Bigfork Valley Communities
BIGFORK VALLEY COMMUNITIES in BIGFORK, MN — inspection on November 14, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
later. 11/4/25, R1 placed his call light on at 7:57 a.m.
Staff responded to the light at 9:07 a.m., one hour and 10 minutes later.11/4/25, R4 placed the call light on at 12:31 p.m.
Staff responded to the light at 2:01 p.m., one hour and thirty minutes later.11/5/25, R1 placed the call light on at 8:05 a.m.
Staff responded to the light at 9:07 a.m., one hour and two minutes later.11/5/25, R4 placed the call light on at 12:26 p.m.
Staff responded to the light at 1:41 p.m., one hour and 15 minutes later.11/7/25, R4 placed the call light on at 12:35 p.m.
Staff responded to the light at 1:39 p.m., one hour and 4 minutes later.11/8/25, R1 and R4 both placed their call lights on at 8:11 a.m., the lights were answered by staff at 9:10 a.m., 58 minutes later.11/11/25, R4 placed the call light on at 8:17 p.m.
Staff responded to the call light at 9:20 p.m., one hour and three minutes later.11/11/25, R4 placed the call light on at 12:43 p.m.
Staff responded to the light at 1:42 p.m., 59 minutes later.11/12/25, R1 placed the call light on at 5:15 p.m., Staff responded to the call light at 6:54 p.m., one hour and 38 minutes later.11/13/25, R1 placed the call light on at 8:09 a.m.
Staff responded to the light at 9:45 a.m., one hour and 35 minutes later.11/13/25, R4 placed the call light on at 8:20 a.m.
Staff responded to the light at 9:35 a.m., one hour and fourteen minutes later.11/13/25, R1 placed his call light on at 12:33 p.m., Staff responded to the light at 1:36 p.m., one hour and three minutes later.11/14/25, R4 placed her call light on at 8:06 a.m.
The call light was answered by staff at 9:03 a.m., 57 minutes later.On 11/14/25 at 11:33 a.m., NA-A and NA-B were interviewed. NA-B stated they were able to monitor call lights on the unit outside the secured area and carried pagers and a monitor that showed up red when a call light was on. NA-B said because they were on a dementia unit they were told safety on that unit came first. NA-B said staff were not assigned to the three residents outside the secured unit. NA-A said sometimes they got over there on time and some days it took longer. NA-B said cares always got done but lights took longer to answer.During interview on 11/14/25 at 12:49 p.m., licensed social workier (LSW)-A stated the facility had been tracking the call light times and having been trying to bring in more staff. LSW-A said the facility lost a lot of staff when school started. LSW-A said R1 and R4 required to people for cares and had noticed some of the other two person assists also waited for additional staff assistance.A policy related to call light response was requested but not received.
Facility ID:
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.