Minot Health and Rehab, LLC

In the surveyor’s words

From the most serious findings on record at Minot Health and Rehab, LLC, in the surveyor’s own words.

• Immediate jeopardy, patternF600Dec 31, 2024

  Based on record review, review of facility documents, Medicaid Fraud Control Unit (MFCU) investigation and interview, review of facility policy, and staff interview, the facility failed to ensure residents remained free from sexual and mental abuse for 5 of 30 residents (Resident #1, #2, #3, #4, and #5) and 1 of 1 closed record (Resident #7) identified on a staff members electronic device through the review of images/videos. Failure to protect residents from sexual abuse may result in mental and emotional distress, and physical injury. This citation is considered past non-compliance based on review of the corrective action the facility implemented immediately following the incident. […]

• Actual harm, isolatedF600Nov 24, 2025

  Based on record review, review of facility policy, and staff interview, the facility failed to ensure residents remained free from abuse/neglect for 1 of 1 sampled resident (Resident #4) who utilized a commode for toilet needs. Failure to place the call light within reach and check on the resident while on the commode resulted in discoloration to the resident's buttocks, a bruise to the wrist, and has the potential to cause anxiety, fear, and psychosocial harm. This citation is considered past non-compliance based on review of the corrective action the facility implemented immediately following discovery of the incident.Findings include:The surveyor determined a deficient practice existed on 09/07/25. […]

• Actual harm, isolatedF600Dec 2, 2024

  Based on review of a facility reported incident, record review, review of facility policy, and staff interviews, the facility failed to ensure residents remained free from abuse for 1 of 1 sampled resident (Resident #2) who experienced unwanted sexual contact from another resident. Failure to protect the resident from sexual abuse placed the resident at risk for mental and emotional distress. This citation is considered past noncompliance based on review of the corrective actions the facility implemented immediately following the incident. Findings include: Review of the facility policy titled Abuse, Neglect and Exploitation occurred on 12/02/24. This policy, revised 07/15/22, stated, . […]

• Actual harm, isolatedF686May 16, 2024

  Based on record review, review of facility policy, and staff interview, the facility failed to provide the necessary care and services to prevent the development of a pressure ulcer for 1 of 1 supplemental resident (Resident #138) identified as having a stage IV pressure ulcer and exposed hardware. Failure to evaluate risk factors that may impact the development of a pressure ulcer, and implement, monitor, and modify interventions to reduce those risk factors resulted in Resident #138 developing an avoidable, facility-acquired pressure ulcer. […]

• Actual harm, isolatedF689Sep 7, 2022

  Based on observation, review of facility reported incident (FRI) reports, review of medical records and facility policies, and resident and staff interviews, the facility failed to provide appropriate supervision and/or assistance to prevent an accident for 1 of 1 resident (Resident #3) who fell during van transport. Failure to utilize chest and lap seatbelts to restrain a resident in the facility van resulted in Resident #3's fall from his tilt-in-space wheelchair, serious injury, and placed all residents transported via the facility van at risk for falls and/or injury. […]