Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F838 in South Dakota. Pick another state for the same tag.
Against expectation — 2024
South Dakota cites F838 more often than its own record predicts
Versus expected share1.15×
1.15 times the share F838 takes of citations nationally.
Share of South Dakota citations0.22%
Of every deficiency written in South Dakota in 2024, this is the portion that was F838.
South Dakota0.22%
National0.19%
Share of all citations that were F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F838 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.
H · Actual harm, patternFebruary 7, 2019
Based on observation, interview, record review, and facility assessment tool review, the provider failed to ensure they had evaluated the facility's resident population and identified resources that were needed to effectively implement the necessary care and services the residents had required to ensure quality of care and quality of life. Findings include:
1. Review of the provider's 6/27/18 Facility Assessment Tool revealed:
*The purpose of the assessment was:
-To determine what resources were necessary to care for the residents competently during both day-to-day operations and emergencies. …
F · No harm, potential for more than minimal, widespreadJuly 1, 2024
Based on record review and interview, the provider failed to ensure the facility assessment had addressed the staffing resources needed to ensure appropriate care and services were available to the residents. Findings include:
1. Review of the provider's undated facility assessment revealed:
*The assessment did not address their resources for staffing needs.
*The assessment was an eleven-page excel spreadsheet that included:
-An overall monthly trending analysis of census that indicated it was a 64-bed nursing facility that had.
--One dementia care unit of 12 beds.
--General units of 52 beds combined.
--A January through May overall census average of 58. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction