Seven Sisters Living Center: Medication Violations - SD
Federal inspectors cited the Hot Springs nursing home for an F760 violation, the federal tag covering medication errors and the systems facilities use to prevent them. The problem surfaced in May 2024, ran for a week, and then returned in June. The second stretch lasted nearly two weeks.
The first period of non-compliance ran from May 9 through May 16. Then it stopped, or appeared to stop. Then it started again on June 8 and continued through June 21.
A few residents were affected, according to the inspection record.
Inspectors returned on July 25, 2024, reviewed whatever corrective actions the facility had put in place, and determined the violations were past non-compliance. The problems, they concluded, had been resolved.
What the record does not say is what the medication errors actually were. It does not name the residents affected. It does not describe what the facility changed, or when it changed it, or why the same problem that appeared in May was still occurring five weeks later in June. The inspection document, all seven pages of it, closes with a finding that non-compliance is considered past, and nothing more.
The F760 tag covers a range of medication-related failures, from errors in how drugs are administered to breakdowns in the systems facilities use to track, store, and dispense them. A citation at that tag can mean a resident received the wrong medication, received it at the wrong time, received the wrong dose, or did not receive it at all. The inspection record here does not specify which of those failures occurred, or whether the same failure repeated across both periods or whether something different went wrong each time.
What the record does establish is a timeline that raises a question the document does not answer. The facility identified or was cited for a problem in the second week of May. The problem appeared to resolve. Three weeks later, it was happening again.
The level of harm was listed as minimal harm or potential for actual harm, the lower end of the federal harm scale. A few residents were affected, not many. The facility corrected its practices, and inspectors confirmed as much in late July.
That is the full account the public record provides.
Seven Sisters Living Center sits in Hot Springs, a small city in the southwestern corner of South Dakota, near the Wyoming border. The facility serves a rural region where nursing home options are limited and where residents and their families often have few alternatives if care falls short.
The complaint that triggered the inspection is not described in the document. Someone raised a concern significant enough to send inspectors to the facility. The inspection found a real violation, one that had occurred not once but across two separate windows spanning more than three weeks combined. And then the record ends with a determination that the problem is now past.
For the residents affected, the record offers no follow-up. It does not say whether anyone experienced an adverse outcome. It does not say whether families were notified. It does not say whether the errors were caught before harm occurred or after. The phrase "minimal harm or potential for actual harm" covers both possibilities without distinguishing between them.
Facilities that receive F760 citations are required to demonstrate corrective action before inspectors close out a complaint. Seven Sisters did that. Inspectors confirmed it. The citation stands in the public record as past non-compliance, which means it happened, and it means it stopped, and it does not mean much else about what the experience was like for the people in those rooms during the five weeks it was occurring.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Seven Sisters Living Center from 2024-07-25 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 9, 2026 · Our methodology
SEVEN SISTERS LIVING CENTER in HOT SPRINGS, SD was cited for violations during a health inspection on July 25, 2024.
The problem surfaced in May 2024, ran for a week, and then returned in June.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.