Monument Health Home Plus Home Health
A home health agency in Spearfish, South Dakota 57783
931 E. Colorado Blvd., Spearfish, South Dakota 57783. (605) 644-4444.
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The short answer
Record last released by CMS on Oct 21, 2026.
- 5of 5 quality of patient care rating
- 4of 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 Aug 21, 2024: 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 Aug 2024. Most serious: Standard-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.
Aug 21, 2024: recertification inspection1 deficiency
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Encoding And Transmitting Oasis
The inspectors’ words, 359 words
“Encoding and transmitting OASIS CFR(s): 484.45(a) Standard: An HHA must encode and electronically transmit each completed OASIS assessment to the CMS system, regarding each beneficiary with respect to which information is required to be transmitted (as determined by the Secretary), within 30 days of completing the assessment of the beneficiary. This Standard is not met as evidenced by: Based on record review and interview, the provider failed to ensure Outcome and Assessment Information Set (OASIS) Start of Care (SOC) data was submitted within 30 days after M0090 [the last date that information used to complete the comprehensive assessment and determine OASIS coding was gathered by the assessing clinician and documentation of the specific response was completed] for 20 new patient records. Findings include: 1. Review of the HHA [Home Health Agency] Error Summary Report for Monument Health Home Plus Home Health during survey preparation on 8/19/24 revealed: *The reporting period was for the current fiscal year 10/1/23 to 8/15/24. *There were 20 errors coded as -3330 which indicated “Record Submitted Late: The submission date is more than 30 days after M0090 on this new record.” 2. Interview on 8/20/24 at 2 p.m. with Manager Nurse C regarding late OASIS SOC data submission revealed she: *Was aware of the Centers for Medicare & Medicaid (CMS) requirement to submit the OASIS SOC data within 30 days after the OASIS SOC assessment was completed. *Was aware their agency had late OASIS SOC data submissions. *Reported the OASIS SOC submissions were completed by the billing department. *Attributed the late OASIS SOC submissions to difficulty getting the required physician documentation timely. 3. Interview on 8/21/24 at 9:50 a.m. with Director B regarding late OASIS SOC data submission revealed: *She was aware of the CMS requirement to submit OASIS SOC data within 30 days after the OASIS SOC was completed. *She was not aware their agency had late OASIS SOC data submissions. *The agency had no policy for OASIS submission. *The agency had a process for OASIS submission that was not written but was in their computer system. *She attributed the late OASIS SOC submissions to new case managers and issues with their current process.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 21, 2024 | Recertification inspection | 1 deficiency cited |
Is it certified?
- Medicare-certified home health agency since Mar 5, 1992.
- 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 4 of 5 in CMS’s patient survey (137 surveys completed): 87% rated it 9 or 10 out of 10, and 87% 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 | 4 of 5 |
| Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate | 94.29% (better than the national rate) |
| Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate | 5.60% (better than the national rate) |
| Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate | 4.14% (same as the national rate) |
How does it compare nearby?
- Of the 6 agencies CMS’s data show serving patients in ZIP code 57783, where this agency’s office is, 6 have a quality of patient care rating; the middle one is 4.75 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 |
| Monument Health Home Plus Home Health | 5 |
| Interim Healthcare | 3 |
| Heartland Home Health LLC | 4.5 |
| Good Samaritan Soc-Home Health of the Black Hills | 5 |
| State Home Care Services, Inc. | 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).
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This copy of the record was made on Oct 24, 2026.
From the agency
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Replies
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Paid listing
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