Based on observation, interview, record review, and job description review, the provider failed to ensure appropriate social services involvement for one of one sampled resident (23) who had mental health concerns to potentially maintain psychosocial well-being. Findings include: 1. Interview and observation on 6/11/19 at 1:41 p.m. with resident 23 revealed: *She was seated in her recliner with her feet elevated. *There was a cushion in her recliner. *She had a pressure ulcer on her bottom that she had acquired after she had been admitted . *She was unsure of how large the pressure ulcer was. She went to wound care, and they did the dressing changes. *She did not have her recliner when she had been admitted , so she had sat in her wheelchair without any cushion instead. …
F745 citations in South Dakota
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Dakota cites F745 more often than its own record predicts
1.92 times the share F745 takes of citations nationally.
Of every deficiency written in South Dakota in 2025, this is the portion that was F745.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F745 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 job description review, the provider failed to provide medically-related social services for one of one sampled resident (6) at risk for a decline in his psychosocial well-being. Findings include:1. Observation and interview on [DATE] at 9:53 a.m. in resident 6's room revealed he was lying on his back in bed wearing a hospital gown. He had a U-shaped pillow around the back of his neck. The resident had a grim expression on his face, and he strained to answer simple questions. He complained of being cold. Observation on [DATE] at 12:00 noon outside of resident 6's room revealed he was overheard telling an unidentified caregiver, I wish that nurse would come. …
What else South Dakota surveyors cite →
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