Eventide Jamestown: Call Light Delays Leave Residents in Soiled Beds - ND
Federal inspectors documented both accounts during a complaint inspection on August 26, 2025, finding that the facility had failed to answer call lights in a reasonable time for four of the eight residents they interviewed.
Resident E told inspectors that a couple of months before the visit, she had soiled herself in bed and needed to be changed. She waited for almost two hours.
Resident D said staff sometimes forgot to give her the call light at all. When she did have it, responses could take a half hour or longer. Once, she said, she was left waiting on the toilet and had to yell for someone to come.
The third account was worse in a different way. Resident G told inspectors that staff were "run ragged" and "aren't very nice." She had waited more than an hour with her call light on. When someone finally came, she told the aide she wouldn't have had an accident, an incontinent bowel movement, if they had arrived sooner. The aide got mad at her for saying so and walked out. Resident G had to wait again for someone else to return and finish helping her.
A resident, lying in her own waste, scolded for complaining about it. Then left alone again.
An administrative staff member interviewed that evening said she expected staff to answer call lights within five minutes, describing that as her baseline for audits. The residents' accounts, spanning incidents over at least the prior few months, described waits of six to twenty-four times that length.
The facility's own Standards of Care policy, revised in August 2024, states that staff will respond to call lights in a timely manner. The policy existed. The response times documented by inspectors did not match it.
Inspectors classified the violation under a federal standard requiring facilities to reasonably accommodate the needs and preferences of each resident. The level of harm was listed as minimal harm or potential for actual harm. The findings affected some residents. Four of the eight people interviewed described the same basic problem: they needed help, they signaled for it, and no one came.
Call light delays are not a paperwork problem. Inspectors noted in their findings that failure to answer call lights in time can result in discomfort, increased falls, and incontinence. Resident G's account made that last consequence concrete. She did not have an accident because of her condition. She had one because she waited over an hour and no one came.
The inspection was triggered by a complaint. That means someone, a resident, a family member, or a staff member, contacted regulators before inspectors ever walked through the door. The findings confirmed what the complaint alleged.
Eventide Jamestown is located at 1300 2nd Place NE in Jamestown. The inspection covered eight residents. Four of them had something to say about call lights.
Resident G is still there. So is the aide who walked out.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Eventide Jamestown from 2025-08-26 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 2, 2026 · Our methodology
EVENTIDE JAMESTOWN in JAMESTOWN, ND was cited for violations during a health inspection on August 26, 2025.
Resident E told inspectors that a couple of months before the visit, she had soiled herself in bed and needed to be changed.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.