Based on interview, document review, and policy review, the provider failed to ensure that the resident's grievances were addressed, and documentation reflecting the staff's efforts to resolve those grievances was communicated to the residents and approved as effective resolutions for eight of eight sampled residents (16, 30, 31, 63, 79, 81, 108, and 109) who attended the resident council meeting on 7/29/26 that reported concerns in grievance resolution.Findings include:1. Interview with residents 16, 30, 31, 63, 79, 81, 108, and 109 during the resident council meeting on 7/29/26 revealed that they have not had grievances resolved, and the staff had not come to discuss with the council or any members the resolution of grievances brought from the resident council.2. …
F565 citations in South Dakota
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Dakota cites F565 more often than its own record predicts
1.88 times the share F565 takes of citations nationally.
Of every deficiency written in South Dakota in 2025, this is the portion that was F565.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F565 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.
The short window
Recent years
| Year | Share of South Dakota citations | vs expected |
|---|---|---|
| 2023 | 0.72% | 2.37× |
| 2024 | 0.22% | 0.73× |
| 2025 | 0.50% | 1.88× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Dakota surveyors cite →
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