F697 in South Dakota. Pick another state for the same tag.
Against expectation — 2025
South Dakota cites F697 more often than its own record predicts
Versus expected share1.08×
1.08 times the share F697 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 F697.
South Dakota0.84%
National0.78%
Share of all citations that were F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F697 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 interview, record review, policy review, and the South Dakota Department of Health (SD DOH) online report review, revealed the provider failed to ensure one of three closed record sampled residents (19) and one of one sampled resident (7) received pain management for ensuring a:
*Hospice resident's pain was managed, and the provider and/or hospice agency was notified.
*Resident who was receiving pain medication received her medication timely.
Surveyor
These failures have a potential to expose all residents not receiving effective pain management to have their quality of life to be affected.
NOTICE:
Verbal notice of immediate jeopardy and the template was given on 2/19/21 at 6:00 p.m. …
Based on observation, record review, interview, and policy review, the provider failed to assess and manage pain for one of one sampled resident (78) who showed signs of having pain.Findings include:1. Observation on 3/25/26 at 9:15 a.m. in the hallway by resident 78's room revealed he was being wheeled to his room by (name of hospice agency) certified nursing assistant (CNA) YY after receiving a shower. Resident 78 could be heard moaning and his face was grimacing suggesting he was in pain. CNA WW wheeled resident 78 into his room and then closed the door to provide cares to resident 78. Over the following several minutes, resident 78 could be heard screaming outside his closed bedroom door.2. …
D · No harm, potential for more than minimal, isolatedDecember 10, 2025
Based on the South Dakota Department of Health (SD DOH) facility-reported incident (FRI), complaint intake form, interview, record review, and policy review, the provider failed to ensure adequate pain management for one of one sampled resident (5) who consistently voiced concerns regarding unmanaged pain and the lack of staff response to her request for pain medication. This citation is considered past non-compliance based on a review of the corrective actions the provider implemented following the incident. Findings include:1. Review of the provider's SD DOH FRI submitted on 11/21/25 revealed that resident 5 reported staff members had not assisted her throughout their shift. Resident 5 stated licensed practical nurse (LPN) F refused to assist her with her needs. …
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