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B
Good

SEVEN SISTERS LIVING CENTER

1201 HWY 71 SOUTH · HOT SPRINGS, SD 57747

6057458910 · Non profit - Corporation

52 beds47.7 residents75 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SEVEN SISTERS LIVING CENTER receives an overall staffing grade of B (Good). With 4.3431 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6643 HPRD, below the recommended 0.75. It is 0.45 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 21.56% compared to weekdays. The facility relies heavily on temporary agency staff (24.04% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.6643 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️24.04% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.3431hrs/resident/day▲ 0.45
CMS benchmark: 3.48
RN HPRD
0.6643hrs/resident/day▼ 0.02
Recommended: 0.75
Weekend Drop-off
21.56%
4.6249 weekday → 3.6277 weekend
⚠ Significant weekend reduction
Agency Staff
24.04%
0% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.5583hrs/resident/day
Direct care aides
LPN HPRD
0.7445hrs/resident/day
Licensed practical nurses
Consistency
0.6382std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Fall River County Average-1.15 HPRD
5.49
04.34 HPRD
vs. South Dakota State Average+0.51 HPRD
3.83
04.34 HPRD
vs. National Average+0.45 HPRD
3.90
04.34 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
SEVEN SISTERS LIVING CENTER ★
HOT SPRINGS · This facility
—
B
4.34310.6643★★★☆☆
Michael J Fitzmaurice South Dakota Veterans Home
HOT SPRINGS
1.4 mi
A+
6.64441.1088★★☆☆☆
CUSTER CARE AND REHAB CENTER
CUSTER
24.9 mi
C
3.45960.6934★☆☆☆☆
Westhills Village Health Care Facility
RAPID CITY
45.4 mi
A
4.3421.0651★★★★☆
AVANTARA ARROWHEAD
RAPID CITY
45.5 mi
C
3.27660.7397★☆☆☆☆
CLARKSON HEALTH CARE
RAPID CITY
45.5 mi
B
3.71170.7275★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
10
Total Deficiencies
$0
Fines Assessed
Aug 14, 2025Health
3 deficiencies cited
▼
Jun 25, 2025Health
2 deficiencies cited· Includes actual harm
▼
Jul 25, 2024Health
4 deficiencies cited
▼
May 9, 2023Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.