Based on observation, review of facility policy, and staff interview, the facility failed to follow standards of infection control for 1 of 1 sampled resident (Resident #18) with Multi-Resistant Staph Aureus (MRSA) (a type of contagious infection resistant to antibiotics) in a wound. Failure to follow infection control practices related to location of a dressing change and enhanced barrier precautions (EBP) has the potential to spread infection throughout the facility. During the on-site recertification survey, the team determined an Immediate Jeopardy (IJ) situation existed on 04/21/25 at 3:55 p.m. The IJ was identified when a staff nurse performed a dressing change in the medication room and failed to wear Personal Protective Equipment (PPE) (a gown). …
F880 citations in North Dakota
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Dakota cites F880 more often than its own record predicts
2.10 times the share F880 takes of citations nationally.
Of every deficiency written in North Dakota in 2025, this is the portion that was F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Dakota surveyors wrote
F880 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 observation, review of facility policy, review of professional reference, and staff interview, the facility failed to follow standards of infection control and prevention for 3 of 3 sampled residents (Resident #1, #24, and #15) observed during wound care and medication administration. Failure to practice infection control standards related to medication administration (Resident #15) and dressing changes (Resident #1 and #24) has the potential to spread infection throughout the facility. Findings Include: DRESSING CHANGES Review of Kozier & Erb's Fundamentals of Nursing, Concepts, Process and Practice, 11th Edition eText, 2021, Pearson, Boston, Massachusetts, Chapter 28 stated, . Skills 28.1 .Standard Precautions. 1. Perform proper hand hygiene after contact with . …
The short window
Recent years
| Year | Share of North Dakota citations | vs expected |
|---|---|---|
| 2023 | 9.12% | 1.77× |
| 2024 | 10.37% | 1.84× |
| 2025 | 12.98% | 2.10× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Dakota surveyors cite →
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