SEVEN SISTERS LIVING CENTER

Nursing Home Inspector

1201 HWY 71 SOUTH
HOT SPRINGS, SD 57747
Fall River County
Phone: 605-745-3460
Provider Number: 435072
Last Inspection: 07/12/2017

About the Nursing Home

Number of Beds: 48
Number of Residents: 47
Beds Available: 1
Percent Occupancy: 98%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Corporation
Within Hospital?: YES

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

15

Facility
25

County
14

SD
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

15

2017
24

2016
28

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

7/12/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern : Minimal 4 8/29/2017
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 8/29/2017
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 8/29/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 8/29/2017
 

4/13/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/2/2016
 
Failed To: Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. Isolated : Minimal 3 6/2/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 6/2/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 6/2/2016
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 6/2/2016
 
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Minimal 3 6/2/2016
 
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 6/2/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 6/2/2016
 

6/10/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 7/28/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Widespread : Minimal 5 7/28/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 7/28/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 7/28/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 7/28/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 7/28/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 7/28/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg SD State Avg
Number of Residents 47 51.50 55.67
Registered Nurses 0.39 0.19 0.83
Licensed Practical / Vocational Nurses 0.59 0.29 0.38
Certified Nursing Assistants 2.01 1.01 2.47
Total Staff Hours 2.99 1.49 3.67

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% SD State Avg%
of high risk long-stay residents with pressure ulcers 0 5 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 98 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 99 97
of long-stay residents experiencing one or more falls with major injury 4 6 5
of long-stay residents who have depressive symptoms 3 3 4
of long-stay residents who lose too much weight 12 9 7
of long-stay residents who received an antianxiety or hypnotic medication 14 7 18
of long-stay residents who received an antipsychotic medication 21 15 16
of long-stay residents who self-report moderate to severe pain 20 11 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 23 21 19
of long-stay residents whose need for help with daily activities has increased 15 16 16
of long-stay residents with a catheter inserted and left in their bladder 7 3 2
of long-stay residents with a urinary tract infection 6 7 4
of low risk long-stay residents who lose control of their bowels or bladder 47 37 45
of short-stay residents assessed and appropriately given the pneumococcal vaccine 73 80 82
of short-stay residents who newly received an antipsychotic medication 0 Not Available   9
of short-stay residents who self-report moderate to severe pain 20 Not Available   76
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 78 0 2
of short-stay residents with pressure ulcers that are new or worsened 0 16 17