Eventide Fargo

In the surveyor’s words

From the most serious findings on record at Eventide Fargo, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 7, 2023

  Based on record review, review of facility investigation, and review of facility policy, the facility failed to ensure adequate supervision and assistance for 1 of 2 sampled residents (Resident #3) who required staff supervision while toileting. Failure to provide supervision in the bathroom resulted in an avoidable fall and fracture. Findings include: Review of the facility policy titled Standards of Care occurred on 11/08/23. This policy, last revised October 2016, stated, . Each staff member providing direct nursing care will have in their possession throughout their shift the written plan of care for each resident and will perform specific cares as directed according to this form. Review of Resident #3's medical record occurred on 11/08/23. […]

• No harm, potential for more than minimal, patternF880Sep 18, 2025

  Based on observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 4 of 12 sampled residents (Resident #3, #13, #17, and #45) observed during cares. Failure to practice infection control standards related to bodily fluid spills, hand hygiene, and enhanced barrier precautions (EBP) has the potential to spread infection throughout the facility.Findings include: Review of the facility policy titled Blood and Body Fluid Clean-up occurred on 09/18/25. This policy, revised July 2025, stated, . requires that all body fluids. be cleaned and disinfected with an appropriate disinfectant. Resident Care Staff is responsible for this. […]

• No harm, potential for more than minimal, isolatedF641Sep 18, 2025

  Based on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.19.1), and staff interview, the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 2 of 22 sampled residents (Resident #7 and #8). Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status and may affect the accurate development of a comprehensive care plan and the care provided to the residents. Findings include:SECTION J: HEATLH CONDITIONSThe Long-Term Care Facility RAI User's Manual, revised October 2024, pages J 27-28, stated, . J1400 Prognosis: Does the resident have a condition or chronic disease that may result in a life expectancy of less than 6 months? . […]

• No harm, potential for more than minimal, isolatedF698Sep 18, 2025

  This REQUIREMENT is NOT MET as evidenced by: Based on record review, policy and procedure review, professional reference review, and staff interview, the facility failed to provide the care and services for 1 of 1 sampled resident (Resident #5) on hemodialysis with a Permacath (a type of vascular access for dialysis). Failure to assess the hemodialysis vascular access site may result in complications and adverse effects, such as clotting and possible loss of the access site. Findings include: Review of the facility policy titled “Hemodialysis Access Sites” occurred on 09/18/25. This policy, revised April 2022, stated, “. The facility is responsible to . Provide ongoing monitoring and care of the resident's vascular access . Central Venous Access . Assess site BID [two times per day]. […]

• No harm, potential for more than minimal, isolatedF761Sep 18, 2025

  Based on observation, record review, review of facility policy, review of facility pharmacy guidelines, and staff interview, the facility failed to ensure accurate labeling of medications for 2 supplemental residents (Resident #22 and #55) observed during medication administration. Failure to obtain new medication labels from the pharmacy for oral medications and insulin or affix a label noting change in the directions, may result in residents receiving an incorrect dose of medications.Findings include:Review of the facility policy titled Medications: Administration and Storage occurred on 9/18/25. This policy revised March 2025, stated, . Medications will be administered according to the following directives . to provide safe and effective drug therapy for the residents . […]