Based on observation, record review, review of professional reference, and resident and staff interview, the facility failed to develop and provide an effective pain management regimen to meet resident needs for 2 of 14 sampled residents (Resident #4 and #5) reviewed for pain management. Failure to develop, implement, and provide an effective pain management plan resulted in unresolved pain and discomfort and decreased quality of life. Findings include:Kozier & Erb's Fundamentals of Nursing, Concepts, Process and Practice, 11th Edition eText, 2021, Pearson, Boston, Massachusetts, pages 625-626, stated, . pain is a physical and emotional experience . Pain interferes with functional abilities and quality of life. …
F697 citations in North Dakota
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Dakota cites F697 less often than its own record predicts
0.71 times the national share — cited less often here than elsewhere.
Of every deficiency written in North Dakota in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F697 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.
Based on observation, record review, review of facility policy, and resident interview, the facility failed develop an effective pain management regimen and schedule routine pain medications to meet residents' needs for 1 of 3 sampled residents (Resident #67) reviewed for pain management. Failure to develop and implement an acceptable and manageable pain management plan resulted in unresolved pain and discomfort. Findings include: Review of the facility policy titled Pain Management occurred on 05/15/25. This policy, dated 01/31/25, stated, . The licensed nurse will review response to medication intervention and work closely with the physician to assist in the individualized pain management plan. …
The short window
Recent years
| Year | Share of North Dakota citations | vs expected |
|---|---|---|
| 2023 | 0.35% | 0.48× |
| 2024 | 0.74% | 1.01× |
| 2025 | 0.55% | 0.71× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Dakota surveyors cite →
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