SIOUX FALLS, S.D. (AP) — A federal inspection concluded that workers at South Dakota's state-run mental hospital in Yankton violated patients' rights by misusing restraints to control potentially unruly subjects.

The Centers for Medicare and Medicaid Services began an unannounced inspection of the facility in late February. The Argus Leader newspaper reports the agency found that hospital employees excessively used restraints and failed to document the reasons. One patient was kept restrained for almost six days.

The misuse of restraints was among dozens of problems flagged in the federal report. Phyllis Arends with the National Alliance on Mental Illness called details in the report "horrifying."

Department of Social Services spokeswoman Tia Kafka says the state has addressed the problems.

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