing, management, dietary staff, housekeeping, and physical therapy professionals, work together to provide holistic care. They are united by a shared dedication to improving residents’ lives, going above and beyond to create bonds that feel like family. This commitment to person-centered care sets Rolling Hills Healthcare apart as a place where quality truly takes precedence over quantity, ensuring that every resident experiences the highest standards of service and dignity.

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