Based on observation, interview, record review, and review of the Hospice and Nursing Facility Services Agreement, the provider failed to ensure an integrated plan of care had been developed and made accessible between the provider's nursing staff and hospice agency for one of one sampled resident (19) who received hospice services. 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. *Resident 19 had a recent weight loss, was on a pureed diet due to pocketing of food, and had recently began receiving hospice services. 2. Interview on 1/29/25 at 11:34 a.m. …
F849 citations in South Dakota
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Dakota cites F849 less often than its own record predicts
0.62 times the national share — cited less often here than elsewhere.
Of every deficiency written in South Dakota in 2025, this is the portion that was F849.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F849 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 | 0.72% | 2.30× |
| 2024 | 0.45% | 1.46× |
| 2025 | 0.17% | 0.62× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Dakota surveyors cite →
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