Griggs County Care Center

In the surveyor’s words

From the most serious findings on record at Griggs County Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 29, 2023

  Based on observation, record review, review of the facility reported investigation, review of facility policy, stand lift Operator's Instructions, resident interview, and staff interview, the facility failed to provide appropriate safety/supervision to prevent accidents for 1 of 1 sampled resident (Resident #1) who sustained a major injury during an EZ stand lift (mechanical sit-to-stand lift). Failure to follow the facility policy for EZ stand transfers and safety interventions resulted in a fracture of Resident #1's left arm. Findings include: Review of the facility policy titled, EZ Stand Lift occurred on 11/29/23. This policy, revised 02/13/18, stated, . Purpose: To lift and transfer resident/patient safely with as little physical effort as possible. […]

• No harm, potential for more than minimal, widespreadF801Jul 31, 2024

  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 staff have the qualifications to carry out the functions of food and nutrition services has the potential to result in foodborne illness to residents, staff, and visitors. Findings include: During on interview on 07/29/24 at 11:15 a.m., the dietary manager (#1) stated she is currently enrolled in a certified dietary manager course but has not completed it. […]

• No harm, potential for more than minimal, isolatedF641Aug 6, 2025

  Based on observation, record review, review of the Long-Term Care Facility 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 3 of 13 sampled residents (Resident #4, #26, and #33). Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status/needs and may affect the accurate development of a comprehensive care plan, and the care provided to the residents.Findings include: SECTION H: BOWEL AND BLADDER The Long-Term Care Facility RAI 3.0 User's Manual, revised October 2024, pages H-1 and H-2, stated, . H0100: Appliances . Coding Instructions Check next to each appliance that was used at any time in the past 7 days . […]

• No harm, potential for more than minimal, isolatedF644Aug 6, 2025

  Based on record review, review of the North Dakota Provider Manual Preadmission Screening and Resident Review (PASARR) and Level of Care Screening Procedures for Long Term Care Services, and staff interview, the facility failed to complete a status change assessment for 1 of 1 sampled resident (Resident #2) reviewed for PASARR. Failure to complete a change in status assessment with a newly diagnosed mental illness may result in the delivery of care and services that are inconsistent with the resident's needs.Findings include: The North Dakota PASARR Provider Manual, revised December 2020, page 13, stated, . Change in Status Process . […]

• No harm, potential for more than minimal, isolatedF658Sep 13, 2023

  Based on observation, record review, resident and staff interview, the facility failed to follow professional standards of practice for 1 of 1 sampled resident (Resident #32), with a CPAP (Continuous Positive Airway Pressure) machine. Failure of facility staff to clarify physician's order for cleaning a CPAP resulted in staff incorrectly documenting the cleaning method. Findings include: Review of Resident #32's medical record occurred on all days of survey. Diagnoses included dependence on supplemental oxygen and dependence on enabling machines and devices (CPAP machine). Physician orders included, clean and prepare CPAP machine for nightly use - wash with mild detergent and warm water - water well, mask, tubing, head gear. Allow to air dry. Once a day. […]