Based on observation, interview, employee personnel files review, in-service record training review, manufacturer's recommendations review, and policy review, the provider failed to ensure all employees were competent who utilized the mechanical lifts. That failure created a situation of immediate jeopardy that had the potential for causing harm to all of the residents who utilized a mechanical lift. NOTICE: Notice of immediate jeopardy was given verbally to the administrator and director of nursing (DON) on 3/9/20 at 4:10 p.m. …
F726 citations in South Dakota
Competent nursing staff · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Dakota cites F726 less often than its own record predicts
0.56 times the national share — cited less often here than elsewhere.
Of every deficiency written in South Dakota in 2025, this is the portion that was F726.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F726 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.
Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), record review, and interviews with facility staff failed to ensure the safety of one of one sampled resident (1) whose tunneled chest catheter (a thin tube inserted into a vein in the chest, neck, or groin and tunneled under the skin to a large vein near the heart referred to as a central venous catheter (CVC) to allow access to the vein for medication administration) was removed by registered nurse (RN) (C), not trained to safely perform that task. Findings include: 1. …
Based on interview and record review, the provider failed to ensure registered nurse (RN) KK staff received necessary guidance, provider direction, and competency support for the care of a resident with a peripherally inserted central catheter (PICC) that could not be accessed, for one of one resident (67) reviewed for vascular access device care. This failure resulted in a lack of appropriate and timely nursing intervention and had the potential to compromise the resident's safety and treatment needs. Findings include: 1. Review of resident 67's closed electronic medical record (EMR) revealed she admitted to the facility on [DATE]. She went to a clinic appointment on 6/22/26 and was admitted to the hospital from that appointment, as she refused to return to the provider's facility. …
The short window
Recent years
| Year | Share of South Dakota citations | vs expected |
|---|---|---|
| 2023 | 1.45% | 2.37× |
| 2024 | 0.45% | 0.68× |
| 2025 | 0.34% | 0.56× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Dakota surveyors cite →
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