The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
SEVEN SISTERS LIVING CENTER
HOT SPRINGS, SD · Medicare-certified · 52 beds
Needs attention
Non-profit
3 of 5 overall
SEVEN SISTERS LIVING CENTER in Hot Springs, SD has a 3-star overall rating, with stronger staffing at 4 stars and 4.28 reported nurse hours per resident per day, slightly above the 4.1 federal benchmark, but weaker quality measures at 2 stars. It also has a recent federal penalty, $12,735 in fines over the last 24 months, and recent inspection citations for accident prevention/supervision, pharmaceutical services, and infection control.
Facility ratings
Health inspections
Staffing
4.279 hrs/resident/day
Quality measures
Last inspection: August 14, 2025Penalties, last 24 months: $12,735recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.279.
Staffing detail
- Registered nurses
- 0.68
- Licensed practical nurses
- 0.67
- Nurse aides
- 2.93
- Weekend nursing
- 3.63
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 55%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
18.9%17.5%Improving
Residents with a fall causing major injury
4.1%6.4%Worsening
Residents with pressure ulcers (bedsores)
0%3.5%Worsening
Residents with a urinary tract infection
17%2.1%Improving
Residents who lost too much weight
4.8%4.5%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.1%13.2%Worsening
Residents whose ability to walk got worse
8.8%7.3%Improving
Long-stay residents on antianxiety or sleep medication
15.9%11.4%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
2%4.8%Worsening
Residents with new or worsening incontinence
32.8%19.9%Improving
Residents with depressive symptoms
9.3%14.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.2%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—72.4%—
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to provide services that met professional standards of quality. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to provide care or services that were trauma-informed and culturally competent. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 699 — 42 CFR §483.25 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $12,735 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $12,735 in total fines.
- $12,735
Federal fine
Jun 25, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 47.9 residents on an average day (92% of 52 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.