Nursing homeActive
Seven Sisters Living Center
1201 Hwy 71 South, Hot Springs, SD 57747605745891052 certified beds · 50 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
10
● 0● 9● 1
Penalties · 3 yrs
$8,278
1 fine
Last survey
2025-08-14
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 3
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · South Dakota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-08-14 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2025-06-25 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-07-25 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2023-05-09 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · South Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-28Record 435072-20250814-F658
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-28Record 435072-20250814-F698
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-28Record 435072-20250814-F699
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-07-23Record 435072-20250625-F689
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-25Record 435072-20250625-F600
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity FStandard
Medication
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-19Record 435072-20240725-F755
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-19Record 435072-20240725-F760
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-20Record 435072-20240725-F804
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-20Record 435072-20240725-F880
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 435072-20230509-F578
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-06-25 | Civil money penalty | $8,278 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.54
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day3.69
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours3.28
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover63%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover55%
Facility
South Dakota
National
South Dakota 35% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | South Dakota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.9% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.9% | 5.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 19.5% | 24.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.3% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.3% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.4% | 5.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.7% | 17.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Fall River Health Services Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bohlman, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fischer, Dennis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Holmes, Georgia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mcbride, Heidi Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Miller, Barbara Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Naze, Jesse Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nelson, Rich Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Olstad, Richard Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Richardson, Bradley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Schultes, Jeremy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Strauser, Gary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Tarrell, Laura Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bohlman, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fischer, Dennis Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Holmes, Georgia Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mcbride, Heidi Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Miller, Barbara Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Naze, Jesse Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Nelson, Rich Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Olstad, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Richardson, Bradley Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schultes, Jeremy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schultes, Jeremy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Strauser, Gary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Tarrell, Laura Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or South Dakota.
No county cost figures on file for Fall River.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Michael J Fitzmaurice South Dakota Veterans Home Hot Springs | 1.4 mi | 2025-05-01 | 0102 |
| Custer Care And Rehab Center Custer | 25.0 mi | 2025-08-26 | 0170 |
| Clarkson Health Care Rapid City | 45.6 mi | 2026-04-16 | 041 |
| Avantara Arrowhead Rapid City | 45.6 mi | 2026-06-22 | 03510 |
| Westhills Village Health Care Facility Rapid City | 45.4 mi | 2026-03-12 | 0101 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |