Dunseith Com Nursing Home

In the surveyor’s words

From the most serious findings on record at Dunseith Com Nursing Home, in the surveyor’s own words.

• Actual harm, isolatedF600Dec 23, 2025

  Based on record review, review of facility reported incident s(FRI), review of facility policy, and staff interviews, the facility failed to ensure residents remained free from abuse for 2 of 2 sampled residents (Resident #1 and #6) intimidated and yelled at by staff members (Resident #6) and verbal outbursts/physical behaviors towards other residents (Resident #1). Failure to protect residents from abuse resulted in physical, verbal, and mental abuse, pain and has to potential to affect all residents. Findings include: Review of the facility's policy titled Abuse, Neglect, and Exploitation occurred on 12/22/25. This policy, revised 07/01/24, stated, . Abuse . the willful infliction of injury . […]

• Actual harm, isolatedF744May 2, 2024

  Based on observation, record review, review of resident council minutes, resident interview, and staff interview, the facility failed to provide appropriate dementia care and services for 1 of 1 sampled resident (Resident #23) with wandering behaviors and a history of inappropriate sexual behaviors. Failure to adequately assess for necessary care and services and implement effective behavior management interventions resulted in a decreased level of psychosocial well-being for Resident #23 and had a negative impact on other residents. Findings include: Review of Resident #23's medical record occurred on all days of survey. Diagnoses included dementia, agitation, and insomnia. A provider visit note, dated 02/29/24, stated, . […]

• Actual harm, isolatedF692Mar 23, 2023

  Based on record review, review of facility policy, and staff interview, the facility failed to ensure acceptable parameters of nutritional status for 1 of 3 sampled resident (Resident #18) with significant weight loss. Failure to implement interventions, adequately assess the effectiveness of existing interventions, ensure consistent implementation, and re-evaluate the need for updated or additional interventions resulted in a significant weight loss. Findings include: Review of the facility policy titled DCNH ([NAME] Community nursing Home) Weight Monitoring occurred on 03/23/23. This policy, dated 09/22/22, stated, . 1. The facility will utilize a systemic approach to optimize a resident's nutritional status. This process includes: a. […]

• No harm, potential for more than minimal, widespreadF801May 29, 2025

  Based on staff interview, the facility failed to ensure 1 of 1 dietary manager (#1) obtained the proper qualifications to serve as the director of food and nutrition services. Failure to ensure the facility had a qualified dietary management to carry out the functions of food and nutrition services may result in foodborne illness to residents, staff, and visitors. Findings include: During an interview on the afternoon of 05/27/25, the dietary manager (#1) stated she had not completed the certified dietary manager course and received an extension to complete the course. […]

• No harm, potential for more than minimal, widespreadF812May 29, 2025

  Based on observation, review of dishwasher temperature log, review of professional reference, and staff interview, the facility failed to ensure the high temperature dishwasher provided adequate heat sanitization for dishes and utensils washed in 1 of 1 kitchen (main kitchen). Failure to monitor the dish temperatures during the high temperature dishwash cycle may result in inadequate sanitation of dishware and foodborne illness. Findings include: The Food and Drug Administration (FDA) Food Code 2022, Annex 3 Public Health Reasons/Administrative Guidelines, page 169 states, 4-302.13 Temperature Measuring Devices . Water temperature is critical to sanitization in warewashing operations. This is particularly true if the sanitizer being used is hot water. […]