Based on observation, review of facility policy, and staff interview, the facility failed to provide housekeeping services to maintain a safe, clean, comfortable and homelike environment for 1 of 1 sampled residents (Resident #17) and 3 supplemental residents (Resident #13, #50 and #91) observed with unclean fans. Failure to clean resident personal fans does not promote a homelike living environment or enhance the residents' quality of life. Findings include:Review of the facility policy titled Fans occurred on 08/05/26. This policy, dated 07/16/26, stated, . Approved resident room fans shall be cleaned and maintained to minimize dust accumulation .Observations on 08/03/26 at 2:35 p.m. …
F584 citations in North Dakota
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor 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.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Dakota cites F584 less often than its own record predicts
0.39 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 F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F584 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, review of maintenance records, and staff interview, the facility failed to provide housekeeping/maintenance services necessary to maintain a safe, clean, and comfortable environment in 2 of 3 units (Residents #12, #29, #69 and #276's rooms) and in 1 of 1 dining room. Failure to maintain a safe, clean, and comfortable living environment placed the residents at increased risk for illness. Findings include: Random observations on March 14-15, 2022, showed dust/grime in the following resident rooms: * Resident #12, on the ceiling vent cover, the air flow deflector attached to the vent, and the ceiling above the vent. * Resident #29, on an upper wall/beam vent cover and the wall surrounding the vent. * Resident #69, on the ceiling above a vent. …
The short window
Recent years
| Year | Share of North Dakota citations | vs expected |
|---|---|---|
| 2023 | 2.11% | 0.94× |
| 2024 | 0.49% | 0.23× |
| 2025 | 0.83% | 0.39× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Dakota surveyors cite →
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