Seven Sisters Living Center
1201 Hwy 71 South, Hot Springs, SD 57747 · Fall River County · 52 certified beds · avg 50 residents/day · certified since Aug 1, 1993
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jun 25, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 23, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 14, 2025 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 14, 2025 | E · Potential for harm, repeated | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Aug 14, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jun 25, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 25, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jul 25, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 25, 2024 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jul 25, 2024 | F · Potential for harm, facility-wide | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Jul 25, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| May 9, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 4 | 0 | F |
| 2025 | 5 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,278.
| Date | Type | Amount / length |
|---|---|---|
| Jun 25, 2025 | Fine | $8,278 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | South Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.16 | 4.32 | 3.95 | top 50% in South Dakota; top 34% in the U.S. |
| Registered Nurse hours | 0.61 | 0.91 | 0.69 | bottom 19% in South Dakota; top 46% in the U.S. |
| Weekend total nurse staffing | 3.69 | 3.71 | 3.50 | top 42% in South Dakota; top 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.51 | 0.48 | bottom 6% in South Dakota; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 63.2 | 48.2 | 45.8 | bottom 14% in South Dakota; bottom 12% in the U.S. |
| RN turnover (%) | 54.5 | 34.7 | 42.9 | bottom 20% in South Dakota; bottom 29% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.69, RN 0.54, weekend 3.28. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fall River Health Services | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/13/2014 |
| Bohlman, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/28/2022 |
| Bohlman, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 02/28/2022 |
| Fischer, Dennis | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Fischer, Dennis | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Holmes, Georgia | Individual | Corporate Director | NOT APPLICABLE | 12/13/2014 |
| Holmes, Georgia | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2014 |
| McBride, Heidi | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| McBride, Heidi | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Miller, Barbara | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Miller, Barbara | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2021 |
| Naze, Jesse | Individual | Corporate Officer | NOT APPLICABLE | 12/13/2014 |
| Naze, Jesse | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2014 |
| Nelson, Rich | Individual | Corporate Director | NOT APPLICABLE | 12/13/2014 |
| Nelson, Rich | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2014 |
| Olstad, Richard | Individual | Corporate Director | NOT APPLICABLE | 12/13/2014 |
| Olstad, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2014 |
| Richardson, Bradley | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Richardson, Bradley | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Schultes, Jeremy | Individual | Corporate Officer | NOT APPLICABLE | 03/27/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you learn about each resident's background and history, and how does that shape their care?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Michael J Fitzmaurice South Dakota Veterans Home | 1.4 mi | Hot Springs, SD | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 435072.