Based on record review and staff interview, the facility failed to develop a comprehensive care plan for 1 of 2 sampled resident (Resident #7) reviewed for post-traumatic stress disorder (PTSD). Failure to develop a comprehensive care plan limits staffs' ability to communicate, ensure the continuity of care, and avoid triggers that may result in re-traumatization.The facility failed to provide a policy related to PTSD.Review of Resident #7's medical record occurred on all days of survey. Diagnoses included post-traumatic stress disorder. The medical record failed to include an assessment addressing the history and triggers for PTSD.The current care plan failed to identify PTSD, known triggers, or personalized interventions to prevent re-traumatization. …
F656 citations in North Dakota
Comprehensive care plan · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
North Dakota cites F656 less often than its own record predicts
0.07 times the national share — cited less often here than elsewhere.
Of every deficiency written in North Dakota in 2024, this is the portion that was F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F656 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.
The short window
Recent years
| Year | Share of North Dakota citations | vs expected |
|---|---|---|
| 2023 | 0.35% | 0.10× |
| 2024 | 0.25% | 0.07× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Dakota surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction