Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI) record review, interview, and policy review, the provider failed to ensure the safety for one of one sampled resident (1) who was served a food item she had a documented food allergy to. The failure of serving the resident a food item that was identified as a food allergy resulted in the resident's allergic reaction symptoms and need for evaluation and treatment at the emergency department. This citation is considered past non-compliance based on a review of the corrective actions the provider implemented following the incident. Findings include: 1. Review of the provider's 3/10/25 SD DOH FRI regarding resident 1 revealed: *On 3/8/25 at 5:22 p.m. …
F806 citations in South Dakota
Allergies and food preferences · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Dakota cites F806 more often than its own record predicts
1.27 times the share F806 takes of citations nationally.
Of every deficiency written in South Dakota in 2025, this is the portion that was F806.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F806 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, and record review, the provider failed to ensure that staff honored one of one sampled resident's (22) meal choice preferences for one of four observed meals. Findings include:1. Observation on 4/21/26 at 12:08 p.m. in the dining room revealed licensed practical nurse (LPN) V reading the noon meal options aloud to resident 22, who said he did not like the fish being served that day and would rather have a hamburger. LPN V wrote on his meal ticket and left the dining room. At 12:19 p.m. resident 22 was served a plate containing fish. As LPN V walked past him, he told his tablemate, I don't want fish. LPN V stopped at the table and said, If you don't fill out your menu you get what they're serving. …
The short window
Recent years
| Year | Share of South Dakota citations | vs expected |
|---|---|---|
| 2023 | 0.36% | 0.90× |
| 2024 | 0.45% | 1.15× |
| 2025 | 0.50% | 1.27× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Dakota surveyors cite →
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