Westhills Village Health Care Facility
Rapid City, South Dakota · CCN 435033
10 surveys since 2012, 2 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 26
- Surveys
- 10
- Harm or worse
- 2
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 44
- Ownership
- Non profit - Other
- Chain
- Independent
- County
- Pennington
- Medicare-certified since
- 1985
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 4
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=12, floor 20).
Last survey on record
Mar 12, 2026
242 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.70 | 3.73 |
| Registered-nurse hours per resident day | 1.13 | — |
| Annual nurse turnover | 46.2% | 49.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $8,788 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G19.1% | H— | I— |
| No harm, potential for more than minimal | D763.6% | E218.2% | F19.1% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F8802×
Provide and implement an infection prevention and control program.
- F5581×
Reasonably accommodate the needs and preferences of each resident.
- F5781×
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.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
In the surveyor’s words
From the most serious findings on record at Westhills Village Health Care Facility, in the surveyor’s own words.
- Actual harm, isolatedF760Jul 8, 2025
Based 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.Findings include: 1. Review of the provider's 5/4/25 SD DOH FRI regarding resident 1 revealed:*On 5/4/25 at 7:00 a.m. […]
- No harm, potential for more than minimal, widespreadF812Nov 21, 2024
Based 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. Findings include: 1. Observation on 11/19/24 at 11:06 a.m. of cook Q preparing for the noon-time meal service revealed: *He put on clean gloves, removed waffles from a plastic bag then placed them in a toaster. *Wearing the same gloves he: -Organized serving plates, paper products, and utensils for the meal. […]
- No harm, potential for more than minimal, patternF600Nov 21, 2024
Based 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. Findings included: 1. Observation and interview on 11/19/24 at 9:30 a.m. in resident 33's room revealed: *She sat in her chair with a bedside table beside her. *She had a wheelchair and a hemi-walker (specialty walker to aid soneone with limitation on one side of their body) in her room. *She said an assistant told her she had not been walking enough. -She had a stroke that affected her left side and walked with a hemi-walker. […]
- No harm, potential for more than minimal, patternF880Nov 21, 2024
Based on observation, interview, record review, and policy review, the provider failed to ensure infection control and prevention practices were maintained: -During wound care performed by one of one licensed practical nurse (F) for one of one sampled resident (22). -For nasal cannula care for two of two sampled residents (15 and 40). -For hand hygiene and glove use during one of one sampled resident's (12) personal care by certified nurse aide (CNA) (K). Findings include: 1.Observation on 11/19/24 at 10:40 a.m. […]
- No harm, potential for more than minimal, isolatedF578Mar 12, 2026
Based 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.Findings include: 1. Review of resident 7's medical record revealed she admitted to the facility on [DATE]. There was no documentation indicating that any advance directive paperwork, which expressed her wishes regarding her code status (specifies the type of emergent treatment a person wishes to receive if their heart or breathing would stop), was completed upon admission. 2. […]
Read 20 findings in full →The most serious and the most recent: 20 of 26 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 12, 2026Standard3 findings
- Jul 8, 2025Complaint2 findings · 1 harm
- Nov 21, 2024Standard and complaint6 findings
- Mar 31, 2022Standard1 finding
- Oct 9, 2019Standard1 finding
- Jun 14, 2017Standard2 findings
- Apr 20, 2016Standard2 findings
- May 21, 2015Standard4 findings · 1 harm
Show the 2 earlier surveys
- Mar 12, 2014Standard3 findings
- Dec 5, 2012—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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