Seven Sisters Living Center: Staffing, Turnover, and Inspection Record
Seven Sisters Living Center is a 52-bed nonprofit nursing home in Hot Springs, South Dakota. In the CMS August 2026 release it reported 2.63 nurse aide hours per resident per day, 4% above the South Dakota average of 2.52, and 63.2% nursing staff turnover (South Dakota average 48.2%).
Seven Sisters Living Center
1201 Hwy 71 SouthHot Springs, SD 57747
Fall River County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Seven Sisters Living Center, nurse aides logged 2.63 hours per resident per day, 4% above the South Dakota average. With about 50 residents a day, that works out to roughly 131 aide hours a day, or about 16 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.63 | 2.52 | 2.32 |
| Licensed practical nurses | 0.52 | 0.47 | 0.86 |
| Registered nurses | 0.54 | 0.80 | 0.69 |
| All nursing staff | 3.69 | 3.79 | 3.86 |
| All nursing staff, weekends | 3.28 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
63.2% of nursing staff at Seven Sisters Living Center left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. Registered nurse turnover was 54.5%.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 14, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (South Dakota average 6.9). CMS lists 1 fine totaling $8,278 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 25, 2025 | Fine | $8,278 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Seven Sisters Living Center holds 4 of 5 overall; the South Dakota average is 2.9.
About Seven Sisters Living Center
- Ownership: Non profit - Corporation
- Legal name: Fall River Health Services
- Medicare and Medicaid certified since: Aug 1, 1993
- Located inside a hospital
- Councils: resident council
- Area: rural
Nursing homes near Seven Sisters Living Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Michael J Fitzmaurice South Dakota Veterans Home Hot Springs | 1.4 | 78 | — | — | — | 2 | $39,293 |
| Custer Care and Rehab Center Custer | 25.0 | 43 | — | — | — | — | None |
| Westhills Village Health Care Facility Rapid City | 45.4 | 44 | 2.10 | 3.70 | 46.2% | 5 | $8,788 |
| Avantara Arrowhead Rapid City · abuse citation | 45.6 | 68 | 2.23 | 3.52 | 76.1% | 1 | $153,583 |
| Clarkson Health Care Rapid City | 45.6 | 49 | 2.40 | 4.20 | 34.0% | 5 | None |
| Weston County Health Services Newcastle · abuse citation | 46.3 | 58 | 2.59 | 3.81 | 58.9% | 2 | None |
| Crest View Care Center Chadron | 46.7 | 70 | 2.88 | 3.96 | 48.5% | 1 | None |
| Avantara Saint Cloud Rapid City · abuse citation | 46.7 | 78 | 2.15 | 3.12 | 57.3% | 1 | $24,751 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.