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Complaint Investigation

Bigfork Valley Communities

Inspection Date: November 14, 2025
Total Violations 1
Facility ID 245529
Location BIGFORK, MN
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Inspection Findings

F-Tag F0585

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

later. 11/4/25, Resident 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, Resident 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, Resident 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, Resident 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, Resident 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, Resident R1 and Resident 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, Resident 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, Resident 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, Resident 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, Resident 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, Resident 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, Resident 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, Resident 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 Resident R1 and Resident 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.

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📋 Inspection Summary

BIGFORK VALLEY COMMUNITIES in BIGFORK, MN inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BIGFORK, MN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BIGFORK VALLEY COMMUNITIES or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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