F-tags by state · North Dakota

Most common nursing home citations in North Dakota

1,228 health citations were recorded at 73 of 72 rated nursing homes in North Dakota over the last three inspection cycles, about 17.1 per facility. Here is what surveyors cite most, how that compares with the rest of the country, and where the harm-level findings cluster.

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  • Source: CMS Care Compare
Citations1,22817.1 per rated facility
Facilities cited73of 72 rated
Actual harm (G–I)736% of citations
Immediate jeopardy (J–L)373% of citations

Top 25 F-tags in North Dakota

"State share" is the percentage of rated North Dakota nursing homes cited at least once for the tag; "U.S. share" is the same figure nationally. A big gap shows a state-specific survey focus.

#TagRequirementCategoryCitationsState shareU.S. share
1F880Provide and implement an infection prevention and control program.Infection control12890%81%
2F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of life & care11778%69%
3F658Ensure services provided by the nursing facility meet professional standards of quality.Assessment & care planning8067%29%
4F641Ensure each resident receives an accurate assessment.Assessment & care planning7372%37%
5F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Assessment & care planning6158%42%
6F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition & dietary5553%76%
7F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy services5054%59%
8F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Abuse, neglect & exploitation3738%35%
9F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Abuse, neglect & exploitation3740%40%
10F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of life & care2829%39%
11F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident rights2431%43%
12F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident rights2124%30%
13F759Ensure medication error rates are not 5 percent or greater.Pharmacy services2125%26%
14F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of life & care2124%33%
15F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of life & care2024%44%
16F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Pharmacy services1924%34%
17F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Resident rights1925%23%
18F695Provide safe and appropriate respiratory care for a resident when needed.Quality of life & care1619%46%
19F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Nursing & physician services1513%16%
20F692Provide enough food/fluids to maintain a resident's health.Quality of life & care1418%29%
21F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Assessment & care planning1317%15%
22F558Reasonably accommodate the needs and preferences of each resident.Resident rights1315%23%
23F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Resident rights1317%39%
24F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Resident rights1217%25%
25F610Respond appropriately to all alleged violations.Abuse, neglect & exploitation1217%28%

Citations by category

Quality of life & care300
Assessment & care planning251
Resident rights172
Infection control138
Pharmacy services111
Abuse, neglect & exploitation95
Nutrition & dietary84
Nursing & physician services41
Administration27
Environment & safety9

Citations by survey year

20216
2022102
2023361
2024412
2025347

Partial years reflect the rolling three-cycle window.

Check a specific North Dakota nursing home

The report card lists every citation for one facility with the severity decoded, and ranks it against the other 72 rated facilities in the state.

How this works

Source and method

CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles for every Medicare- and Medicaid-certified nursing home in North Dakota. Tags are matched to citations by CMS's standardized description. Tags with at least 50 national citations link to a detail page.

Counts describe survey findings, not a ranking of facilities. Facilities can dispute citations through CMS's IDR and IIDR processes.

Frequently asked questions

What is the most common nursing home citation in North Dakota?
F880 (Provide and implement an infection prevention and control program.) is the most-cited F-tag in North Dakota, with 128 citations at 65 facilities, or 90% of the state's rated nursing homes, compared with 81% nationally.
How many nursing home citations are there in North Dakota?
1,228 health citations across 73 of 72 rated nursing homes in the last three inspection cycles, about 17.1 per facility. 73 involved actual harm and 37 were immediate jeopardy.
Why do citation patterns differ by state?
Each state survey agency inspects on behalf of CMS with its own staffing, training, and priorities, and state licensing rules layer on top of the federal requirements. Compare a facility with others in the same state rather than with the national average.

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