Based on record review, review of the facility reported incident investigation, and staff interview, the facility failed to ensure residents remained free from significant medication errors for 1 of 1 closed record (Resident #1) receiving insulin. Failure to administer insulin according to a physician's order may have contributed to Resident #1's hospitalization . This citation is considered past noncompliance based on review of the corrective action the facility implemented immediately following the incident. Findings include: The surveyor determined a deficient practice existed on 08/16/24. The facility implemented corrective action on 08/19/24 and completed staff education and began audits on 08/19/24. The final facility reported incident, dated 08/19/24 stated, . …
F760 citations in North Dakota
Significant medication errors · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Dakota cites F760 less often than its own record predicts
0.42 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 F760.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F760 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, review of facility policy, and staff interview, the facility failed to ensure residents remained free of significant medication error for 1 of 1 sampled resident (Resident #7) reviewed for medication errors. Failure to ensure medications are administered according to physician's orders places resident at risk for adverse drug effects.Findings include:Review of the facility policy titled Medication Administration occurred on 08/27/26. This policy, revised August 2026, stated, . Medications are administered by licensed nurses, or other staff. as ordered by the physician and in accordance with profession standards of practice. 8. Obtain and record vital signs, . per provider orders. …
The short window
Recent years
| Year | Share of North Dakota citations | vs expected |
|---|---|---|
| 2023 | 1.05% | 0.95× |
| 2024 | 1.23% | 1.06× |
| 2025 | 0.55% | 0.42× |
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