Based on record review and staff interview, the facility failed to ensure resident records contained the hospice election form for 1 of 1 closed record (Resident #85) who received hospice services. Failure to obtain the election form may have limited staff's ability to ensure coordination of care between the facility and the hospice. Findings include: Review of Resident #85's medical record occurred on 02/26/26 and identified the following:* A nurse's note dated 01/02/26 at 2:46 p.m., stated, . Phone call made to [physician's name] office regarding decline in [name] condition change. Hospice referral given by [provider's name] .* A nurse's note dated 01/07/26 at 1:32 p.m., stated, Hospice nurse visit completed to assess patient status. The medical record lacked the hospice election form. …
F849 citations in North Dakota
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Dakota cites F849 more often than its own record predicts
2.04 times the share F849 takes of citations nationally.
Of every deficiency written in North Dakota in 2025, this is the portion that was F849.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F849 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 | 1.75% | 5.57× |
| 2024 | 0.99% | 3.22× |
| 2025 | 0.55% | 2.04× |
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