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Complaint Investigation

Thief River Care Center

December 30, 2025 · Thief River Falls, MN · 2001 Eastwood Drive
Citations 1
CMS Rating 2/5
Beds 70
Provider ID 245252
Healthcare Facility
Thief River Care Center
Thief River Falls, MN  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

THIEF RIVER CARE CENTER in THIEF RIVER FALLS, MN — inspection on December 30, 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

FF0689
Quality of Life and Care Deficiencies

holiday challenges, how staff will communicate, behavioral tracking and interventions that will be

jeopardy to resident health or revised as needed to best determine resident elopement risk. (i.e. ensure other factors such as safety history, mental health, seasonal challenges, med changes are considered) -Nursing staff completing elopement assessments were retrained on recognizing and responding to exit seeking behavior.

document Critical Safety Alert: Elopement Prevention & Emergency Protocol dated 12/18/25, identified: this training is issued following a critical safety event where a resident with Alzheimer's successfully eloped from the facility during dangerous blizzard conditions.

This lapse in clinical judgement and protocol adherence placed a vulnerable life at immediate risk:1.

Zero Tolerance for Reasoning: Attempting to reason with a cognitively impaired resident regarding their safety is clinically insufficient and an unacceptable intervention. If a resident vocalizes a desire to leave and/or displays wandering behavior, you must take immediate physical action.2. MANDATORY Immediate Interventions: When exit-seeking behavior is identified, the following actions must be taken immediately: Elopement Assessment, interventions must be documented immediately, wander guard placement, increased Surveillance, environmental Safety. 3.

Failed Communication - Endangerment: Communication breakdowns are the primary cause of elopement: Mandatory Handover- you are required to provide a detailed verbal or written report to the oncoming shift and the nurse in charge regarding any wandering or behavioral changes.

Point Click Care (PCC) Entry - Documentation of elopement prevention protocols must be entered into PCC immediately and not at the end of the shift.4.

Professional & Legal Consequences: State reporting and Disciplinary Action.

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 THIEF RIVER FALLS, 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 THIEF RIVER CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.