Nursing Care Index

Fountain Springs Healthcare

Rapid City, Pennington County, South Dakota · CCN 435110 · For-profit (LLC) · part of Evergreen Healthcare Group (44 facilities, chain average 2.5 stars)

CMS rates Fountain Springs Healthcare 3 of 5 overall as of August 2026. 90 certified beds, 82 residents a day on average. 18 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $22,526.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay2 / 4 of 5

Staffing

Total nurse staffing3.79115 hours per resident per day
Registered nurses0.74005 hours per resident per day
Weekend total3.36531 hours per resident per day
Nursing staff turnover53.7% (registered nurses 52.4%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-02-12
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2025-12-09 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-16
2025-12-09 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · tag F0726
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-16
2025-12-09 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-16
2025-12-09 Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · tag F0554
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-16
2025-12-09 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-16
2025-12-09 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-16
2025-12-09 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-16
2025-12-09
complaint survey
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-16
2025-12-09
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2025-08-07
2025-05-28
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2025-01-24
2024-08-15
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2024-07-24
2024-05-22
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2024-05-21
2024-04-04 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-22
2024-01-02
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Past Non-Compliance
2023-12-26
2023-03-02 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-07
2023-03-02 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-07
2023-03-02 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-07

Fines and payment denials

DatePenaltyAmount
2024-08-15Fine$16,801
2024-01-02Fine$5,725

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Pacific Northwest Snf Operations Holdings (Sd) LLC
Organization
5% or greater direct ownership interest100%2023-08-31
Ch Pacific Northwest Holdings LLC
Organization
adp of the snf2023-08-31
Couve Financial Services LLC
Organization
adp of the snf2025-03-17
Couve Healthcare Consulting LLC
Organization
adp of the snf2025-03-31
Fountain Springs Snf Operations, LLC
Organization
adp of the snf2025-07-31
Pacific Northwest Opco Management LLC
Organization
adp of the snf2025-03-31
South Dakota Snf Consulting LLC
Organization
adp of the snf2025-03-31
Witzcorp Global LLC
Organization
adp of the snf2025-08-31
Ch Pacific Northwest Holdings LLC
Organization
indirect ownership interest2023-08-31
Pacific Northwest Snf Operations Holdings LLC
Organization
indirect ownership interest2023-08-31
Witzcorp Global LLC
Organization
indirect ownership interest2023-08-31
Couve Financial Services LLC
Organization
operational/managerial control2023-08-31
Couve Healthcare Consulting LLC
Organization
operational/managerial control2023-08-31
Fountain Springs Snf Operations, LLC
Organization
operational/managerial control2023-08-31
Pacific Northwest Opco Management LLC
Organization
operational/managerial control2023-08-31
South Dakota Snf Consulting LLC
Organization
operational/managerial control2023-08-31
Harvey, Kristine
Individual
adp of the snf2023-08-31
Herzka, Yisroel
Individual
adp of the snf2023-08-31
Lowe, Leonor
Individual
adp of the snf2023-08-31
Phillips, Marie
Individual
adp of the snf2023-08-31
Ptacek, Travis
Individual
adp of the snf2023-08-31
Spielman, Shimon
Individual
adp of the snf2023-08-31
Yenowitz, Yitzchok
Individual
adp of the snf2023-08-31
Spielman, Shimon
Individual
corporate officer2023-08-31
Yenowitz, Yitzchok
Individual
corporate officer2023-08-31
Herzka, Yisroel
Individual
indirect ownership interest2023-08-31
Yenowitz, Yitzchok
Individual
indirect ownership interest2023-08-31
Lowe, Leonor
Individual
managing control - governing body2023-08-31
Harvey, Kristine
Individual
operational/managerial control2023-08-31
Lowe, Leonor
Individual
operational/managerial control2023-08-31
Phillips, Marie
Individual
operational/managerial control2023-08-31
Ptacek, Travis
Individual
operational/managerial control2023-08-31
Spielman, Shimon
Individual
operational/managerial control2023-08-31
Yenowitz, Yitzchok
Individual
operational/managerial control2023-08-31

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Pennington County.