F865 in South Dakota. Pick another state for the same tag.
Against expectation — 2025
South Dakota cites F865 more often than its own record predicts
Versus expected share3.52×
3.52 times the share F865 takes of citations nationally.
Share of South Dakota citations0.84%
Of every deficiency written in South Dakota in 2025, this is the portion that was F865.
South Dakota0.84%
National0.24%
Share of all citations that were F865.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F865 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.
F · No harm, potential for more than minimal, widespreadJune 2, 2026
Based on interview, record review, and policy review, the provider failed to ensure they identified, investigated, and corrected quality deficiencies, and to initiate or monitor performance improvement projects (PIPs) in response to known areas of concern within their Quality Assurance and Performance Improvement (QAPI) program.Findings include:
1. Interview on 5/28/26 at 5:00 p.m. with CEO A revealed that director of nursing (DON) B managed the facility's QAPI program. He did not routinely attend the long-term care (LTC) QAPI meetings because he was not required to be present. He received a copy of the LTC QAPI meeting minutes and provided that at the general QAPI meeting and again at the board meetings, where he reviewed them. …
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