Monument Health Home Plus Home Health
A home health agency in Rapid City, South Dakota 57709
224 Elk St PO Box 6000, Rapid City, South Dakota 57709. (605) 755-7710.
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The short answer
Record last released by CMS on Oct 21, 2026.
- 5of 5 quality of patient care rating
- 3of 5 patient survey rating
- 1 deficiencies cited in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Nov 26, 2025: a recertification inspection.
1 deficiency cited in the last three years.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Nov 2025. Most serious: Element-level. The last 3 years, to Oct 24, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Nov 26, 2025: recertification inspection1 deficiency
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A Review Of All Current Medications
The inspectors’ words, 558 words
“A review of all current medications CFR(s): 484.55(c)(5) A review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy. This Element is not met as evidenced by: Based on record review, interview, and policy review, the provider failed to ensure required documentation was in the electronic medical record (EMR) related to a potentially clinically significant medication issue identified during the drug regimen review. Specifically, the provider did not document the identified medication issue, did not document follow-up with the physician, and did not document any physician-prescribed or recommended actions associated with the issue noted in the Skilled Nurse Outcome and Assessment Information Set (OASIS) Start of Care (SOC) assessment completed on 7/15/24 for 1 of 17 records reviewed (patient 17). Findings include: 1. Review of patient 17’s EMR revealed: *She was admitted to home health services on 7/15/24. *Her primary reason for home health care was the need for enteral feeding (a method of providing nutrition directly into the gastrointestinal tract through a feeding tube). *Her primary diagnosis was Bacteremia (a bloodstream infection). *The OASIS SOC dated 7/15/24 indicated: *Yes was marked for the question of whether the drug regimen review identified a potential clinically significant medication issue. *Yes was marked for the question on if the agency contacted a physician by midnight the next calendar day and completed prescribed/recommended actions in response to the identified potential clinically significant medication issue. *There was no documentation in the skilled nurse admission document or EMR describing what the identified medication issue was, any follow-up with the physician, or any physician-prescribed or recommended actions associated with the medication issue. 2. Interview and record review on 11/26/25 at 2:30 p.m. with director A and nurse manager B regarding patient 17’s drug regimen review issue noted in the OASIS SOC completed on 7/15/24 revealed: *Registered nurse C, who completed the patient’s OASIS SOC, was unavailable for interview. *There was no documentation in the patient’s EMR related to the identified medication issue, any follow-up with the physician, any physician-prescribed or recommended actions associated with the drug regimen review issue noted in the OASIS SOC completed on 7/15/24. *They stated the expectation was that the above information should have been documented in the patient’s EMR according to their requirement. *It was also stated that the skilled nurse admission document did not contain a specific section designated for documenting drug regimen review discrepancies. 3. Review of the provider’s 3/2023 “Medication Management in Home Care” policy revealed: *”Safe and effective medication management will occur during the patient’s Home Care admission.” *”Reconciliation of Medications:” -“Discrepancies will be communicated to the provider within 24 hours of admission by the admitting clinician.” *The policy did not address documenting the drug regimen review. 4. Review of the provider’s 3/2023 “Physician Notification in Home Care” policy revealed: *”The Home Care Agency is required to alert the physician responsible for the patient’s care to any changes that suggest a need to alter the plan of care and/or when the plan of care is interrupted.” -B. “Communications may occur through Epic (in-basket or case communication), fax, telephone, electronic communications, or direct communication.” -C. “All communication will be documented and is considered part of the medical record.””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 26, 2025 | Recertification inspection | 1 deficiency cited |
Is it certified?
- Medicare-certified home health agency since Jul 1, 1966.
- Ownership: proprietary (for profit).
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- Offers nursing care, physical therapy, occupational therapy, speech pathology, medical social services and home health aide services.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- Monument Health Rapid City Hospital Inc. owns 100% directly since Jul 1, 2016.
- 3 owners or officers are people: Ruta P Davidson (runs it (operational or managerial control), 100%); Michael F Tilles (corporate officer); Michael F Tilles (managing employee (on the payroll)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Monument Health Rapid City Hospital Inc. | Owns 5% or more directly | 100% | Jul 1, 2016 |
| Monument Health Inc. | Owns 5% or more through other companies | 100% | Jul 1, 2016 |
How do patients fare?
- CMS rates its quality of patient care 5 of 5.
- Patients rate it 3 of 5 in CMS’s patient survey (317 surveys completed): 81% rated it 9 or 10 out of 10, and 77% would definitely recommend it.
- CMS compares it with the national rate: discharged to the community, better; potentially preventable hospital stays, better; potentially preventable readmissions after discharge, the same.
CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Quality of patient care ratingCMS star rating, 1 to 5 in half stars | 5 of 5 |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | 3 of 5 |
| Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate | 89.03% (better than the national rate) |
| Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate | 5.57% (better than the national rate) |
| Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate | 4.59% (same as the national rate) |
How does it compare nearby?
- Of the 3 agencies CMS’s data show serving patients in ZIP code 57709, where this agency’s office is, 3 have a quality of patient care rating; the middle one is 5 of 5, and this one is rated 5 of 5.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Monument Health Home Plus Home Health This home health agency | 5 |
| Good Samaritan Soc-Home Health of the Black Hills | 5 |
| Heartland Home Health LLC | 4.5 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
- Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.
Sources
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Centers for Medicare & Medicaid Services, Home Health Care Agencies (6jpm-sxkc).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Patient Survey (ccn4-8vby).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR home health inspection reports (HHA_2567s_2018_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 24, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency All Owners (fc009b2d-7846-44b1-b4a1-692f0c143879).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency Enrollments (15f64ab4-3172-4a27-b589-ebd67a6d28aa).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health ZIP Codes (m5eg-upu5).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 24, 2026.
From the agency
The public record above comes first. Anything the agency adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
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