The Centers for Medicare and Medicaid Services found that Human Services Center staff did not follow instructions to check on the boy every 15 minutes, that his room was not appropriate given his doctor’s orders, and that potentially lifesaving techniques were not properly used [Mark Walker, “Feds Find Fault for Boy’s Death at State Hospital,” that Sioux Falls paper, 2016.06.18].
If I were Mike Rounds, I’d try to say the problem is anything other than funding. CMS cites safety hazards and improper medical procedure, but CMS also cites lack of staff as a key factor in the boy’s suicide:
The report sheds light on the pressures felt by employees due to chronic understaffing at the state’s psychiatric hospital. A youth counselor told inspectors that it was difficult to maintain the check schedule due to the volume of the patients.
“Every 15 minute checks were ‘Hard to meet if you have 5 patients,’” the report said, quoting the counselor.
…State officials responsible for managing the HSC have said these and other issues have been addressed. But finding and paying qualified workers continues to be a problem, both because of the job market in Yankton and the difficulty of the work [Walker, 2016.06.18].
Funny that it takes a crisis or death to get South Dakota government to pay attention to basic labor market realities: when you trying to hire professionals for hard work in a tight labor market, you have to pay a competitive wage.