Based on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.20.1), and staff interview, the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 4 of 13 sampled residents (Residents #2, #4, #5, and #23). Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status and may affect the accurate development of a comprehensive care plan and the care provided to the residents. Findings include: SECTION A: IDENTIFICATION INFORMATION The Long-Term Care Facility RAI User's Manual, revised October 2025, pages A-30 to A-32, stated, . A1500: Preadmission Screening and Resident Review (PASRR) . …
F641 citations in North Dakota
Accuracy of assessments · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Dakota cites F641 more often than its own record predicts
2.70 times the share F641 takes of citations nationally.
Of every deficiency written in North Dakota in 2025, this is the portion that was F641.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F641 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.
THIS IS A REPEAT DEFICIENCY FROM THE SURVEY COMPLETED ON 8/16/18. Based on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.16), and staff interview, the facility failed to ensure the Minimum Data Set (MDS) reflected residents' status for 1 of 18 sampled residents (Resident #9) and 1 closed record (Resident #65). Failure to accurately complete Section A (Identification Information) does not allow each resident's assessment to reflect their current status/needs and may result in the development of an inaccurate care plan. …
The short window
Recent years
| Year | Share of North Dakota citations | vs expected |
|---|---|---|
| 2023 | 5.26% | 3.08× |
| 2024 | 7.65% | 4.54× |
| 2025 | 4.97% | 2.70× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Dakota surveyors cite →
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