Seven Sisters Living Center
1201 Hwy 71 South · Hot Springs, SD · 57747 · 6057458910
52 certified beds Non profit - Corporation Hospital-based
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.68 | 0.55–0.75 |
| Weekend hours / resident-day | 3.63 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 1 · $12,735 |
Inspection citations (10 in the current record)
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Potential for harm · E August 14, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 14, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 28, 2025 · Quality of Life and Care
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Potential for harm · E August 14, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected September 28, 2025 · Quality of Life and Care
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Actual harm · G June 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 23, 2025 · Quality of Life and Care
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Potential for harm · D June 25, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F July 25, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 19, 2024 · Pharmacy Service
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Potential for harm · D July 25, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 19, 2024 · Pharmacy Service
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Potential for harm · D July 25, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected August 20, 2024 · Nutrition and Dietary
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Potential for harm · F July 25, 2024
Provide and implement an infection prevention and control program.
Corrected August 20, 2024 · Infection Control
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Potential for harm · D May 9, 2023
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.
Corrected June 23, 2023 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 25, 2025 | Fine | $12,735 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435072 · certified since August 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.