Based on observation, interview, record review, and policy review the provider failed to ensure five of five residents (6, 7,15, 19, and 41) who received a pureed diet and assessed to have complicated eating problems were not assisted to eat by paid feeding assistants. Findings include: 1. Observation and interview on 1/28/25 between 11:42 a.m. and 12:08 a.m. with cosmetologist AA in the Dixie dining room revealed: *Cosmetologist AA was seated next to resident 19 at the assisted dining table. *Cosmetologist AA was trained as a hair stylist, certified to assist in the kitchen, and had completed a training program for paid feeding assistants. …
F811 citations in South Dakota
Nutrition and Dietary Deficiencies
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Dakota cites F811 more often than its own record predicts
11.37 times the share F811 takes of citations nationally.
Of every deficiency written in South Dakota in 2025, this is the portion that was F811.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F811 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.
The short window
Recent years
| Year | Share of South Dakota citations | vs expected |
|---|---|---|
| 2023 | 0.36% | 22.64× |
| 2025 | 0.17% | 11.37× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Dakota surveyors cite →
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