F725 in South Dakota. Pick another state for the same tag.
Against expectation — 2025
South Dakota cites F725 more often than its own record predicts
Versus expected share1.52×
1.52 times the share F725 takes of citations nationally.
Share of South Dakota citations1.17%
Of every deficiency written in South Dakota in 2025, this is the portion that was F725.
South Dakota1.17%
National0.77%
Share of all citations that were F725.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F725 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, isolatedSeptember 17, 2024
Based on observation, interview, record review, and resident rights review, the provider failed to ensure staff were available to promptly respond to call lights for seven of seven sampled residents (1, 2, 3, 4, 5, 8, and 9) who used call lights to alert staff of their assistance needs. Findings include:
1. Observation on 9/16/24 at 3:45 p.m. throughout the facility revealed there was:
*A sit-to-stand lift (mechanical lift used to assist to a standing position for transfers) and total lift (a mechanical lift with a body sling used for transfers) located in the hallway between rooms [ROOM NUMBERS].
*A sit-to-stand lift located in the 400 hallway outside of room [ROOM NUMBER].
-The lift had two safety slings stacked on top of it. …
E · No harm, potential for more than minimal, patternDecember 17, 2025
Based on interview, observation, record review, call light report review, and policy review the provider failed to ensure prompt staff response to resident call lights for seven of seven residents (30, 34, 45, 55, 71, 73, and 76 ) who complained of slow responses to call lights.Findings include:1. Interview on 9/29/25 at 4:26 p.m. with resident 71's husband in the hallway revealed:
*He turned on his wife's call light when she was incontinent and needed staffs assistance, and it took the staff over 45 minutes to help his wife.
*His wife was dependent on the staff to have her incontinence brief changed as she was immobilized.
Observation on 9/30/25 at 8:44 a.m. …
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