Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F678 in South Dakota. Pick another state for the same tag.
Against expectation — 2025
South Dakota cites F678 more often than its own record predicts
Versus expected share4.62×
4.62 times the share F678 takes of citations nationally.
Share of South Dakota citations0.84%
Of every deficiency written in South Dakota in 2025, this is the portion that was F678.
South Dakota0.84%
National0.18%
Share of all citations that were F678.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F678 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.
J · Immediate jeopardy, isolatedJanuary 21, 2021
Based on interviews, closed record review, policy review, and the unexpected death report submitted to the South Dakota Department of Health (SD DOH), revealed the provider failed to ensure one of one closed sampled resident record (5) who was a full code, with no pulse or respirations received emergency services for cardiopulmonary resuscitation (CPR).
Surveyor: :
All residents who are full code status have the potential to be affected by this deficient practice.
NOTICE:
Verbal notice of immediate jeopardy and the template was given on [DATE] at 6:00 p.m. An immediate jeopardy was identified when the facility failed to start CPR immediately for one of one resident who was a full code status. …
Based on observation, interview, record review, and policy review, the provider failed to ensure the following:
*One of one resident (30) who was of full code status received interventions to prevent his death.
*Residents who were cognitively impaired understood what their code status entailed.
*Registered nurse (RN) E was aware of which residents were full code and where the crash cart was located.
*Code status book was updated with the most current code statuses of residents. Findings include:
1. Observation and interview on [DATE] at 9:09 a.m. RN E revealed:
*She was the nurse in charge of the 100 and 200 hallway, that day.
*Surveyor asked which residents were full code status.
-She said she knew of one for sure.
*They kept the code status' in the nurses station in a book. …
D · No harm, potential for more than minimal, isolatedDecember 31, 2025
Based on South Dakota Department of Health (SD DOH) facility-reported incidents (FRI), record review, interview, and policy review, the provider failed to ensure staff followed a resident's documented do not resuscitate (DNR) code status wishes for one of one closed record sampled resident (52) when discovered with no pulse or respirations by staff and was then provided cardiopulmonary resuscitation (CPR) without first verifying the resident's code status. Findings include: 1. Review of the provider's [DATE] SD DOH FRI revealed:*On [DATE] at 5:20 a.m. …
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