Based on observation, interview, record review, and policy review, the provider failed to protect the resident's right to be free from sexual abuse for one of one sampled resident (21) who reported he was touched in a private area without his consent by one of one contracted travel certified nursing assistant (CNA) (E). Immediate Jeopardy (IJ) at F600, with a scope and severity of J, began on 4/21/26 at 9:17 a.m. upon observation of resident 21 in the hallway when he reported to registered nurse (RN) D that he had a concern of being touched by a staff member on 4/21/26. Resident 21 reported that contracted travel CNA E had touched him in a private area without his consent, which upset the resident. …
F600 citations in South Dakota
Abuse and neglect · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Dakota cites F600 more often than its own record predicts
1.48 times the share F600 takes of citations nationally.
Of every deficiency written in South Dakota in 2025, this is the portion that was F600.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F600 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 South Dakota Department of Health (SD DOH) facility reported incident (FRI), interview, record review, and policy review, the provider failed to protect the residents' right to be free from physical abuse for one of one sampled resident (1) who was pinched and scratched on her hand by one of one certified nursing assistant (CNA) D while she was assisting resident 1 to eat.Findings include: 1. Review of the provider's 4/3/26 SD DOH FRI revealed that on 4/2/26 at 6:10 p.m., CNA D pinched and scratched resident 1 on her right hand. CNA D reported to licensed practical nurse (LPN) C that resident 1 asked CNA D to pinch her. LPN C asked resident 1 if CNA D pinched and scratched her and resident 1 replied that she had. …
Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), record review, interview, and observation, the provider failed to protect the resident's right to be free from physical abuse for one of one sampled resident (1) who reported he was slapped in the face by one of one certified nurse aide (CNA)/bath aide (D). This citation is considered past non-compliance based on review of the corrective actions the provider implemented immediately following the incident. Findings include:1. Review of the provider's 5/25/26 SD DOH FRI revealed that on 5/25/26 at 7:30 a.m., CNA B reported to registered nurse (RN) C that resident 1 told her that CNA/bath aide D slapped him across the face. …
The short window
Recent years
| Year | Share of South Dakota citations | vs expected |
|---|---|---|
| 2023 | 1.09% | 0.61× |
| 2024 | 5.61% | 2.38× |
| 2025 | 3.86% | 1.48× |
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