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
Data as of July 1, 2026
4 of 5 overall
Seven Sisters Living Center in Hot Springs, SD has an overall 4-star rating, with solid health inspection results but weaker staffing and quality scores. Reported nurse staffing is below the federal benchmark (3.69 vs 4.1 hours per resident per day), and it had $8,278 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.6907 hrs/resident/day
Quality measures
Last inspection: August 14, 2025Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6907.
Staffing detail
- Registered nurses
- 0.54
- Licensed practical nurses
- 0.52
- Nurse aides
- 2.63
- Weekend nursing
- 3.28
Hours per resident per day.
Total staff turnover: 63%
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
17.1%27%Worsening
Residents with a fall causing major injury
4.8%2.1%Improving
Residents with pressure ulcers (bedsores)
0%1.5%Worsening
Residents with a urinary tract infection
5.1%0%Improving
Residents who lost too much weight
7.7%4.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
27%15.8%Improving
Residents whose ability to walk got worse
35.1%18%Improving
Long-stay residents on antianxiety or sleep medication
19%11.1%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
10%22.9%Worsening
Residents with depressive symptoms
8.1%11.6%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
—78.5%—
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 was below the federal recommendation of 4.1 hours per resident per day.
- 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 $8,278 was recorded.
- 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 · $8,278 in total fines.
- $8,278
Federal fine
Jun 25, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 49.8 residents on an average day (96% of 52 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.