F656 in South Dakota. Pick another state for the same tag.
Against expectation — 2025
South Dakota cites F656 less often than its own record predicts
Versus expected share0.20×
0.20 times the national share — cited less often here than elsewhere.
Share of South Dakota citations0.67%
Of every deficiency written in South Dakota in 2025, this is the portion that was F656.
South Dakota0.67%
National3.44%
Share of all citations that were F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F656 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, isolatedApril 3, 2024
Substantial compliance was confirmed on 4/3/24 after record review revealed the facility had followed their quality assurance process; after mechanical lift education was provided to all nursing staff; after multiple staff interviews revealed competence and understanding of the mechanical lift training; after resident interviews confirmed transfers with a mechanical lift were provided with the proper number of staff; and after observations of staff showed they performed proper transfers with a mechanical lift.
D · No harm, potential for more than minimal, isolatedAugust 26, 2025
Based on record review, interview, and policy review, the provider failed to ensure that a comprehensive care plan was developed within 14 days of their admission for four of four sampled residents (1, 7, 21, and 26) reviewed. Findings include:1. Review of resident 1's electronic medical record (EMR) revealed she was admitted to the facility on [DATE]. The first care plan was documented 19 days later on 9/10/24.
2. Review of resident 21's EMR revealed:
She was admitted to the facility on [DATE].
*A baseline care plan dated 8/5/25 had areas that were partially filled out. …
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