Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F838 in North Dakota. Pick another state for the same tag.
No F838 citations were recorded in North Dakota for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What North Dakota surveyors wrote
F838 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.
F · No harm, potential for more than minimal, widespreadJuly 7, 2026
Based on review of the current Facility Assessment and staff interview, the facility failed to review and update the facility assessment annually. Failure to review and update the assessment annually may result in the facility's inability to provide the resources necessary to care for the residents. Findings include: Review of the current Facility Assessment showed a review date of 12/03/24. During an interview on 07/07/26 at 3:15 p.m., an administrative staff member (#8) confirmed staff failed to review or update the Facility Assessment since 12/03/24.
C · No harm, potential for minimal, widespreadNovember 18, 2021
Based on record review, the facility failed to conduct a facility-wide assessment to include all the required components. The facility failed to evaluate the resident population and identify the resources needed to competently provide care and services to residents during both day-to-day operations and emergencies. This failure has the potential to affect all residents currently residing in the facility.
Findings include:
Review of the Facility Assessment occurred on 11/17/21. …
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