Deficiency Index

F700 citations in South Dakota

Bed rails · Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

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F700 in South Dakota. Pick another state for the same tag.

Against expectation — 2025

South Dakota cites F700 more often than its own record predicts

Versus expected share3.45×

3.45 times the share F700 takes of citations nationally.

Share of South Dakota citations1.34%

Of every deficiency written in South Dakota in 2025, this is the portion that was F700.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What South Dakota surveyors wrote

F700 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, isolatedApril 24, 2025

Based on observation, interview, record review, and policy review, the provider failed to ensure the safety and prevention for potential entrapment or injury for 16 residents (5, 18, 19, 47, 67, 72, 83, 97, 99, 103, 108, 112, 126, 137, and 356) who had side rails on their bed and 10 other residents (5, 17, 22, 73, 83, 103, 106, 123, 137, and 453) who had a risk for entrapment related to their mattresses and headboards or footboards. Concerns were identified with: *The safety of the side rails related to their installation, ongoing maintenance, and risk for entrapment. *Documentation for consents for side rail use, alternatives that had been attempted, and education regarding the risk and benefits of side rails. …

Good Samaritan Society Sioux Falls Village

H · Actual harm, patternJune 6, 2023

Based on incident report review, interview, observation, record review, and policy review, the provider failed to: *Properly measure the bedrail safety zones for eleven of eleven residents with bedrails (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11), which resulted in resident injury for one of one sampled resident (11) when his head got wedged in an area of the bedrail that had not been measured. *Complete assistive device assessments for three of eleven sampled residents with bedrails (1, 3, and 9). *Obtain informed consent for the use of a bedrail for one of eleven sampled residents (3) with bedrails. *Update care plans to reflect the use of bedrails for four of eleven sampled residents (3, 8, 10, and 11). …

Alcester Care And Rehab Center, Inc

D · No harm, potential for more than minimal, isolatedAugust 27, 2026

Based on observation, interview, and record review, the provider failed to ensure side rail (bar/bars attached to the bed) assessments, informed consents, alternatives to the side rails were attempted before the side rails were installed for two of two newly admitted residents (4 and 26) who had side rails on their bed. Findings include:1. Observation and interview on 8/25/26 at 9:29 a.m. with resident 4's at the entrance to his room revealed there were bilateral side rails near the head of his bed. Resident 4 was self-propelling his wheelchair in the hallway near his room. When an interview was attempted with resident 4 his replies were not appropriate to the questions that were asked. 2. …

Seven Sisters Living Center

The short window

Recent years

YearShare of South Dakota citationsvs expected
20231.81%4.87×
20240.67%1.57×
20251.34%3.45×

Shares of citations, not counts: earlier years hold fewer inspections.

What else South Dakota surveyors cite →

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