South Dakota ›Rapid City

Fountain Springs Healthcare

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2000 Wesleyan Blvd, Rapid City, SD 57702 (opens Google Maps) · Pennington County · (605) 343-3555· 90 certified beds · avg 82 residents/day · certified since Feb 1, 1998 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: EVERGREEN HEALTHCARE GROUP (44 facilities, chain avg rating 2.5★)

3/5
Health inspection rating (on-site)
inspected Dec 9, 2025
2
Serious findings on record
most recent Aug 15, 2024
$22,526
Fines, last 3 years
3.46
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Aug 15, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jul 24, 2024 (Past Non-Compliance)

▲ Actual harm, isolated · Jan 2, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 26, 2023 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

  2. E · Potential for more than minimal harm, pattern

    The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. F-0695

  3. E · Potential for more than minimal harm, pattern

    The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. F-0726

View all 18 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Feb 12, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Dec 9, 2025E · Potential for more than minimal harm, patternThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Dec 9, 2025E · Potential for more than minimal harm, patternThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726
Dec 9, 2025E · Potential for more than minimal harm, patternThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Dec 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554
Dec 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Dec 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Dec 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645
Dec 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint · F-0655
Dec 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
May 28, 2025D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Aug 15, 2024▲ J · Immediate jeopardy, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
May 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Apr 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jan 2, 2024▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Mar 2, 2023E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Mar 2, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Mar 2, 2023D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 7).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 3
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 2
2025
All citations: 10
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202330E
202442J ▲
2025100E
202610D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

2 fines totaling $22,526.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Aug 15, 2024Fine$16,801
Jan 2, 2024Fine$5,725

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilitySouth Dakota averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.46
South Dakota average: 4.32
U.S. average: 3.95
Registered Nurse hours
This facility: 0.68
South Dakota average: 0.91
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.07
South Dakota average: 3.71
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilitySouth Dakota avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.464.323.95bottom 17% in South Dakota; bottom 35% in the U.S.
Registered Nurse hours0.680.910.69bottom 28% in South Dakota; top 39% in the U.S.
Weekend total nurse staffing3.073.713.50bottom 26% in South Dakota; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)0.440.510.48bottom 41% in South Dakota; top 42% in the U.S.
Total nursing staff turnover (%)53.748.245.8bottom 38% in South Dakota; bottom 28% in the U.S.
RN turnover (%)52.434.742.9bottom 21% in South Dakota; bottom 32% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.79, RN 0.74, weekend 3.37.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.79 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Fountain Springs Healthcare. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

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Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
CH Pacific Northwest Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Herzka, YisroelIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
Pacific Northwest SNF Operations Holdings (SD) LLCOrganization5% or Greater Direct Ownership Interest100%08/31/2023
Pacific Northwest SNF Operations Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Witzcorp Global LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Yenowitz, YitzchokIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
CH Pacific Northwest Holdings LLCOrganizationADP of the SNFNOT APPLICABLE08/31/2023
Couve Financial Services LLCOrganizationOperational/Managerial ControlNOT APPLICABLE08/31/2023
Couve Financial Services LLCOrganizationADP of the SNFNOT APPLICABLE03/17/2025
Couve Healthcare Consulting LLCOrganizationOperational/Managerial ControlNOT APPLICABLE08/31/2023
Couve Healthcare Consulting LLCOrganizationADP of the SNFNOT APPLICABLE03/31/2025
Fountain Springs SNF Operations, LLCOrganizationOperational/Managerial ControlNOT APPLICABLE08/31/2023
Fountain Springs SNF Operations, LLCOrganizationADP of the SNFNOT APPLICABLE07/31/2025
Harvey, KristineIndividualOperational/Managerial ControlNOT APPLICABLE08/31/2023
Harvey, KristineIndividualADP of the SNFNOT APPLICABLE08/31/2023
Herzka, YisroelIndividualADP of the SNFNOT APPLICABLE08/31/2023
Lowe, LeonorIndividualManaging Control - Governing BodyNOT APPLICABLE08/31/2023
Lowe, LeonorIndividualOperational/Managerial ControlNOT APPLICABLE08/31/2023
Lowe, LeonorIndividualADP of the SNFNOT APPLICABLE08/31/2023
Pacific Northwest Opco Management LLCOrganizationOperational/Managerial ControlNOT APPLICABLE08/31/2023

Showing 20 of 34 parties CMS has on file for this facility; 14 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Evergreen Healthcare Group — 44 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 43 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
  • "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
  • "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
  • "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
  • "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the South Dakota midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 54% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 34 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Avantara North1.0 miRapid City, SD★★★☆☆3/5
Avantara Mountain View1.9 miRapid City, SD★★☆☆☆2/5
Good Samaritan Society - St Martin Village2.5 miRapid City, SD★★☆☆☆2/5
Avantara Saint Cloud2.5 miRapid City, SD★☆☆☆☆2/5abuse
Avantara Arrowhead3.1 miRapid City, SD★☆☆☆☆1/5abuse
Clarkson Health Care3.2 miRapid City, SD★★★★★4/5
Westhills Village Health Care Facility4.1 miRapid City, SD★★★★★4/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Pennington, SD — 9 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Rapid City →

Facility data as of CMS processing date 2026-08-01. CCN 435110.

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