F640 in North Dakota. Pick another state for the same tag.
Against expectation — 2025
North Dakota cites F640 more often than its own record predicts
Versus expected share1.90×
1.90 times the share F640 takes of citations nationally.
Share of North Dakota citations0.55%
Of every deficiency written in North Dakota in 2025, this is the portion that was F640.
North Dakota0.55%
National0.29%
Share of all citations that were F640.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F640 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.
F · No harm, potential for more than minimal, widespreadFebruary 19, 2026
Based on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual, review of the Minimum Data Set (MDS) validation reports in Centers for Medicare and Medicaid Services (CMS) Internet Quality Improvement and Evaluation System (iQies), and staff interview, the facility failed to ensure timely electronic data submission of required assessments for 8 of 13 sampled residents (Resident #3, #4, #8, #9, #15, #18, #19, and #22) with late assessments. Failure to follow the MDS data submission specifications does not meet the intended regulatory requirements. Findings include: The Long-Term Care Facility RAI 3.0 User's Manual (Version 1.20.1), page 2-34, stated, . …
B · No harm, potential for minimal, patternMarch 4, 2020
Based on record review, staff interview, and review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.17), the facility failed to ensure resubmission of a required Minimum Data Set (MDS) assessment for 1 of 1 supplemental resident (Resident #1) whose MDS was rejected for submission. Failure to follow the MDS data submission specifications does not meet the intended regulatory requirements.
Findings include:
The Long-Term Care Facility RAI 3.0 User's Manual, page 5-5 stated, . Fatal Record Errors result in rejection of individual records by the QIES (Quality Improvement Evaluation System) ASAP (Assessment Submission and Processing) system. The provider is informed of Fatal Record Errors on the Final Validation Report. …
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