Based on interview, and record review, the provider failed to ensure residents who entered into an Arbitration Agreement upon admission to the facility were explicitly granted the right to rescind the agreement within 30 calendar days of signing it for eight of eight sampled residents (2, 4, 8, 14, 18, 20, 21, and 24). The Arbitration Agreement did not indicate that the resident or the resident's representative was not required to sign the arbitration agreement as a condition of admission to or as a requirement to continue to receive care at the facility.Findings include:1. Interview on 8/6/26 at 8:36 a.m. with resident 18 in his room regarding the Arbitration agreement addendum he had signed upon admission to the revealed he did not remember signing the arbitration agreement. …
F847 citations in South Dakota
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Dakota cites F847 more often than its own record predicts
3.41 times the share F847 takes of citations nationally.
Of every deficiency written in South Dakota in 2025, this is the portion that was F847.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F847 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 interview, record review, resident admission packet review, and policy review, the provider failed to ensure the binding arbitration agreement forms provided to residents or their representatives for review and signature contained the required information for one of one sampled resident (25).Findings include:1. Interview on 7/27/26 at 12:32 p.m. with business manager W revealed that she was assigned to develop and implement a binding arbitration agreement policy for the facility in January 2026. The policy was approved in March 2026, and only one resident's representative had signed an arbitration agreement form since then. Resident 25's representative signed the resident's arbitration agreement form.2. …
What else South Dakota surveyors cite →
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