The emergency department at the Indian Health Service hospital on the Rosebud Sioux Indian Reservation is under scrutiny again, according to an article on the Rapid City Journal website.
Federal inspectors from the Centers for Medicare and Medicaid Services surveyed the hospital in late July.
Tribal leaders said they've lost hope of turning things around at the hospital after two years with little progress, the article said.
A 2015 inspection found, among other things, that employees hand-washed surgical instruments when a sterilizer broke.