Based on the South Dakota Department of Health (SD DOH) facility reported incident (FRI), interview, record review, and policy review, the provider failed to honor a resident's refusal to shower and to follow that resident's bathing preferences as directed on their care plan for one of one sampled resident (1). Failure to do so resulted in the resident expressing feelings of anger and mistrust towards a staff member. This citation is considered past non-compliance based on a review of the corrective actions the provider implemented following the incident. Findings include: 1. Review of the provider's SD DOH FRI submitted on 5/28/24 at 11:22 a.m. …
F550 citations in South Dakota
Resident rights and dignity · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Dakota cites F550 less often than its own record predicts
0.47 times the national share — cited less often here than elsewhere.
Of every deficiency written in South Dakota in 2025, this is the portion that was F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F550 findings written in South Dakota, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observation, record review, interview, and policy review, the provider failed to ensure that staff protected the residents' right to dignity and privacy for two of three residents (7 and 11) observed with their catheter (flexible tubing placed in the bladder to drain urine) urine collection bags uncovered, with urine visible to others, when the residents were in public areas.Findings include: 1. Observation on 8/11/26 at 10:58 a.m. of resident 7 revealed that he was walking in the hallway, wearing a pair of shorts, and had a catheter urine collection bag with visible urine in it attached to his leg. There was no cover on the catheter bag.2. Observation on 8/12/26 at 8:03 a.m. revealed resident 7 was walking out of the dining room. …
The short window
Recent years
| Year | Share of South Dakota citations | vs expected |
|---|---|---|
| 2023 | 1.81% | 0.88× |
| 2024 | 2.69% | 1.23× |
| 2025 | 1.01% | 0.47× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Dakota surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction