Deficiency Index

F865 citations in North Dakota

QAPI program · Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F865 in North Dakota. Pick another state for the same tag.

Against expectation — 2025

North Dakota cites F865 more often than its own record predicts

Versus expected share3.48×

3.48 times the share F865 takes of citations nationally.

Share of North Dakota citations0.83%

Of every deficiency written in North Dakota in 2025, this is the portion that was F865.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What North Dakota surveyors wrote

F865 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.

D · No harm, potential for more than minimal, isolatedJune 3, 2026

Based on survey findings, review of facility policy, professional reference, and staff interview, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to develop a Performance Improvement Project (PIP) to decrease or prevent the likelihood of problems or occurrences of adverse events, and ensure compliance with federal requirements related to a resident choking incident. Findings include:Review of the facility Quality Assurance and Performance Improvement Plan occurred on 05/28/26. The undated policy stated, . Scope . we provide comprehensive clinical care to residents . all care is resident-centered and focuses on choice and Individualized plans of care . Implementation . …

Marian Manor Healthcare Center

The short window

Recent years

YearShare of North Dakota citationsvs expected
20240.25%1.33×
20250.83%3.48×

Shares of citations, not counts: earlier years hold fewer inspections.

What else North Dakota surveyors cite →

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