Sanford Care Center Vermillion
SANFORD CARE CENTER VERMILLION in VERMILLION, SD — inspection on January 29, 2026.
Found 2 citations. 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 CNA H's employee file revealed:*He was hired on 9/8/25.*A background check had been completed on 8/19/25.*He completed Abuse, Neglect, and Exploitation education on 9/9/25.*He completed An Overview of Quality Dementia Care CNA education on 9/24/25.*There was a final warning written in file regarding the incident that occurred on 1/11/26. 12.
Review of the provider's 4/11/25 revised Abuse and Neglect policy revealed:*Patients and residents have the right to be free from verbal, sexual, physical, mental abuse, neglect, misappropriation of property, corporal punishment, exploitation and involuntary seclusion.*Patients and residents must not be subjected to any kind of abuse by anyone, including, but not limited to, facility staff, other patients or residents, consultants, volunteer staff or other agencies serving the individual, family members, legal guardians or personal representatives, friends or other individuals.- Verbal abuse refers to any use of oral, written, or gestured language that includes disparaging and derogatory terms to the resident or their families, or within their hearing distance, to describe patients/residents, regardless of their age, ability to comprehend or disability.
Facility ID:
43A098
IDENTIFICATION NUMBER:
43A098
A.
Building
COMPLETED
01/29/2026
STREET ADDRESS, CITY, STATE, ZIP CODE
Sanford Care Center Vermillion
125 S Walker Street Vermillion, SD 57069
SUMMARY STATEMENT OF DEFICIENCIES
further education completed since resident 2's 1/20/26 elopement from the facility with any staff members.*She was unsure when the last elopement drill had been completed.*Elopement risk assessments were completed upon admission and quarterly depending on minimum data set (MDS) assessment.*Staff are notified of resident care needs through the Kardex (a quick reference guide for resident care) and shift change report, including if a resident has a roam alert device.*Staff were notified of an elopement over the walkie system by stating security alert, missing resident room number.*She expected to be notified immediately when a resident has an elopement.*If a resident was an elopement risk, the first consideration for resident placement was in the memory care unit.*If there was no availability in the memory care unit, then the preference for resident placement was in the north hall, which had no outdoor access.
This was where resident 1 and 2 resided.*Floor staff were allowed to initiate 15-minute visual checks for residents if wandering or exit seeking behaviors were noted.*She expected staff to utilize PRN medication if available and residents were showing signs of anxiety and pain. 14.
Interview on 1/29/26 at 10:09 a.m. with Improvement Advisor G revealed the elopement policy was revised on 10/25/25 and the nurses had completed education and policy review following resident 1's elopement on 11/2/25. 15.
Review of the provider's 10/22/25 Missing Person-Elopement policy revealed:*It is the facility's responsibility to protect patients/residents from harm. If a patient or resident should wander from the facility grounds/property without notice, the following procedure will be followed:-Elopement will be defined as any resident leaving the grounds of the facilities without knowledge of staff, or any patient/resident unable to be located on the grounds/facilities.-When a resident is discovered as missing or door alarm is activated, the DON/Charge Nurse will immediately be notified. At the Care Center, a beeper system hooked up to the call light system is activated and lights at the end of the hallway in question will flash red.
Facility ID:
43A098