Fountain Springs Healthcare

Name: Fountain Springs Healthcare
Address: 2000 WESLEYAN BLVD, Rapid City, SD, 57702, US
Telephone: 6053433555

2000 Wesleyan Blvd, Rapid City, SD 57702 · Pennington County · 90 certified beds · avg 82 residents/day · certified since Feb 1, 1998

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

3/5

Health inspection rating (on-site)

Serious findings on record

$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)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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 self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · 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): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

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

▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

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

All citations in the current public record (18)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 12, 2026	D · Potential for harm, one-off	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
Dec 9, 2025	E · Potential for harm, repeated	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.
Dec 9, 2025	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Dec 9, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Dec 9, 2025	D · Potential for harm, one-off	The 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.
Dec 9, 2025	D · Potential for harm, one-off	The 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.
Dec 9, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 9, 2025	D · Potential for harm, one-off	The 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.
Dec 9, 2025	D · Potential for harm, one-off	The 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
Dec 9, 2025	D · Potential for harm, one-off	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
May 28, 2025	D · Potential for harm, one-off	The 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
Aug 15, 2024	▲ J · Immediate jeopardy, one-off	The 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
May 22, 2024	D · Potential for harm, one-off	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
Apr 4, 2024	D · Potential for harm, one-off	The 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.
Jan 2, 2024	▲ G · Actual harm, one-off	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
Mar 2, 2023	E · Potential for harm, repeated	The 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.
Mar 2, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Mar 2, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.

Inspection trend by year

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

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	0	E
2024	4	2	J ▲
2025	10	0	E
2026	1	0	D

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)

2 fines totaling $22,526.

Date	Type	Amount / length
Aug 15, 2024	Fine	$16,801
Jan 2, 2024	Fine	$5,725

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

Measure	This facility	South Dakota avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.46	4.32	3.95	bottom 17% in South Dakota; bottom 35% in the U.S.
Registered Nurse hours	0.68	0.91	0.69	bottom 28% in South Dakota; top 39% in the U.S.
Weekend total nurse staffing	3.07	3.71	3.50	bottom 26% in South Dakota; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.44	0.51	0.48	bottom 41% in South Dakota; top 42% in the U.S.
Total nursing staff turnover (%)	53.7	48.2	45.8	bottom 38% in South Dakota; bottom 28% in the U.S.
RN turnover (%)	52.4	34.7	42.9	bottom 21% in South Dakota; bottom 32% in the U.S.

Hours are per resident per day, 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. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

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

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
CH Pacific Northwest Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Herzka, Yisroel	Individual	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Pacific Northwest SNF Operations Holdings (SD) LLC	Organization	5% or Greater Direct Ownership Interest	100%	08/31/2023
Pacific Northwest SNF Operations Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Witzcorp Global LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Yenowitz, Yitzchok	Individual	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
CH Pacific Northwest Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/31/2023
Couve Financial Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Couve Financial Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/17/2025
Couve Healthcare Consulting LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Couve Healthcare Consulting LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/31/2025
Fountain Springs SNF Operations, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Fountain Springs SNF Operations, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/31/2025
Harvey, Kristine	Individual	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Harvey, Kristine	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
Herzka, Yisroel	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
Lowe, Leonor	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/31/2023
Lowe, Leonor	Individual	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Lowe, Leonor	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
Pacific Northwest Opco Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/31/2023

Questions to ask on your visit

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?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Avantara North	1.0 mi	Rapid City, SD	★★★☆☆	3/5
Avantara Mountain View	1.9 mi	Rapid City, SD	★★☆☆☆	2/5
Good Samaritan Society - St Martin Village	2.5 mi	Rapid City, SD	★★☆☆☆	2/5
Avantara Saint Cloud	2.5 mi	Rapid City, SD	★☆☆☆☆	2/5	abuse
Avantara Arrowhead	3.1 mi	Rapid City, SD	★☆☆☆☆	1/5	abuse
Clarkson Health Care	3.2 mi	Rapid City, SD	★★★★★	4/5
Westhills Village Health Care Facility	4.1 mi	Rapid City, SD	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Rapid City →

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

The Care File

Visit checklist — Fountain Springs Healthcare

2000 Wesleyan Blvd, Rapid City, SD 57702 · 6053433555

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $22,526

Most serious findings on record:

▲ Aug 15, 2024 (F-0684, Immediate jeopardy, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Jan 2, 2024 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "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?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 435110 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)