Based on record review, review of facility policy, and staff interview, the facility failed to show the resident or their representative received a bed-hold notice for 4 of 4 sampled residents (Resident #1, #2, #3, and #23) and 1 closed record (Resident #37) reviewed for hospital transfers. Failure to provide a written copy of the bed-hold notice does not allow the residents and/or their representative to make informed decisions regarding their rights. Findings include: Review of the facility policy titled Bed Hold Policy and Procedure Policy occurred on 06/24/26. This policy, dated 01/01/24, stated, . Two copies of the Facility's Bed-Hold Policy will be presented to the resident and/or resident representative. …
F628 citations in North Dakota
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Dakota cites F628 less often than its own record predicts
0.89 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 F628.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F628 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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