Based on observation, review of facility policy, record review, and staff interview, the facility failed to ensure the competency of nursing staff for 1 of 1 nursing staff (#7) observed during insulin administration (#143) . Failure to provide a meal or juice with in 5-10 minutes after administering short acting insulin, administering insulin to a nonarousable resident, and failure to notify a nurse of a resident's altered status may result in harm to facility residents. During the standard survey, the team determined an Immediate Jeopardy (IJ) situation existed on 10/03/23 at 2:00 p.m. The IJ resulted from a medication aide administering short acting insulin to a resident not alert enough to consume food thus, putting the resident at risk for a reaction from low blood sugar. …
F726 citations in North Dakota
Competent nursing staff · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
North Dakota cites F726 less often than its own record predicts
0.57 times the national share — cited less often here than elsewhere.
Of every deficiency written in North Dakota in 2023, this is the portion that was F726.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F726 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 record review and staff interview, the facility failed to ensure competent staff for 11 of 11 contract personnel files reviewed (Staff #3, #4, #5, #6, #7, #8, #9, #10, #11, #12 and #13). Failure to provide facility orientation may result in a lack of knowledge related to facility procedures, competencies and skill sets needed to care for residents and increase the risk of physical or psychological harm to the residents through improper care. Findings include: On 05/23/23, the survey team requested information regarding orientation of travel/contract staff for seven travel nurses, and four travel certified nurse aides (CNAs). …
What else North Dakota surveyors cite →
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