Rolling Hills Healthcare
ROLLING HILLS HEALTHCARE in BELLE FOURCHE, SD — inspection on September 29, 2025.
Found 3 citations. 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
Observation on 9/29/25 at 2:05 p.m. of resident 1 in her room with DON B and interview with resident 1 revealed the resident was lying in her bed.
The resident's Thermos was not seen. Resident 1 did not know where her Thermos was or when she last saw it.Resident 1 stated that she sometimes used an unlidded coffee mug from the kitchen to drink her coffee from.Interview on 9/29/25 at 2:10 p.m. with DON B confirmed that neither the recommendations from resident 1's above Hot Liquid Safety Evaluation nor the intervention on her above care plan to ensure she used a cup with a lid for hot beverages were followed to mitigate resident 1's risk for burns from hot liquids.
Review of the provider's Quarter 3, 2018 Safety of Hot Liquids policy revealed:4.
Once risk factors for injury from hot liquids are identified, appropriate interventions will be implemented to minimize the risk from burns.
Such interventions may include b.
Serving hot beverages in a cup with a lid;
Review of the providers' revised 5/16/25 Incidents and Accidents policy revealed:Policy Explanation: The purpose of incident reporting can include: Assuring that appropriate and immediate interventions are implemented and corrective actions are taken to prevent recurrences and improve the management of resident care.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/29/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Rolling Hills Healthcare
2200 13th Ave Belle Fourche, SD 57717
SUMMARY STATEMENT OF DEFICIENCIES
Review of the provider's revised 6/16/25 Trauma Informed Care policy revealed:2.
The facility will use a multi-pronged approach to identifying a resident's history of trauma, as well as his or her cultural preferences.
This will include asking the resident about triggers that may be stressors or may prompt recall of a previous traumatic event, as well as screening and assessment tools such as the Resident Assessment Instrument (RAI), admission Assessment, the history and physical, the social history/assessment, an others.4.
The facility will collaborate with resident trauma survivors, and as appropriate, the resident's family, friends, the primary care physician, and any other health care professionals (such as psychologists and mental health professionals to develop and implement individualized care plan interventions.10. In situations where a trauma survivor is reluctant to share their history, the facility will still try to identify triggers which may re-traumatize the resident, and develop care plan interventions which minimize or eliminate the effect of the trigger on the resident.
Review of the provider's undated Social Services Director (SSD) job description revealed it was the responsibility of that SSD to assure that the medically related emotional and social needs of the resident are met and maintained on an individual basis.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/29/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Rolling Hills Healthcare
2200 13th Ave Belle Fourche, SD 57717
SUMMARY STATEMENT OF DEFICIENCIES
in mid-August 2025 to resident 1's medical provider. An order for an alternative seizure medication for resident 1 and the discontinuation of the PRN Diazepam nasal spray.
She had not received any response to that request.DON B confirmed that resident 1's primary medical provider or other medical providers within that medical practice group were in the facility for resident visits no less than three times weekly. DON B did not speak face-to-face with any of those providers regarding an alternate seizure medication option for resident 1 and the discontinuation of the PRN Diazepam nasal spray.
Review of the provider's revised 6/15/25 Medication Orders policy revealed:3.
Elements of the Medication Order: [included] j.
Diagnosis or indication for use.4.
Documentation of Medication Orders: [included] b.
Clarify the order.
Review of the provider's revised 6/15/25 Medication Reordering policy revealed:2.
Acquisition of medications should be completed in a timely manner to ensure medications are administered in a timely manner.5. In the event of new orders, the facility is allowed (24) hours to begin a medication unless otherwise specified by the physician.
Facility ID: