Nursing Home

Seven Sisters Living Center

1201 Hwy 71 South, Hot Springs, SD 57747
52 certified beds 50 residents per day on average

CMS Five-Star Quality Rating

4 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
3.7 hours

SD average: 3.8 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.5 hours

SD average: 0.8 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
3.3 hours

SD average: 3.3 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
63.2%

SD average: 48.2% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

1 fine totaling $8,278 in the recent inspection window (most recent: June 25, 2025).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
Non profit - Corporation
Who owns this facility — 25 entries in CMS's ownership records expand ↓
  • Fall River Health Services Organization
    Direct owner (≥5%) 100% ownership since 12/13/2014
  • Fischer, Dennis Individual
    Corporate director since 01/01/2025
  • Holmes, Georgia Individual
    Corporate director since 12/13/2014
  • Mcbride, Heidi Individual
    Corporate director since 01/01/2023
  • Miller, Barbara Individual
    Corporate director since 01/01/2021
  • Nelson, Rich Individual
    Corporate director since 12/13/2014
  • Olstad, Richard Individual
    Corporate director since 12/13/2014
  • Richardson, Bradley Individual
    Corporate director since 01/01/2025
  • Strauser, Gary Individual
    Corporate director since 12/13/2014
  • Tarrell, Laura Individual
    Corporate director since 01/01/2021

…and 15 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 3 health (SD avg 6.9) · 1 fire (SD avg 1.4) · ⚠ 1 serious Details

10 deficiencies cited across recent inspection cycles, including ⚠ 1 serious (actual harm or immediate jeopardy). Most recent survey: August 14, 2025.

Most recent inspection cycle: 3 health deficiencies · SD average: 6.9 · National: 9.3

1 fire-safety deficiency cited — most often miscellaneous (1).

Most recent fire-safety inspection (2024-07-25): 1 deficiency · SD average: 1.4 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Seven Sisters Living Center compares nearby

Compared with the 7 other nursing homes within 50 miles — 8 facilities in all, CMS data only.

Among the 8 nursing homes within 50 miles, Seven Sisters Living Center's overall star rating is 4★; the median among the 7 peers reporting it is 2★.

Measure This facility Nearby median
Overall star rating reported by 7 of 7 nearby peers 4★ 2★
Health inspections reported by 7 of 7 nearby peers 4★ 2★
Staffing reported by 6 of 7 nearby peers 3★ 3.5★
Quality measures reported by 7 of 7 nearby peers 2★ 3★

The comparison group

Cohort: within 50 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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