PlainNursing
CMS Nursing Home Compare · March 2026

Fountain Springs Healthcare

2000 Wesleyan Blvd, Rapid City, SD 57702 · All homes in Rapid City

Fountain Springs Healthcare, a 90-bed for profit - limited liability company nursing facility in Rapid City, SD, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6053433555

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4 / 5
Above average · CMS overall · nat'l 3.0
3.95
About average · nurse hrs/day · nat'l 3.89
17
Inspection findings · 2 serious
$23K
Federal penalties (2)

Health Inspection

3/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

4/5

Facility Information

Provider Number
435110
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
90
Residents
83
In Hospital
No
County
Pennington
Last Inspection
Dec 9, 2025

Staffing Data

How the 3.95 total nursing hours per resident-day are staffed:

RN Hours
0.82 (nat'l avg: 0.68)
LPN Hours
0.65
CNA Hours
2.47
Total Nursing Hours
3.95 (nat'l avg: 3.89)
PT Hours
0.16
Nursing Turnover
56.6%
RN Turnover
53.3%

What the CMS Record Reveals About Fountain Springs Healthcare

Fountain Springs Healthcare operates 90 certified beds in Rapid City, SD with approximately 83 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (3★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 17 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $23K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.95 total nursing hours per resident day (national average 3.89), with RN coverage at 0.82 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Fountain Springs Healthcare falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 56.6%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (17 most recent)

E - Pattern - Minimal harm Dec 9, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Dec 16, 2025

E - Pattern - Minimal harm Dec 9, 2025 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 16, 2025

E - Pattern - Minimal harm Dec 9, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 16, 2025

D - Isolated - Minimal harm Dec 9, 2025 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 16, 2025

D - Isolated - Minimal harm Dec 9, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 16, 2025

D - Isolated - Minimal harm Dec 9, 2025 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Dec 16, 2025

D - Isolated - Minimal harm Dec 9, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Dec 16, 2025

D - Isolated - Minimal harm Dec 9, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 7, 2025

D - Isolated - Minimal harm Dec 9, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 16, 2025

D - Isolated - Minimal harm May 28, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 24, 2025

J - Isolated - Jeopardy Aug 15, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 24, 2024

D - Isolated - Minimal harm May 22, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 21, 2024

D - Isolated - Minimal harm Apr 4, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 22, 2024

G - Isolated - Actual harm Jan 2, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 26, 2023

E - Pattern - Minimal harm Mar 2, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 7, 2023

D - Isolated - Minimal harm Mar 2, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 7, 2023

D - Isolated - Minimal harm Mar 2, 2023 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Apr 7, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 13.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.4% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.1% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 30.3% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.6% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.1% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 96.1% No

Penalty History 2 penalties totaling $23K

Date Type Amount
Aug 15, 2024 Fine $17K
Jan 2, 2024 Fine $6K
Mar 2, 2023 Fine $10K

Frequently Asked Questions

What is the overall CMS rating for Fountain Springs Healthcare?
Fountain Springs Healthcare has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (5★).
What are the staffing levels at Fountain Springs Healthcare?
Fountain Springs Healthcare reports 3.95 total nursing hours per resident day (national average: 3.89). RN hours are 0.82 per resident day (national average: 0.68). Nursing staff turnover is 56.6%.
How many beds does Fountain Springs Healthcare have?
Fountain Springs Healthcare has 90 certified beds with approximately 83 residents. The facility is located at 2000 Wesleyan Blvd, Rapid City, SD 57702.
Does Fountain Springs Healthcare have any deficiencies on record?
Yes, Fountain Springs Healthcare has 17 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Fountain Springs Healthcare received any fines or penalties?
Yes, Fountain Springs Healthcare has received 2 penalties totaling $23K.
Who owns Fountain Springs Healthcare?
Fountain Springs Healthcare is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Fountain Springs Healthcare last inspected?
The most recent health inspection for Fountain Springs Healthcare was on Dec 9, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Fountain Springs Healthcare?
Fountain Springs Healthcare is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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