Based on review of the North Dakota Department of Health, Division of Health Facilities provider files, record review, review of facility policy, survey findings, and staff interview, the facility failed to maintain a Quality Assurance (QA) process, which identified and implemented preventative actions and mechanisms to decrease or prevent adverse events. Findings include: Review of the facility policy Quality Assurance and Performance Improvement (QAPI) occurred on 07/30/26. This policy, revised 04/30/26, stated, . It is the policy of this facility to develop, implement, and maintain an effective, comprehensive, data-driven QAPI program that focuses on indicators of the outcomes of care and quality of life. 2. …
F867 citations in North Dakota
QAPI improvement activities · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F867 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
F867 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.
What else North Dakota surveyors cite →
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