Flandreau Santee Sioux Tribe Care Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
that staff transport one resident at a time in their wheelchairs. She confirmed that she provided education to CNA D to utilize the walkie talkies to ask for help, and to transport one resident at a time rather than two at
a time. 16. Review of the provider's 1/22/23 FALLS-CLINICAL PROTOCOL policy revealed:* .3.
Documentation-Responsible Parties:--Nursing staff--Physicians (if required)*3.1. Incident Documentation-Fall Report: Document the details of the fall, including:--Date, time, and location of the fall.--Circumstances leading to the fall.--Observations of the resident's condition immediately after the fall.--Any witnessed reports or bystanders.--Interventions provided immediately after the fall.* .5. Post-Fall Evaluation and Prevention-Responsible Parties:-Nursing staff-Social Worker or Care Coordinator-Physical Therapists (if applicable)-Physician (if applicable)*5.1. Reassess Fall Risk-.Update Care Plan: Adjust the care plan to address fall prevention strategies, such as:--Increased supervision or assistance with mobility.*5.2. Family and Resident Education-Family and Resident Discussion: Educate the resident and their family about the fall and the potential consequences. Discuss preventative measures that can be implemented moving forward.-Environmental Modifications: Ensure the resident's environment is safe (e.g., removing tripping hazards, ensuring good lighting, and using non-slip rugs).*The policy did not include staff education to prevent falls.
Event ID:
Facility ID:
43A139
If continuation sheet
FLANDREAU SANTEE SIOUX TRIBE CARE CENTER in FLANDREAU, SD inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FLANDREAU, SD, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from FLANDREAU SANTEE SIOUX TRIBE CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.