Based on interview, review of Resident Council Minutes, Grievance and Satisfaction Forms, Kitchen Crew Meetings minutes, manager on duty documents, and policy review, the provider failed to ensure timely delivery of meal room trays and snacks for nineteen residents (5, 7, 12, 19, 23, 28, 36, 38, 46, 53, 58, 62, 67, 71, 73, 74, 81, and two discharged residents) who reported ongoing grievances regarding timely meal and snack service. Findings include: 1. Interview on 11/6/23 at 10:10 a.m. …
F809 citations in South Dakota
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
South Dakota cites F809 more often than its own record predicts
3.29 times the share F809 takes of citations nationally.
Of every deficiency written in South Dakota in 2023, this is the portion that was F809.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F809 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.
What else South Dakota surveyors cite →
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