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Belle Fourche Healthcare Center

2200 13th Ave, Belle Fourche, SD 57717-2215

Assisted Living Nursing Home Care

Belle Fourche Healthcare Center has been a part of the Northern Hills community for 32 years.

Operated by Mission Healthcare, which runs 8 communities in our directory.

With 83 beds, Belle Fourche Healthcare Center is one of the larger communities in the area, senior care communities in Belle Fourche average about 51 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in February 2026 and recorded 12 deficiencies.

Residents receive about 3.6 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 65%, which is high and can affect continuity of care.

The community is located in Butte County, SD.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 34 problems at Belle Fourche Healthcare Center. 5 findings involved harm to a resident, including 1 that put residents in immediate danger. 11 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 4 times, a total of $80,634.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected February 2026. Corrected by March 17, 2026.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

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

    Inspected September 2025, after a complaint. Corrected by October 22, 2025.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Inspected February 2026. Corrected by March 17, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

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

    Inspected February 2026. Corrected by March 17, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Inspected February 2026. Corrected by March 17, 2026.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected February 2026. Corrected by March 17, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected February 2026. Corrected by March 17, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected February 2026. Corrected by March 17, 2026.

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  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected February 2026. Corrected by March 17, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected February 2026. Corrected by March 17, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care or services that was trauma informed and/or culturally competent.

    Inspected September 2025, after a complaint. Corrected by October 22, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

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

    Inspected September 2025, after a complaint. Corrected by October 22, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Belle Fourche Healthcare Center offers assisted living and nursing home care.

Facility details

  • Beds / units 83
  • Nursing hours per resident/day 3.6
  • Annual staff turnover 65%
  • Last health inspection February 2026

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