Deficiency Index

F759 citations in South Dakota

Medication error rate · Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F759 in South Dakota. Pick another state for the same tag.

Against expectation — 2025

South Dakota cites F759 less often than its own record predicts

Versus expected share0.78×

0.78 times the national share — cited less often here than elsewhere.

Share of South Dakota citations0.84%

Of every deficiency written in South Dakota in 2025, this is the portion that was F759.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What South Dakota surveyors wrote

F759 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.

D · No harm, potential for more than minimal, isolatedAugust 28, 2026

Based on observation, interview, record review, and policy review, the provider failed to ensure a medication error rate of less than 5 percent. The facility failed to prevent a medication error involving two inhalers (a small, handheld medical device that delivers medication directly into your lungs when you breathe) for one of one observed resident (55) when contracted travel licensed practical nurse (LPN) T and certified medication aide (CMA) V left the inhalers on a dining room table for the resident to self-administer. Resident 55 did not have a physician's order to self-administer either inhaler. This practice resulted in a medication error rate of 6.25 percent. Findings include: 1. Observation and interview on 8/27/26 at 7:50 a.m. …

Riverview Healthcare Center

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Recent years

YearShare of South Dakota citationsvs expected
20240.67%0.63×
20250.84%0.78×

Shares of citations, not counts: earlier years hold fewer inspections.

What else South Dakota surveyors cite →

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