Seven Sisters Living Center
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
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
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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.