Based on observation; information received from the complainant; review of the North Dakota Long Term Care Ombudsman Program's Guide to Resident Rights; and resident, family, and staff interview, the facility failed to treat residents with respect and dignity and care for residents in a manner and an environment that promotes, maintains, or enhances of their quality of life for 4 of 10 sampled residents (Resident #1, #2, #3, and #9) and 6 supplemental residents (Resident #13, #14, #15, #18, #19, and #20). Failure to protect residents from wandering and aggressive residents and the unwanted physical touch of a visitor violated their right to live in a safe environment free from abuse/neglect and resulted in negative psychosocial outcomes. …
F550 citations in North Dakota
Resident rights and dignity · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Dakota cites F550 less often than its own record predicts
0.78 times the national share — cited less often here than elsewhere.
Of every deficiency written in North Dakota in 2025, this is the portion that was F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F550 findings written in North Dakota, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observation, record review, and staff interview, the facility failed to provide care in a manner that maintained, enhanced, and respected the resident's right to dignity and privacy for 1 of 6 sampled residents (Resident #14) observed during personal hygiene cares and 1 of 1 sampled resident (Resident #1) observed with confidential information posted on the resident's door. Failure to close the resident's blinds during personal hygiene cares and posting of confidential resident information does not preserve the resident's right to dignity, privacy and does not enhance the quality of life.Findings include: Review of the facility policy titled Personal Privacy and Confidentiality occurred on 07/23/26. This policy, dated February 2026, stated, . …
Based on observation and staff interview, the facility failed to provide care and services in an environment and manner that enhanced dignity during 2 of 2 meals observed (07/22/19 and 07/23/19 evening meals). Failure to serve each resident seated at the same table at the same time does not preserve each resident's dignity or enhance their quality of life. Findings include: The facility failed to provide a copy of their policy addressing treating residents in a dignified manner as requested by the survey team. - Observation of the evening meal on 07/22/19 showed the following: * At 5:40 p.m. - Table #1 consisted of three residents sitting at the table, with only one of the three residents receiving their meal. …
The short window
Recent years
| Year | Share of North Dakota citations | vs expected |
|---|---|---|
| 2023 | 3.16% | 1.53× |
| 2024 | 1.73% | 0.79× |
| 2025 | 1.66% | 0.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Dakota surveyors cite →
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