Fargo Elim Health Care Center

In the surveyor’s words

From the most serious findings on record at Fargo Elim Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF684Apr 1, 2026

  1. Based on observation, record review, review of facility policies, and staff and hospice staff interviews, the facility failed to provide the necessary care and services to attain the highest practicable physical, mental, and psychosocial well-being for 1 of 1 supplemental resident (Resident #62) with uncontrolled pain under hospice care. Failure of staff to effectively assess and treat Resident #62's pain resulted in unnecessary pain and discomfort. Findings include:Review of the facility policy titled Hospice occurred on 03/12/26. This policy, dated 03/18/24, stated, . The facility retains primary responsibility for implementing aspects of care . Review of the facility policy titled Pain management occurred on 03/12/26. This policy, dated 02/18/26, stated, . […]

• No harm, potential for more than minimal, widespreadF550Apr 1, 2026

  Based on observation, record review, review of facility policies, confidential resident interviews, family, visitor and staff interview, the facility failed to provide necessary care in a manner that promotes, maintains, or enhances their quality of life for 16 of 35 sampled residents (Resident #67, A, B, D, E, F, G, H, I, J, L, M, N, O, P, and Q) requiring assistance with activities of daily living. Failure to assist dependent residents with toileting, answer call lights timely, and speak to residents in a dignified manner does not enhance the resident's quality of life and has the potential to affect the resident's psychosocial and personal dignity. Findings include: Review of the facility policy titled Resident dignity, choices and preferences occurred on 03/12/26. […]

• No harm, potential for more than minimal, patternF657Apr 1, 2026

  Based on observation, record review, review of facility policy, and family and staff interview, the facility failed to review and revise care plans to reflect the residents' current status for 5 of 20 sampled residents (Residents #5, #11, #27, #38, and #58) care plans reviewed. Failure to update care plans limited the staff's ability to communicate needs and ensure continuity of care. Findings include: Review of the facility policy titled Care plan and baseline care plan occurred on 03/11/26. This policy, dated 02/18/26, stated, . Care plans are update with MDS [Minimum Data Set]/care conference schedule and as needed to assure that they are an accurate reflection of the resident and their care needs. - Review of Resident #5's medical record occurred on all days of survey. […]

• No harm, potential for more than minimal, patternF812Feb 20, 2025

  Based on observation, review of facility policy, review of professional reference, and staff interview, the facility failed to ensure food is prepared in accordance with professional standards for food service sanitation in 1 of 1 kitchen. Failure to prepare food in a sanitary manner, such as not wearing beard restraints, may result in contamination of food served to residents, staff, and visitors. Findings include: Review of the facility policy titled; Food and Nutrition Services occurred on 02/20/25. This policy, revised 01/12/24 stated, . Hairnets or caps and/or beard restraints must be worn to keep hair from contacting exposed food, clean equipment, utensils and linens. The 2022 Food and Drug Administration (FDA) Food Code, Chapter 2, pages 21-22 states, . 2-402 Hair restraints . (A) . […]

• No harm, potential for more than minimal, patternF727Oct 4, 2022

  Based on review of the facility's nursing staff schedule and staff interview, the facility failed to provide the services of a registered nurse (RN) for eight consecutive hours a day, seven days a week, for 4 of 27 days from 09/08/22 to 10/04/22. Failure to ensure sufficient, qualified nursing staff are available daily has the potential to affect all the residents residing in the facility. Findings Include: The facility provided a copy of the nurses' schedule from 09/08/22 to 10/04/22. A review of the schedules showed the facility lacked the required RN coverage on 09/17/22, 09/18/22, 10/01/22 and 10/02/22. During an interview on 10/04/22 at 4:15 p.m., an administrative nurse (#1) confirmed the facility lacked eight consecutive hours of RN coverage on the days in question.