F561 in South Dakota. Pick another state for the same tag.
Against expectation — 2025
South Dakota cites F561 more often than its own record predicts
Versus expected share1.31×
1.31 times the share F561 takes of citations nationally.
Share of South Dakota citations0.50%
Of every deficiency written in South Dakota in 2025, this is the portion that was F561.
South Dakota0.50%
National0.38%
Share of all citations that were F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F561 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.
G · Actual harm, isolatedAugust 20, 2024
Based on review of the South Dakota Department of Health (SD DOH) facility reported incident (FRI), record review, observation, interview, and policy review, the provider failed to accommodate one of one sampled resident's (2) snack time preferences. Findings include:
1. Review of the provider's 6/24/2024 (SD DOH) (FRI) regarding resident 2 revealed:
*On 5/22/24 an incident occurred when resident 2 was offered ice cream. She had stated she wanted ice cream, was told she had already had ice cream and was not allowed more.
-Resident 2 became upset and was taken to her room to calm down.
*It was later discovered that resident 2 had a right eye that was swollen as well as a bump/bruise from her lateral aspect [tail] of the right eyebrow. …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
Based on observation, interview, and policy review, the provider failed to ensure the staff protected the residents' sense of dignity for three of four sampled residents (37, 56, and 67) by assisting them with bathing once per week. Findings include: 1. Observation on 8/18/26 at 3:36 p.m. of resident 37 in the dining room revealed she had long hair that reached just below her shoulders. Her hair appeared greasy and was stuck to the top of her head.2. Review of resident 37's electronic medical record (EMR) revealed she admitted to the facility on [DATE]. Her documented bathing record indicated she preferred Fridays as her bath day and required the assistance of one staff member. …
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