Richardton Health Center Inc

In the surveyor’s words

From the most serious findings on record at Richardton Health Center Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF641Dec 17, 2025

  Based on record review and review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.20.1), the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 2 of 12 sampled residents (Residents #3 and #4). 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: The Long-Term Care Facility RAI User's Manual, revised October 2025, pages 3-4, stated, . Coding Instructions for N0350A. Enter in Item N0350A, the number of days during the 7-day look-back period . that insulin injections were received. […]

• No harm, potential for more than minimal, isolatedF755Dec 17, 2025

  Based on observation, review of facility policy, and staff interview, the facility failed to establish a system to account for all controlled medications and failed to effectively manage medication inventory stored in 1 of 1 medication storage rooms. Failure to assure controlled medications in the medication refrigerator are accounted for, and expired medications in the emergency medication kit are removed and replaced has the potential for loss or diversion of controlled medications and risk of administering medications that may be ineffective or harmful to the resident.Findings include:Review of the facility policy titled, Controlled Substance Administration & Accountability, occurred on 12/17/25. This policy, dated 07/18/19 stated, . […]

• No harm, potential for more than minimal, isolatedF684Oct 23, 2024

  Based on observation, record review, review of facility policy, review of professional literature, and staff interview, the facility failed to ensure 1 of 5 sampled residents (Resident #23) received the services necessary to attain the highest degree of safety possible while receiving fluids. Failure to ensure staff provided proper positioning when providing water placed Resident #23 at risk for aspiration and choking. Findings include: Review of the policy titled Meal Supervision and Assistance occurred on 10/23/24. This undated policy stated, . The resident should be positioned so his or her head and upper body are as upright as possible. in bed, use wedges and pillows to achieve a nearly upright position. [NAME] B. […]

• No harm, potential for more than minimal, isolatedF880Oct 23, 2024

  Based on observation, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 1 of 1 sampled resident (Resident #22) observed during a dressing change. Failure to practice infection control standards related to enhanced barrier precautions (EBP) has the potential to spread infection throughout the facility. Findings include: Review of the facility's policy titled Enhanced Barrier Precautions occurred on 10/23/24. This policy, dated 03/22/24, stated, . Enhanced barrier precautions refer to the use of gown and gloves for certain residents during specific high contact care activities . High-contact resident care activities . Wound care: any skin opening requiring a dressing. Observation on 10/22/24 at 9:40 a.m. […]

• No harm, potential for more than minimal, isolatedF625Nov 8, 2023

  Based on record review, review of facility policy, and staff interview, the facility failed to provide the resident or resident's representative a written bed hold notice for 1 of 2 residents (Resident #21) and the notice failed to include the reserve bed payment amount for 2 of 2 residents (Resident #2 and #21) reviewed for hospital transfers. Failure to provide a written copy of the bed hold notice and include the reserve bed amount does not allow the resident and/or their representative to make an informed decision regarding their rights. Findings include: Review of the facility policy Bed Hold and Transfer Notice Policy occurred on 11/08/23. This policy, dated October 2019, stated, . […]