Federal inspection record · CMS data as of October 1, 2026
Seven Sisters Living Center
1201 Hwy 71 South, Hot Springs, SD · (605) 745-8910
- Certified beds
- 52
- Residents per day
- 49
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1993
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in South Dakota.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among South Dakota homes
Seven Sisters Living Center carries 28 inspection points. That is fewer than 70% of South Dakota's 94 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in South Dakota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–31.5 pts
- 3★ 31.5–55 pts
- 2★ 55–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in South Dakota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
12 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care3E
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- E
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Assessment and Care Planning2E
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service2F
- F
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Nutrition and Dietary1D
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspection history
2026-08-27
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2025-08-14
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-07-25
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 10 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
4 h 10 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 68% of nursing staff and 56% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,278 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-25 | Fine | $8,278 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 1.8 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2 pts worse | 3.7 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts better | 100.0% | 94.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.3 pts worse | 88.9% | 97.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better | 4.2% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.6 pts worse | 10.5% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 4.7% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.5 pts better | 14.2% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.5 pts better | 19.3% | 24.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.7 pts worse | 19.0% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts better | 19.0% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 1.5% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts better | 1.1% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.9 pts better | 19.6% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts worse | 4.6% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.1 pts better | 85.0% | 83.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.2 pts better | 0.0% | 2.2% | 1.5% |
·
Who owns and runs it
26 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Fall River Health Services | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Bohlman, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bohlman, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fischer, Dennis | Corporate Director · Individual | 0% | 1 facilities |
| Fischer, Dennis | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Holmes, Georgia | Corporate Director · Individual | 0% | 1 facilities |
| Holmes, Georgia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcbride, Heidi | Corporate Director · Individual | 0% | 1 facilities |
| Mcbride, Heidi | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Miller, Barbara | Corporate Director · Individual | 0% | 1 facilities |
| Miller, Barbara | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Naze, Jesse | Corporate Officer · Individual | 0% | 1 facilities |
| Naze, Jesse | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nelson, Rich | Corporate Director · Individual | 0% | 1 facilities |
| Nelson, Rich | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Olstad, Richard | Corporate Director · Individual | 0% | 1 facilities |
| Olstad, Richard | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Richardson, Bradley | Corporate Director · Individual | 0% | 1 facilities |
| Richardson, Bradley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schultes, Jeremy | Corporate Officer · Individual | 0% | 1 facilities |
| Schultes, Jeremy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schultes, Jeremy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Strauser, Gary | Corporate Director · Individual | 0% | 1 facilities |
| Strauser, Gary | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Tarrell, Laura | Corporate Director · Individual | 0% | 1 facilities |
| Tarrell, Laura | Operational/Managerial Control · Individual | 0% | 1 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous1C
- C
Have simulated fire drills held at unexpected times.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
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-
Custer Care And Rehab Center
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Westhills Village Health Care Facility
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- Nursing / resident / day
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- Fines
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