Based on observation, interview, record review, job description review, and policy review, the provider failed to: *Arrange for timely behavioral health follow-up after one of one sampled residents (31) hospitalization for an opioid overdose. *Identify, implement, and evaluate interventions for caregivers to follow for one of one sampled resident (31) who had: -Recently returned to the facility after a fall in her home and now required long term care. -A history of mental illness diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] -Multiple medical diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: 1. Observation and interviews on [DATE] at 4:02 p.m. and [DATE] at 10:45 a.m. with resident 31 revealed she: *Had been in her room lying in her bed. …
F742 citations in South Dakota
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Dakota cites F742 more often than its own record predicts
2.78 times the share F742 takes of citations nationally.
Of every deficiency written in South Dakota in 2025, this is the portion that was F742.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F742 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 there was documentation to support interventions had been implemented or offered to treat clinical signs of depression for one of one sampled resident (36) who had a diagnosis of major depression and recently lost a loved one. Findings include: 1. Observation and interview on [DATE] at 1:43 p.m. with resident 36 revealed: *He was in his room, sitting in his recliner, and his head facing down towards his chest. *His affect (observable expression of emotion) was expressionless, and his tone of voice was unanimated when responding to questions. *He answered questions but did not initiate any further conversation from them. *When conversing with him he: -Stated; No, I am not depressed. …
The short window
Recent years
| Year | Share of South Dakota citations | vs expected |
|---|---|---|
| 2023 | 0.36% | 3.27× |
| 2025 | 0.34% | 2.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Dakota surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction