F605 in North Dakota. Pick another state for the same tag.
Against expectation — 2025
North Dakota cites F605 less often than its own record predicts
Versus expected share0.79×
0.79 times the national share — cited less often here than elsewhere.
Share of North Dakota citations0.55%
Of every deficiency written in North Dakota in 2025, this is the portion that was F605.
North Dakota0.55%
National0.70%
Share of all citations that were F605.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F605 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, isolatedApril 3, 2025
Based on observation, record review, and review of the North Dakota Resident's Rights Guide, the facility failed to ensure residents remained free of chemical restraints for 1 of 1 sampled resident (Resident #37) with an as needed (PRN) psychotropic medication. Failure to assess resident behaviors in an effort to determine causative/precipitating factors, develop a behavioral care plan, and implement individualized interventions in an attempt to manage behaviors resulted in the frequent utilization of psychotropic medications to control Resident #37's behavior.
Findings include:
Review of the North Dakota Long Term Care Ombudsman Program Resident's Rights Guide, dated 03/21/23, pages 12-13 stated, . Chemical . …
D · No harm, potential for more than minimal, isolatedJuly 30, 2026
Based on record review and review of facility policy, the facility failed to ensure residents remained free from unnecessary psychotropic medications for 1 of 1 sampled resident (Resident #22) reviewed for as needed (PRN) psychotropic medication. Failure to limit PRN psychotropic medication orders to 14 days or obtain physician documentation supporting clinical rationale for extending the order beyond 14 days placed the resident at risk of receiving unnecessary psychotropic medication and potential adverse effects associated with its use.Findings include:Review of the facility policy Use of Psychotropic Drugs occurred on 07/29/26. This policy, dated 2017, stated, Policy: It is the policy of Golden Acres Manor that each resident's drug regiment is free from unnecessary drugs . …
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