Based on Payroll Based Journal (PBJ) reports, interview, employee timecard review, schedule review, and facility assessment review, the provider failed to ensure a registered nurse (RN) was scheduled for eight consecutive hours of coverage for one day in quarter two (January 1 through March 31) of fiscal year 2026 and six of thirty-one days in July 2026. Findings include:1. Review of the PBJ report for quarter two of fiscal year 2026 revealed the provider did not have RN coverage for eight consecutive hours on 3/1/26, 3/14/26, 3/17/26, and 3/28/26. 2. Interview on 8/11/26 at 8:55 a.m. …
F727 citations in South Dakota
Registered nurse coverage · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Dakota cites F727 more often than its own record predicts
1.96 times the share F727 takes of citations nationally.
Of every deficiency written in South Dakota in 2025, this is the portion that was F727.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F727 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.
The short window
Recent years
| Year | Share of South Dakota citations | vs expected |
|---|---|---|
| 2023 | 0.72% | 1.06× |
| 2024 | 0.45% | 0.83× |
| 2025 | 0.84% | 1.96× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Dakota surveyors cite →
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