Home / South Dakota / Rapid City
Westhills Village Health Care Facility
255 Texas St., Rapid City, SD 57701 · Pennington County · (605) 342-0255
44 certified beds, about 41 residents a day · Non profit - Other · Medicare since 1985
Part of a continuing care retirement community Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 435033 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 12, 2026, inspectors cited 3 health deficiencies (the South Dakota average is 6.7, the national average 9.2).
Of 11 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,788 in the last three years; the largest was $8,788, and the latest is dated July 8, 2025.
Nurses and nurse aides worked 3.70 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 1.13 of those hours.
46.2% of nursing staff left within the year CMS measured (South Dakota average 48.2%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
008/23
611/24
207/25
303/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
7D
2E
1F
Potential for minimal harm
0A
0B
0C
March 12, 2026Standard inspection · 3 citations
- D 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.
Inspectors wroteBased on record review, interview, and policy review, the provider failed to ensure that the current advance directives (a document that expresses a person's health care wishes if they become unable to speak for themselves) for five of five sampled residents (7, 13, 26, 27, and 60) were in the residents' medical records according to the provider's policy.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure quality of care for one of one samples resident (27) with hemiplegia (one-sided paralysis) who was not provided a pillow under her arm for support as indicated in her care plan by one of one certified nursing assistant (I). Observation and interview on 3/10/26 at 1:08 p.m. in resident 27's room revealed she was seated in her wheelchair watching television. Her call light was lying on the bed to her left and her left hand was resting in her lap. A sign on the wall behind the resident read, Place a pillow under my left arm when I am up in the wheelchair Due to my Stroke. No pillow was positioned under resident 27's left arm. Resident 27 stated she was unsure when the staff had last placed a pillow under her left arm when she was seated in her wheelchair. 2. Observation on 3/11/26 at 1:30 p.m. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure the staff followed standard infection prevention practices regarding urinary catheter (flexible tubing placed in the bladder to drain urine) care according to the provider's policy for one of one sampled resident (56) with her catheter supplies stores in a container on a shared bathroom floor, and lack of hand hygiene by two of two certified nursing assistants (D and F) observed assisting two of two sampled residents (15 and 19) with eating.
July 8, 2025Complaint inspection · 2 citations
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility reported incident (FRI) review, record review, observation, interview, and policy review the provider failed to ensure one of one sampled resident (1) was free from a significant medication error when administered the wrong insulin by licensed practical nurse (LPN) D that resulted in the resident's transfer to the emergency room (ER) evaluation and treatment of low blood sugar levels, and a subsequent overnight hospitalization for observation.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility reported incident (FRI) review, record review, interview, and policy review the provider failed to report to the SD DOH within the required time frame, for one of one sampled resident (1) who was sent to the emergency department, and hospitalized for observation and treatment after being administered the incorrect insulin by licensed practical nurse (LPN) D.
November 21, 2024Standard inspection, Complaint inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and policy review, the provider failed to ensure: *Proper glove use by one of one cook (Q) during two of two observed meal services. *Proper temperature probe cleaning by one of one cook (Q) during one of one observed meal service.
- E Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, interview, and record review, the provider failed to ensure communication and resident care were provided in a dignified manner for five of five sampled residents (19, 24, 31, 33, and 35) by one of one certified nursing assistant (CNA) N.
- E Provide and implement an infection prevention and control program.
Inspectors wrote3. Observation on 11/19/24 at 9:15 a.m. of certified nurse aide (CNA) M assisting resident 40 in her bathroom revealed: *The resident's nasal cannula was pulled out of her nose then dropped to the floor in front of the toilet when she transferred from her wheelchair onto the toilet seat. *After wiping the resident's peri-area with her gloved hands CNA M, without removing her unclean gloves, picked up the nasal cannula from off the floor and handed it to the resident to put back inside her nose. Continued observation and interview with CNA M after resident 40 exited her bathroom revealed: *The resident transferred from her wheelchair to a recliner in her room. She removed the nasal cannula connected to her portable oxygen and hung it over the back of her wheelchair. *CNA M retrieved a second nasal cannula and attached it to the resident's oxygen concentrator. [...]
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and policy review, the provider failed to ensure in-room call lights were accessible for two of two sampled residents (12 and 33).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure physician's orders were followed for: *Weight-bearing restrictions for one of one sampled resident (40). *A dressing change for one of one sampled resident (22).
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on observation, interview, and record review, the provider failed to ensure two of two sampled residents (15 and 34) were screened for a history of trauma upon their admission to the facility.
