Based on observation, record review, and resident interview, the facility failed to ensure 1 of 1 sampled resident (Resident #15) with contractures received the necessary hand devices. Failure to consistently place a carrot hand device or small towel roll to the resident's left hand may result in worsening of the contracture, pain, and skin breakdown. Findings Include:Review of Resident #15's medical record occurred on all days of survey. The care plan stated, The resident has hemiplegia [weakness or paralysis] of the L [left] UE [left upper extremity] . to maintain/improve UE ROM [range of motion] to prevent contractures. …
F688 citations in North Dakota
Mobility and range of motion · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Dakota cites F688 more often than its own record predicts
1.04 times the share F688 takes of citations nationally.
Of every deficiency written in North Dakota in 2025, this is the portion that was F688.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F688 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 | 0.70% | 0.76× |
| 2024 | 0.25% | 0.28× |
| 2025 | 0.83% | 1.04× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Dakota surveyors cite →
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