Based on South Dakota Department of Health (SD DOH) facility reported incident (FRI), record review, interview, and policy review the provider failed to ensure a resident received the necessary behavioral health services to treat a diagnosed serious mental illness and to identify and implement interventions and effective communication processes with other healthcare entities to mitigate the resident's risk for self-harm for one of one sampled resident (2) with diagnosed mental health illness who attempted suicide with a call light cord.Findings include:1. Review of the provider's 5/4/26 SD DOH FRI revealed on 5/4/26 at 7:15 a.m. director of nursing (DON) B was notified by registered nurse (RN) G that on 5/3/26 at approximately 3:00 a.m. …
F740 citations in South Dakota
Behavioral health services · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Dakota cites F740 less often than its own record predicts
0.64 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 F740.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F740 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 observation, interview, record review, and policy review, the provider failed to ensure continued behavioral health services to treat a diagnosed mental illness were provided and to identify and implement interventions and effective communication processes with other healthcare entities for one of one sampled resident (10) with depression symptoms and suicidal thoughts. Findings include:1. Interview on 6/30/26 at 7:56 a.m. with resident 10 revealed she felt like she wanted to give up. She did not have an interest in participating in activities anymore. She worried about her finances. She received counseling in the past, but she no longer did. She did not know why those counseling sessions stopped. She thought the counseling helped her when she had counseling sessions. 2. …
What else South Dakota surveyors cite →
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