August 2, 2023Standard inspection · 0 citations
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 8, 2025 | Fine | $8,788 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | South Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.70 | 3.79 | 3.86 |
| Registered nurses | 1.13 | 0.80 | 0.69 |
| All nursing staff on weekends | 3.06 | 3.26 | 3.42 |
| Nurse aides | 2.10 | ||
| Licensed practical nurses | 0.46 | ||
| Nursing staff turnover (share who left in a year) | 46.2% | 48.2% | 45.8% |
| Registered nurse turnover | 22.2% | 34.7% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.33 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.95 on weekdays and 3.06 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.08 in April to June 2025 to 3.70 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.70 | 1.13 | 3.95 | 3.06 | 0.0% | 0 of 90 | 41 |
| Oct to Dec 2025 | 3.76 | 1.21 | 4.06 | 3.00 | 0.0% | 0 of 92 | 41 |
| Jul to Sep 2025 | 4.33 | 1.07 | 4.63 | 3.56 | 0.0% | 0 of 92 | 39 |
| Apr to Jun 2025 | 4.08 | 1.06 | 4.39 | 3.29 | 0.0% | 0 of 91 | 38 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Dakota, Jan to Mar 2026 | 3.76 | 0.79 | 3.97 | 3.25 | 9.1% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | South Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.9 | 21.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 5.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.1 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.5 | 24.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.9 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.7 | 12.0 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.8 | 1.8 |
Owners and operators
Legal business name: PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Presbyterian Retirement Village of Rapid City, Inc. | 5% or greater direct ownership interest | Organization | 100% | 05/14/1979 |
| Archer, Bradley | Managing control - governing body | Individual | 01/01/2019 | |
| Duhamel Duffy, Helene | Managing control - governing body | Individual | 01/01/2019 | |
| Harlow, Mark | Managing control - governing body | Individual | 04/28/2015 | |
| Jackson, Douglas | Managing control - governing body | Individual | 04/28/2015 | |
| Kilpatrick, Christopher | Managing control - governing body | Individual | 01/01/2022 | |
| Knudson, Adam | Managing control - governing body | Individual | 01/01/2024 | |
| Moore, Molly | Managing control - governing body | Individual | 01/01/2022 | |
| Mudge, Deborah | Managing control - governing body | Individual | 12/10/2009 | |
| Pfeifle, Craig | Managing control - governing body | Individual | 12/10/2009 | |
| Pogany, Michael | Managing control - governing body | Individual | 01/01/2024 | |
| Shiffermiller, Kassie | Managing control - governing body | Individual | 01/01/2024 | |
| Bifulco, Leah | Corporate officer | Individual | 10/17/2016 | |
| Donohue, Tyler | Corporate officer | Individual | 06/12/2023 | |
| Bertsch, Kelsey | Operational/managerial control | Individual | 04/04/2022 | |
| Bifulco, Leah | Operational/managerial control | Individual | 10/17/2016 | |
| Diamond, Kenneth | Operational/managerial control | Individual | 10/01/2015 | |
| Knoll, Andrea | Operational/managerial control | Individual | 10/02/2019 | |
| Petrotto, Maryann | Operational/managerial control | Individual | 06/19/2014 | |
| Presbyterian Retirement Village of Rapid City, Inc. | Adp of the SNF | Organization | 05/14/1979 | |
| Bertsch, Kelsey | Adp of the SNF | Individual | 11/07/2025 | |
| Diamond, Kenneth | Adp of the SNF | Individual | 11/07/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on March 12, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on March 12, 2026: "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."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on March 12, 2026: "Provide and implement an infection prevention and control program."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on July 8, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.06 hours per resident per day, below the South Dakota average of 3.26.
Other nursing homes nearby
- Avantara Saint Cloud Rapid City, 1.6 mi · 2 of 5 stars · 17 citations
- Avantara Mountain View Rapid City, 2.4 mi · 2 of 5 stars · 22 citations
- Avantara Arrowhead Rapid City, 2.6 mi · 1 of 5 stars · 45 citations
- Clarkson Health Care Rapid City, 3.1 mi · 5 of 5 stars · 5 citations
- Avantara North Rapid City, 3.6 mi · 3 of 5 stars · 17 citations
- Fountain Springs Healthcare Rapid City, 4.1 mi · 3 of 5 stars · 18 citations
- Good Samaritan Society - St. Martin Village Rapid City, 5.5 mi · 3 of 5 stars · 23 citations
- Good Samaritan Society New Underwood New Underwood, 19.6 mi · 2 of 5 stars · 29 citations
South Dakota contacts for a concern about a nursing home
These are the official offices in South Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: South Dakota Department of Health, Office of Health Facilities Licensure and Certification, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: South Dakota Long-Term Care Ombudsman Program, Department of Human Services. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: South Dakota Department of Health Nursing Facility Reports, where South Dakota publishes its own records on licensed homes.
Common questions
- What is Westhills Village Health Care Facility's Medicare star rating?
- CMS rates Westhills Village Health Care Facility 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Westhills Village Health Care Facility get at its last inspection?
- 3 health deficiencies at the standard inspection on March 12, 2026. The South Dakota average is 6.7.
- Has Westhills Village Health Care Facility been fined?
- Yes. CMS lists 1 fine totaling $8,788 in the last three years.
- Does Westhills Village Health Care Facility accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Westhills Village Health Care Facility?
- CMS lists 22 owners and managers. Legal business name: PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.