Westhills Village Health Care Facility
255 Texas St, Rapid City, SD 57701 · Pennington County · 44 certified beds · avg 41 residents/day · certified since Mar 1, 1985
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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)
▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 6, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (11)
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 |
|---|---|---|
| Mar 12, 2026 | 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. |
| Mar 12, 2026 | D · Potential for harm, 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. |
| Mar 12, 2026 | 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. |
| Jul 8, 2025 | ▲ G · Actual harm, one-off | 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 |
| Jul 8, 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 |
| Nov 21, 2024 | F · Potential for harm, facility-wide | 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. |
| Nov 21, 2024 | E · Potential for harm, repeated | 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 |
| Nov 21, 2024 | 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. |
| Nov 21, 2024 | D · Potential for harm, one-off | 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. |
| Nov 21, 2024 | D · Potential for harm, 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. |
| Nov 21, 2024 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
| 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.
Fines and enforcement (last 3 years)
1 fine totaling $8,788.
| Date | Type | Amount / length |
|---|---|---|
| Jul 8, 2025 | Fine | $8,788 |
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) | 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, 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. Staffing rating: 4/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Presbyterian Retirement Village of Rapid City, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/14/1979 |
| Archer, Bradley | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2019 |
| Bertsch, Kelsey | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/04/2022 |
| Bertsch, Kelsey | Individual | ADP of the SNF | NOT APPLICABLE | 11/07/2025 |
| Bifulco, Leah | Individual | Corporate Officer | NOT APPLICABLE | 10/17/2016 |
| Bifulco, Leah | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/17/2016 |
| Diamond, Kenneth | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2015 |
| Diamond, Kenneth | Individual | ADP of the SNF | NOT APPLICABLE | 11/07/2025 |
| Donohue, Tyler | Individual | Corporate Officer | NOT APPLICABLE | 06/12/2023 |
| Duhamel Duffy, Helene | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2019 |
| Harlow, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/28/2015 |
| Jackson, Douglas | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/28/2015 |
| Kilpatrick, Christopher | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2022 |
| Knoll, Andrea | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/02/2019 |
| Knudson, Adam | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Moore, Molly | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2022 |
| Mudge, Deborah | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/10/2009 |
| Petrotto, Maryann | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/19/2014 |
| Pfeifle, Craig | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/10/2009 |
| Pogany, Michael | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "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 Saint Cloud | 1.6 mi | Rapid City, SD | ★☆☆☆☆ | 2/5 | abuse |
| Avantara Mountain View | 2.4 mi | Rapid City, SD | ★★☆☆☆ | 2/5 | |
| Avantara Arrowhead | 2.6 mi | Rapid City, SD | ★☆☆☆☆ | 1/5 | abuse |
| Clarkson Health Care | 3.1 mi | Rapid City, SD | ★★★★★ | 4/5 | |
| Avantara North | 3.6 mi | Rapid City, SD | ★★★☆☆ | 3/5 | |
| Fountain Springs Healthcare | 4.1 mi | Rapid City, SD | ★★★☆☆ | 3/5 | |
| Good Samaritan Society - St Martin Village | 5.5 mi | Rapid City, SD | ★★☆☆☆ | 2/5 | |
| Good Samaritan Society New Underwood | 19.6 mi | New Underwood, SD | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 435033.