All states › South Dakota › Hot Springs › Seven Sisters Living Center
1201 Hwy 71 South Hot Springs, SD 57747 · Fall River County
All 2 nursing homes in Hot Springs, SD (2 take Medicaid)
CMS certification number 435072 · See this home on Medicare Care Compare
Is Seven Sisters Living Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Seven Sisters Living Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above the South Dakota average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.17 hours per resident per day at Seven Sisters Living Center, above the South Dakota median of 3.69 (US median: 3.72). About 0.63 of those hours are from registered nurses. On weekends it falls to 3.53 hours, 15% below its all-week average. Ask how weekends are staffed. 68.2% of nursing staff left within a year (South Dakota median 46.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Seven Sisters Living Center: Medicare and Medicaid
Seven Sisters Living Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet South Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on August 27, 2026 and found 3 deficiencies. In total, inspectors issued 12 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 12 citations at Seven Sisters Living Center across 4 inspection dates, 4 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on June 25, 2025. The most common areas cited were quality of life and care (4) and freedom from abuse, neglect, and exploitation (2). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, June 25, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 27, 2026 · 3 citations
ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DTry 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.
August 14, 2025 · 3 citations
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide care or services that was trauma informed and/or culturally competent.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
June 25, 2025 · 2 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
July 25, 2024 · 4 citations · includes complaint inspection
FProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
FProvide and implement an infection prevention and control program.
DEnsure that residents are free from significant medication errors.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Questions to ask on a tour of Seven Sisters Living Center
- Inspectors cited the home at the actual-harm level on June 25, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 27, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 68.2% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $8,278 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 25, 2025 | Fine | $8,278 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 3/5 | 2/5 |
| August 2026 | 4/5 | 4/5 | 3/5 | 2/5 |
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Location
Hospitals near Seven Sisters Living Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.2 mi
Fall River Hospital - Critical Access Hospital Hot SpringsEmergency roomMedian ER visit 1h 38m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.