South Dakota › Fall River County › Hot Springs
Seven Sisters Living Center
1201 Hwy 71 South, Hot Springs, SD 57747
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Seven Sisters Living Center, in Hot Springs, South Dakota, is certified for 52 beds under non-profit, corporation ownership.
CMS gives it 4 of 5 stars overall, above the South Dakota median of 3; the health inspection rating is 4, staffing 3 and quality measures 2.
Inspectors recorded 10 health deficiencies across the three most recent survey cycles (3, 4, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 19.2 per 100 beds, about the same as the state median of 23.9.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 3.7 hours per resident per day (0.5 RN), close to the South Dakota median of 3.6; nursing staff turnover is 63.2%.
Compared with county, state and nation
| Measure | This facility | Fall River Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 10 | 15 | 16 | 28.7 |
| Citations per 100 beds | 19.2 | 19.2 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.7 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.8 | 0.7 |
| Nursing staff turnover | 63.2% | 63.2% | 46.6% | 45.8% |
| Fines listed | $8,278 | $39,293 | $20,183 | — |
County and state figures are medians across facilities (2 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Aug 2025, 25 Jul 2024.
Severity mix: G ×1 D ×5 E ×2 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 28 Sep 2025 |
| 14 Aug 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | Standard survey | 28 Sep 2025 |
| 14 Aug 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 28 Sep 2025 |
| 25 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 23 Jul 2025 |
| 25 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 Jun 2025 |
| 25 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 20 Aug 2024 |
| 25 Jul 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 20 Aug 2024 |
| 25 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Complaint investigation | 19 Jul 2024 |
| 25 Jul 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 19 Jul 2024 |
| 9 May 2023 | F0578 | 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. | D | Standard survey | 23 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Jun 2025 | Fine | $8,278 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 63.2%, RNs 54.5%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.3% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.3% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.9% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.7% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.5% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Fall River Health Services.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fall River Health Services | 5% or greater direct ownership interest | 100% | 12/13/2014 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Fall River County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Michael J Fitzmaurice South Dakota Veterans Home | Hot Springs | 78 | 2 | 2 | — | 15 | 19.2 | $39K | 1 May 2025 |
All 2 facilities in Fall River County
Questions and answers
How many deficiencies has Seven Sisters Living Center been cited for?
10 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Seven Sisters Living Center been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Seven Sisters Living Center compare?
Reported total nurse staffing is 3.7 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Seven Sisters Living Center?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Fall River Health Services. Individual owners and managers are not listed on this site.
When was Seven Sisters Living Center last inspected?
The most recent survey or investigation in the CMS record is dated 14 Aug 2025; the most recent standard health survey was 14 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.