Deficiency Index

F580 citations in North Dakota

Notifying of changes · Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F580 in North Dakota. Pick another state for the same tag.

Against expectation — 2025

North Dakota cites F580 less often than its own record predicts

Versus expected share0.19×

0.19 times the national share — cited less often here than elsewhere.

Share of North Dakota citations0.28%

Of every deficiency written in North Dakota in 2025, this is the portion that was F580.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What North Dakota surveyors wrote

F580 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.

G · Actual harm, isolatedJanuary 13, 2021

Based on record review, policy review, and staff interview, the facility failed to notify the physician of a deterioration in skin condition for 1 of 3 sampled residents (Resident #5) with a pressure ulcer. Failure to notify the physician of a deterioration in skin condition resulted in complications to the resident and prevented the physician from evaluating the effectiveness of the current treatment plan. Findings include: Review of the facility policy titled Prevention and treatment of [REDACTED]. This policy, dated September 2018, stated, . 10. Weekly the licensed nurse will . and examine the wound bed and surrounding skin. If wound bed has deteriorated; notify provider. 11. Notify the attending provider, . …

Benedictine Living Center of Garrison

D · No harm, potential for more than minimal, isolatedJuly 30, 2026

Based on record review, review of facility policy, and staff interview, the facility failed to notify the physician and/or resident representative of a change in condition and falls for 1 of 5 sampled residents (Resident #5) reviewed for symptoms of hypoglycemia and falls. Failure to promptly notify the physician regarding low blood glucose readings and failure to notify the resident representative regarding the falls limited the physician's ability to alter treatment and limited the resident representative's ability to make informed decisions regarding Resident #5's care. Findings include: Review of the facility policy titled Notification of Change occurred on 07/30/26. This policy, dated 2017, stated, . …

Golden Acres Manor

The short window

Recent years

YearShare of North Dakota citationsvs expected
20232.46%1.72×
20242.72%1.79×
20250.28%0.19×

Shares of citations, not counts: earlier years hold fewer inspections.

What else North Dakota surveyors cite →

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