255 Texas St, Rapid City, SD 57701 (opens Google Maps) · Pennington County · (605) 342-0255· 44 certified beds · avg 41 residents/day · certified since Mar 1, 1985 · Medicare only — not Medicaid certified
Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →
4/5
Health inspection rating (on-site)
inspected Mar 12, 2026
1
Serious findings on record
most recent Jul 8, 2025
$8,788
Fines, last 3 years
4.26
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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)
▲ Actual harm, isolated · Jul 8, 2025 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
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: Aug 6, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 11 inspection findings. Open the full record below to read every finding.
D · Potential for more than minimal harm, isolated
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. F-0578
D · Potential for more than minimal harm, isolated
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
D · Potential for more than minimal harm, isolated
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. F-0880
View all 11 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.
Date
Severity
What the facility was cited for
Mar 12, 2026
D · Potential for more than minimal harm, isolated
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. · F-0578
Mar 12, 2026
D · Potential for more than minimal harm, isolated
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Mar 12, 2026
D · Potential for more than minimal harm, isolated
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. · F-0880
Jul 8, 2025
▲ G · Actual harm, isolated
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Jul 8, 2025
D · Potential for more than minimal harm, isolated
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 · F-0609
Nov 21, 2024
F · Potential for more than minimal harm, widespread
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Nov 21, 2024
E · Potential for more than minimal harm, pattern
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Nov 21, 2024
E · Potential for more than minimal harm, pattern
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. · F-0880
Nov 21, 2024
D · Potential for more than minimal harm, isolated
The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Nov 21, 2024
D · Potential for more than minimal harm, isolated
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Nov 21, 2024
D · Potential for more than minimal harm, isolated
The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · F-0699
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations:
6
Serious citations (G–L):
0
2025
All citations:
2
Serious citations (G–L):
1
2026
All citations:
3
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2024
6
0
F
2025
2
1
G ▲
2026
3
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.
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.
Date
Type
Amount / length
Jul 8, 2025
Fine
$8,788
Nurse staffing (from payroll records, adjusted for how much care residents need)
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:
4.26
South Dakota average:
4.32
U.S. average:
3.95
Registered Nurse hours
This facility:
1.31
South Dakota average:
0.91
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.52
South Dakota average:
3.71
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
South Dakota avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
4.26
4.32
3.95
top 44% in South Dakota; top 30% in the U.S.
Registered Nurse hours
1.31
0.91
0.69
top 11% in South Dakota; top 7% in the U.S.
Weekend total nurse staffing
3.52
3.71
3.50
bottom 48% in South Dakota; top 41% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.81
0.51
0.48
top 7% in South Dakota; top 11% in the U.S.
Total nursing staff turnover (%)
46.2
48.2
45.8
top 48% in South Dakota; bottom 47% in the U.S.
RN turnover (%)
22.2
34.7
42.9
top 31% in South Dakota; top 17% 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 3.70, RN 1.13, weekend 3.06.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.70 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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.
No verified facility-specific private-pay price is available in our data for Westhills Village Health Care Facility. CMS inspection and staffing records do not tell us what this home will charge you.
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