Based on record review, review of facility policy, and staff interview, the facility failed to ensure the resident or their representative chose to accept or decline a bed hold for 2 of 3 sampled residents (Resident #38 and #46) reviewed for hospitalizations. Failure to obtain a resident or their representative's bed hold choice does not allow the resident and/or their representative to make an informed decision regarding their rights. Findings include: Review of the facility policy titled Bed Hold occurred on 03/13/25. This policy, dated December 2024, stated, Notices of the . Bed Hold/Release notice will be given at each hospitalization . …
F625 citations in North Dakota
Bed-hold notice · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Dakota cites F625 less often than its own record predicts
0.96 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 F625.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F625 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 record review and staff interview, the facility failed to provide the resident or resident's representative a written bed hold notice for 3 of 3 residents (Resident #14, #15 and #29) reviewed for hospital transfers. Failure to provide a written copy of the bed hold notice does not allow the resident and/or their representative to make an informed decision regarding their rights. Findings include: Record review identified the following hospital transfers: Resident #14 on 06/30/23 Resident #15 on 11/29/22, 07/02/23, and 07/05/23 Resident #29 on 07/13/23 The bed hold notices for the hospital transfers identified facility staff obtained verbal consent to hold the bed. …
The short window
Recent years
| Year | Share of North Dakota citations | vs expected |
|---|---|---|
| 2023 | 1.75% | 2.84× |
| 2024 | 1.98% | 2.84× |
| 2025 | 0.28% | 0.96× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Dakota surveyors cite →
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