F657 in North Dakota. Pick another state for the same tag.
Against expectation — 2025
North Dakota cites F657 more often than its own record predicts
Versus expected share2.37×
2.37 times the share F657 takes of citations nationally.
Share of North Dakota citations4.42%
Of every deficiency written in North Dakota in 2025, this is the portion that was F657.
North Dakota4.42%
National1.87%
Share of all citations that were F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F657 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.
D · No harm, potential for more than minimal, isolatedJuly 23, 2026
Based on record review, review of facility policy, and resident and staff interviews, the facility failed to revise the comprehensive person-centered care plan to reflect the resident's smoking status and related interventions for 1 of 2 residents (Resident #30) reviewed for smoking. Failure to address the resident's smoking status in the care plan may result in inconsistent care and compromised smoking safety. Findings include: Review of facility policy titled Smoke Free Facility Policy occurred on 07/23/26. This policy, dated 04/06/23, stated, . applies to all residents . both smokers and non-smokers. Smoking is prohibited in all areas of the facility. Residents with a history of smoking will be further assessed . …
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