Flandreau Santee Sioux Tribe Care Center
FLANDREAU SANTEE SIOUX TRIBE CARE CENTER in FLANDREAU, SD — inspection on September 30, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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.
Facility ID:
43A139