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Nursing HomeMedicaid

Seven Sisters Living Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1201 Hwy 71 South, Hot Springs, SD 5774752 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 2 Google reviews

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What this means for your family

Seven Sisters Living Center falls in the middle range of Medicare quality ratings. This means baseline standards are met, but there is room for improvement. A personal tour and conversation with current residents' families will give you the best picture of daily life here.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.68hrs
91%
Registered nurses for medical care
Total Nursing
4.28hrs
OK
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)
RN Turnover
55%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

5

measures

Mixed Results

6

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility17.4%
Mixed vs Avgs
Here
17.4%
US
15.5%
SD
24.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
SD
95.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.6%
Worse than Avg
Here
21.6%
US
15.3%
SD
20.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.8%
Mixed vs Avgs
Here
10.8%
US
12.1%
SD
5.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility6.9%
Worse than Avg
Here
6.9%
US
1.6%
SD
3.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.9%
Better than Avg
Here
14.9%
US
19.5%
SD
17.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility72.4%
Worse than Avg
Here
72.4%
US
81.8%
SD
82.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
SD
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
1penalties
Near state avg (6.8)
4 complaint-triggered

Families have filed multiple complaints triggering 4 deficiencies, including serious concerns about resident protection from abuse and medication errors. The facility has struggled with safety hazards, medication management, and infection control across recent surveys. While most issues show correction dates, one fire safety deficiency remains without a correction plan, and problems persist across multiple survey periods.

Aug 14, 2025Routine
3
0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0699Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Jun 25, 2025Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0600Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Jul 25, 2024Complaint
2
0755Potential for harm · WidespreadResolved (past non-compliance)

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0760Potential for harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jul 25, 2024Routine
3
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

May 9, 2023Routine
1
0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Federal Penalties

Fine

Jun 25, 2025

$12,735

Ownership & Operations

Who Operates This Facility

Owner / Operator

Seven Sisters Living Center

Organization Type

nonprofit

Ownership & Management

Owners

Fall River Health Services

Owner · Organization

100%

Key personnel

Fischer, DennisOfficer / DirectorHolmes, GeorgiaOfficer / DirectorMcbride, HeidiOfficer / DirectorMiller, BarbaraOfficer / DirectorNelson, RichOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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