Based on record review, review of facility policy, and staff interview, the facility failed to ensure residents remained free from restraints for 1 of 1 sampled resident (Resident #9) reviewed for restraints. Failure to ensure staff refrained from using a manual method of restraining a resident placed Resident #9 at risk for increased behaviors, fear, anxiety, and injury.Findings Include:Review of the facility policy titled Use of Physical Restraints occurred on 04/16/26. This policy, dated February 2026, stated, . all residents have the right to be free from any physical restraints . …
F604 citations in North Dakota
Restraints · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
North Dakota cites F604 more often than its own record predicts
2.02 times the share F604 takes of citations nationally.
Of every deficiency written in North Dakota in 2024, this is the portion that was F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F604 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.
What else North Dakota surveyors cite →
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