The violation was cited under federal regulatory tag F0550, which governs fundamental protections guaranteed to every nursing home resident under federal law.
Nursing Home News — Page 562
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The drug was midodrine, which is prescribed to raise blood pressure.
The cart sat by the nurses' station with one staff member facing a computer screen with his back to the medications.
The inspection, triggered by complaints, produced a citation under the federal tag that carries the most weight in nursing home oversight.
The September incident left the resident unable to summon help while the nursing assistant cared for their roommate behind a pulled privacy curtain.
Clean and soiled linen, along with their respective carts and hampers, must be kept separate at all times.
Resident #6 scored three on a cognitive assessment in September, indicating severe impairment.
The incident occurred on October 16, 2025, when nursing staff reported that Resident #02 had been lowered to the floor and may have sustained a head injury.
The nursing home has not submitted a correction plan.
These situations create both medical and emotional consequences that extend well beyond the individual resident.
The pressure ulcer deficiency was one of **four total citations** issued during the survey of the small South Dakota nursing facility.
The facility has not submitted a plan of correction.