Lennox Assisted Living - South Dakota Statement of Deficiencies and Plan of Correction - S503 - Dietary Services Compliance

Oct 2, 2026

Uploaded by moss~

South Dakota survey documentation records a statement of deficiencies and plan of correction for Lennox Assisted Living, focusing on regulatory noncompliance related to dietary services. A revisit survey completed 01/28/2026 found failure to meet Administrative Rule 44:70:06:16(1-3) requiring the person in charge of dietary services to hold a current ServSafe certification or equivalent training. The provider was unable to present evidence that any employee possessed a current ServSafe certificate; prior plans required staff completion, with noted missed completion dates and interview findings.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages2

Reading Time5 min

AccessFree to download

Statement of Deficiencies and Plan of Correction

Survey completion and compliance summary

Regulatory requirement: dietary services certificate

Findings and evidence basis

Provider plan of correction and completion dates

# PRINTED:02/03/2026 FORMAPPROVED South Dakota Department of Healt | STATEMENT OF DEFICIENCIES
ANDPLAN OF CORRECTION | | (X1)PROMDER/SUPPLER/CLIA
DENTFICATON NUMBER:
10741 | (×2)MULTPLE CONSTRUCTION
A.BULDNG:
B.WING | | (×3)DATE SURVEY
COMPLETED
R
01/28/2026 | | | --- | --- | --- | --- | --- | --- | --- | | NAMEOF PROVIDER OR SUPPLER
STREETADDRESS,CITY,STATE,ZIPCODE
2108.LNCOLN STREET
LENNOXASSISTED LMING
LENNOX,SD 57039 | | | | | | | | (X4)ID
PREFIX
TAG | SUMMARY STATEMENT OF DEFICIENCIES
(EACH DEFICIENCY MUST BE PRECEDED BY FULL
REGULATORY ORLSC IDENTFYING NFORMATION) | | ID
PREFD
TAG | PROVIDER'S PLAN OF CORRECTON
(EACH CORRECTIVEACTION SHOuLDBE
CROSS-REFERENCED TO THEAPPROPRIATE
DEFICENCY) | | pX5)
COMPLETE
DATE | | {S 000
{S 503 | Compliance Statement
Afifth onsite revisit survey was conducted on
1/28/26 for compliance with the Administrative
Rules of South Dakota,Article 44:70,Assisted
Living Centers,requirements for all previous
deficiencies cited on 12/3/25.Lennox Assisted
Living was found not in compliance with the
following requirement:S503.
44:70:06:16(1-3)Person In Charge Of Dietary
Services
The person in charge of dietary services shall
possess a current certificate from:
(1)A ServSafe Food Protection Course;
(2)The Certified Food Protection Professional's
Sanitation Course from the Dietary Managers
Association;or
(3)Equivalent training as determined by the
department.
This Administrative Rule of South Dakota is not
met as evidenced by:
Based on the statement of deficiencies from the
12/3/25 survey review,plan of correction from the
12/3/25 review,and interview,the provider failed
to present evidence that at least one employee
had completed the ServSafe course and
poSsessed a current ServSafe certificate.
Findings include:
1.Review of the S503 citation from the 12/3/25
statement of deficiencies report revealed:
They did not employ anyone with a SerSafe | | {S 000}
{S 503} | Test date is set for 2 staff. | | 3/15/26 | | ABORATORY DIRECTORS OR PROVDER/SUPPLIERREPRESENTATIVES SIGNATURE
(×B)DATE
7tacCoanocn
212712
Exeruhve Duechvr | | | | | | | L STATEFORM 6009 K contnuaton shoet t ot2 RRBP16 | FORM APPROVED
South Dakota Department of Health | | | | | | | | --- | --- | --- | --- | --- | --- | --- | | STATEMENT OF DEFCIENCIES
AND PLANOF CORRECTION | | (x1)PROVDERSUPPLER/CUA
IDENTIFICATION NUMBER:
10741 | (×2)MULTIPLE CONSTRUCTION
A.BULDNG:
B.WING | | (X3)DATE SURVEY
COMPLETED
R
01/28/2026 | | | STREETADDRESS,CTY,STATE,ZIP CODE
NAME OF PROVIDER OR SUPPLER
210 S.LINCOLN STREET
LENNOX ASSISTED LMNG
LENNOX,SD 57039 | | | | | | | | (×4)ID
PREFX
TAG | SUMMARY STATEMENT OF DEFICIENCIES
(EACH DEFICIENCYMUST BE PRECEDED BY FULL
REGULATORY ORLSC IDENTIFYING INFORMATON) | | ID
PREFDX
TAG | PROVIDER'S PLAN OF CORRECTION
(EACH CORRECTVEACTION SHOULDBE
CROSS-REFERENCED TO THE APPROPRIATE
DEFICIENCY) | | (X5)
COMPLETE
DATE | | {S 503} | Continued From page 1
certficate since 12/21/23
*None of the current employees completed the
ServSafe program.
Review of the plan of correction from the 12/3/25
survey revealed:
*Employees A,O,and U were to complete the
ServSafe course.
*The last date of completion for this citation was
1/8/26.
Interview on 1/28/26 at 1:30 p.m.with assistant
administrator S revealed:
There were no employees in the facility who
possessed a cument ServSafe certificate.
*Employees A,O,and S were to complete the
online ServSafe course an

FAQs

What requirement is cited under S503 for dietary services?

The cited rule requires the person in charge of dietary services to possess a current certificate from an approved ServSafe food protection course, a Certified Food Protection Professional sanitation course, or equivalent training determined by the department.

What did the facility fail to demonstrate during the 01/28/2026 revisit?

The provider failed to present evidence that at least one employee completed the ServSafe course and possessed a current ServSafe certificate.

What does the plan of correction indicate about staff ServSafe completion?

The plan of correction states that specific employees were expected to complete the ServSafe course, with a last completion date noted as 1/8/26, but interview findings indicated no current ServSafe certificate was held by any employee in the facility.

Oct 2, 2026

Uploaded by moss~