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Survey citations · North Dakota

North Dakota nursing home survey citations, by F-tag

State surveyors inspected 65 of North Dakota's 72 nursing homes in the 12 months from August 2025 through July 2026 and cited 353 health deficiencies, according to CMS's nursing home health citation file, processed September 1, 2026. The most cited was F880, which CMS words as “provide and implement an infection prevention and control program”, at 39 of those buildings (60%). 8 of the citations were immediate jeopardy, the most serious level CMS has.

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65
of 72 buildings inspected
353
health citations
8
immediate jeopardy citations
F880
most cited tag

North Dakota, the 12 months from August 2025 through July 2026, from CMS's nursing home health citation file.

What surveyors cited

Every F-tag North Dakota surveyors cited, most cited first

August 2025 through July 2026. Source: CMS's nursing home health citation file, processed September 1, 2026.

RankTagCitationsBuildings citedU.S. rankRank a year earlierImmediate jeopardyActual harm
1F880Provide and implement an infection prevention and control program4439 (60%)#1#100
2F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents3325 (38%)#2#247
3F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody2622 (34%)#7#536
4F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards1919 (29%)#3#710
5F761Ensure 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 drugs1717 (26%)#6#900
6F684Provide appropriate treatment and care according to orders, resident’s preferences and goals1616 (25%)#4#1102
7F641Ensure each resident receives an accurate assessment1515 (23%)#18#400
8F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals1413 (20%)#16#600
9F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities1111 (17%)#8#800
10F658Ensure services provided by the nursing facility meet professional standards of quality1111 (17%)#17#300
11F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident98 (12%)#20#2900
12F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely98 (12%)#12#2200
13F610Respond appropriately to all alleged violations88 (12%)#21#1700
14F686Provide appropriate pressure ulcer care and prevent new ulcers from developing77 (11%)#15#2302
15F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections66 (9%)#23#1400
16F759Ensure medication error rates are not 5 percent or greater66 (9%)#27#1800
17F583Keep residents' personal and medical records private and confidential55 (8%)#38not cited00
18F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies55 (8%)#19#3500
19F695Provide safe and appropriate respiratory care for a resident when needed55 (8%)#13#1900
20F578Honor 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 directive44 (6%)#29#2400
21F677Provide care and assistance to perform activities of daily living for any resident who is unable44 (6%)#11#1000
22F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift44 (6%)#39#1500
23F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services44 (6%)#69#3600
24F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights33 (5%)#14#1200
25F552Ensure that residents are fully informed and understand their health status, care and treatments33 (5%)#31not cited00
Every other tag cited (43)
RankTagCitationsBuildings citedU.S. rankRank a year earlierImmediate jeopardyActual harm
26F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function33 (5%)#24#3000
27F698Provide safe, appropriate dialysis care/services for a resident who requires such services33 (5%)#36#4100
28F732Post nurse staffing information every day33 (5%)#40#1300
29F757Ensure each resident’s drug regimen must be free from unnecessary drugs33 (5%)#32not cited00
30F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician33 (5%)#79#2500
31F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly33 (5%)#85#4200
32F558Reasonably accommodate the needs and preferences of each resident22 (3%)#25#3100
33F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered22 (3%)#59not cited00
34F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge22 (3%)#48not cited00
35F637Assess the resident when there is a significant change in condition22 (3%)#86#3200
36F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed22 (3%)#43#4300
37F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason22 (3%)#37#4400
38F692Provide enough food/fluids to maintain a resident's health22 (3%)#26#3701
39F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature22 (3%)#28#2600
40F883Develop and implement policies and procedures for flu and pneumonia vaccinations22 (3%)#47#4500
41F908Keep all essential equipment working safely22 (3%)#55not cited00
42F553Allow resident to participate in the development and implementation of his or her person-centered plan of care11 (2%)#98#4600
43F554Allow residents to self-administer drugs if determined clinically appropriate11 (2%)#49#3300
44F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions11 (2%)#77#3800
45F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment11 (2%)#61not cited00
46F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment11 (2%)#74#3400
47F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted11 (2%)#46#4700
48F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured11 (2%)#5not cited00
49F687Provide appropriate foot care11 (2%)#90not cited00
50F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube11 (2%)#35#3900
51F697Provide safe, appropriate pain management for a resident who requires such services11 (2%)#33#4801
52F712Ensure that the resident and his/her doctor meet face-to-face at all required visits11 (2%)#116not cited00
53F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia11 (2%)#91#4901
54F745Provide medically-related social services to help each resident achieve the highest possible quality of life11 (2%)#92not cited00
55F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist11 (2%)#10not cited00
56F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures11 (2%)#34not cited00
57F760Ensure that residents are free from significant medication errors11 (2%)#22#2000
58F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service11 (2%)#96not cited00
59F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident11 (2%)#42not cited00
60F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs11 (2%)#64not cited00
61F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law11 (2%)#99not cited00
62F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility11 (2%)#128not cited00
63F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies11 (2%)#81not cited00
64F865Have a plan that describes the process for conducting QAPI and QAA activities11 (2%)#82#2700
65F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action11 (2%)#75not cited00
66F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public11 (2%)#30not cited00
67F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention11 (2%)#78not cited00
68F949Provide behavior health training consistent with the requirements and as determined by a facility assessment11 (2%)#126not cited00

A tag is ranked by how many times it was cited. “Buildings cited” counts the inspected buildings that drew the tag at least once, and its percentage is of every building inspected; we print a percentage only where 20 or more buildings were inspected. “Rank a year earlier” is the same ranking over August 2024 through July 2025. CMS publishes citations months after the survey, so the newest months are still filling in: compare ranks across the two years, not counts. Immediate jeopardy is CMS severity J, K or L; actual harm is G, H or I. No building is named on this page: open a building for its own inspections.

About this data
What is the most cited F-tag in North Dakota?
F880: “Provide and implement an infection prevention and control program.” North Dakota surveyors cited it 44 times at 39 of the 65 nursing homes they inspected in the 12 months from August 2025 through July 2026 (60%).
How many North Dakota nursing homes were cited for infection control?
39 of the 65 inspected in the 12 months from August 2025 through July 2026 (60%) were cited for F880, infection prevention and control.
How many immediate jeopardy citations did North Dakota nursing homes get?
8 in the 12 months from August 2025 through July 2026, out of 353 health citations, according to CMS's nursing home health citation file.
Source: CMS's nursing home health citation file.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.