Based on observation, interview, and policy review, the provider failed to ensure that 1 of 1 sampled resident 17 had his call light in reach on 7/14/26, 7/15/26, and 7/16/26 after he returned from therapeutic leave. Findings include:1. Observation on 7/14/26 at 9:00 a.m. revealed resident 17 in his room in his bed. There was no call light within reach. There was no call light plugged into the wall outlet. Resident 17 stated he was there to recuperate from drinking and from fractures to both of his hips. He stated he could get up and walk around. He stated he did not need a call light. 2. Observations on 7/15/26 at 9:15 a.m. and 7/16/26 at 12:49 p.m. revealed resident 17 was not in his room and there was no call light plugged into the wall outlet near his bed. 3. …
F919 citations in South Dakota
Call system · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Dakota cites F919 more often than its own record predicts
1.13 times the share F919 takes of citations nationally.
Of every deficiency written in South Dakota in 2025, this is the portion that was F919.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Dakota surveyors wrote
F919 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% | 0.83× |
| 2024 | 0.22% | 0.51× |
| 2025 | 0.50% | 1.13× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Dakota surveyors cite →
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