Seven Sisters Living Center
1201 HWY 71 SOUTH, Hot Springs, SD 57747
Hot Springs, South Dakota · CMS verdict
Seven Sisters Living Center holds a 3 of 5 CMS overall star rating - in line with the South Dakota state average of 2.9, reflecting average quality on the federal five-star scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Seven Sisters Living Center in Hot Springs, South Dakota holds a CMS overall rating of 3 of 5 stars and a PlainElderCare Quality & Compliance Index of 51 of 100 (grade F). The 52-bed facility operates where a semi-private nursing-home room in South Dakota runs a median of $9,444 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 3 of 5 stars. How this is calculated.
How the 51 is built
Each segment is a dimension's weighted points toward the score, summing to 51.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Seven Sisters Living Center's overall quality rating at 3 out of 5 stars, a composite of three sub-ratings: health inspection (3/5), staffing (3/5), and quality measures (2/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Hot Springs, South Dakota, this facility operates 52 certified beds with an average daily census of roughly 48 residents - an occupancy rate of about 92%. The facility is classified under non profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. With occupancy around 92%, bed usage here sits in the range typical of a stabilized facility.
Same-ownership peers
Within South Dakota, Seven Sisters Living Center is one of 50 non profit - corporation nursing homes CMS rates. Its 3-star overall rating sits above the non profit - corporation-segment average of 3.0 stars, ahead of roughly 44% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility (10 total). CMS has levied no enforcement penalties over the equivalent window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Seven Sisters Living Center compares to South Dakota
CMS five-star sub-ratings (0–5) for this facility against the South Dakota facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = South Dakota state average. Higher is better on all four CMS measures.
Where Seven Sisters Living Center ranks in South Dakota
Among the 95 CMS-rated nursing homes in South Dakota, Seven Sisters Living Center’s 3-star overall rating is higher than 48% of them. The bars show how all South Dakota homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
16 South Dakota homes share this 3-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 52 |
| Residents | 48 |
| Ownership | Non profit - Corporation |
| County | Fall River |
| Penalties | 0 |
| Deficiencies | 10 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Seven Sisters Living Center? ▾
CMS rates Seven Sisters Living Center at 3 out of 5 stars overall. The three sub-ratings behind that number: health inspection 3/5, staffing 3/5, quality measures 2/5.
How much does a nursing home cost per month in South Dakota? ▾
The median cost for a semi-private nursing home room in South Dakota is $9,444 per month ($113,333 annually). A private room averages $10,190 per month. Costs are from the CareScout 2025 survey.
What services does Seven Sisters Living Center offer? ▾
Seven Sisters Living Center is a skilled nursing facility with 52 beds with approximately 48 current residents. It operates under non profit - corporation ownership. The facility has recorded 10 deficiencies and 0 penalties in CMS inspections.
Does Seven Sisters Living Center have any deficiencies or penalties? ▾
Seven Sisters Living Center has multiple deficiencies (10 total) and 0 penalties recorded by CMS. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in South Dakota? ▾
In South Dakota, alternatives include assisted living ($4,900/mo), home health aides ($8,437/mo), and adult day care (N/A/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the South Dakota elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 435072.
Read our methodology - how this data is sourced, computed, and verified.