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Complaint Investigation

Seven Sisters Living Center

July 25, 2024 · Hot Springs, SD · 1201 Hwy 71 South
Citations 2
CMS Rating 4/5
Beds 52
Provider ID 435072
Healthcare Facility
Seven Sisters Living Center
Hot Springs, SD  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)  ·  7 pages
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

SEVEN SISTERS LIVING CENTER in HOT SPRINGS, SD — inspection on July 25, 2024.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF755
Minimal harm or 42558 Few review, the provider failed to correctly administer narcotic (pain relieving) medications as ordered for two of affected

Review of the two 6/27/24 SD DOH complaint reports revealed:

*Resident 1 had not received her Fentanyl (a controlled medication for severe pain) medication as ordered by her physician.

-She was supposed to have received a new Fentanyl topical patch every 72 hours (3 days).

*Her Fentanyl patch was applied on 6/8/24.

-It had not been replaced from 6/8/24 through 6/21/24.

*She did not receive four doses.

-She had increased pain and migraine headaches during that time.

*She had called a friend and was reported to have been crying because of her increased pain and migraine headaches.

2.

Interview on 7/23/24 at 9:23 a.m. with resident 1 revealed:

*She was receiving hospice care for end-stage kidney failure.

*She stated, I started having pain and looked at the calendar and found out it (Fentanyl patch) hadn't been changed in several weeks. It was supposed to be changed every three days.

-She stated she had increased back pain and severe migraine headaches during that time.

-She stated, It was a doozy for a few days. It was a hell of a migraine.

*She stated a hospice nurse told her the Fentanyl patch medication was prescribed correctly to indicate it would be replaced every 72 hours (three days), but the pharmacy had changed it to be replaced every 72 days.

435072

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 435072 B.

Wing 07/25/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Seven Sisters Living Center 1201 Hwy 71 South Hot Springs, SD 57747

F-F760 occurred from 5/9/24 through 5/16/24 and again from 6/8/24 through 6/21/24, and based on the provider's implemented corrective actions for the deficient

potential for actual harm

435072

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HOT SPRINGS, SD, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SEVEN SISTERS LIVING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.