Complaint Investigation

Rolling Hills Healthcare

June 27, 2024 · Belle Fourche, SD · 2200 13th Ave

Citations 1

CMS Rating 1/5

Beds 83

Provider ID 435035

Healthcare Facility

Rolling Hills Healthcare

Belle Fourche, SD · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov) · 6 pages

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

ROLLING HILLS HEALTHCARE in BELLE FOURCHE, SD — inspection on June 27, 2024.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF600

Minimal harm or 43844 Few interview, observation, and policy review, the provider failed to ensure accurate assessment for the affected

Review of the provider's 6/24/24 (DATE) SD DOH FRI revealed:

*On 6/24/24 at 5:05 a.m. resident 1's walker was found by the courtyard door.

-At 5:27 a.m. resident 1 was found in walking in a field.

-He was returned to the facility, assessed, and was found with no injuries.

Review of resident 1's medical record revealed:

*His 5/28/24 SLUMS (a brief screening test for detecting mild cognitive impairment and dementia) score was a 14 out of 30, which indicated he may have dementia.

*His 3/20/24 Brief Interview of Mental Status score was a 15, which indicated his cognition was intact.

*His 6/14/24 Elopement Risk Assessment revealed he had no wandering behaviors and was at low risk for elopement.

Review of resident 1's 6/27/24 care plan indicated:

*A 6/12/24 focus area that included:

-He had a diagnosis of dementia with agitation and anxiety.

-He wandered outside, into other resident's rooms, hallways, and urinated outside.

*Interventions for that focus area included staff were:

-To educate him when his behavior included going in and out of other resident rooms, was exit seeking and setting off alarms.

-To provide a 1:1 (one to one) visits when he is displaying depressive moods or feeling down, when highly agitated, exit seeking, angry or aggressive.

435035

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 435035 B.

Wing 06/27/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Rolling Hills Healthcare 2200 13th Ave Belle Fourche, SD 57717

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BELLE FOURCHE, SD, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ROLLING HILLS HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.