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Complaint Investigation

Knife River Care Center

August 14, 2024 · Beulah, ND · 118 22nd St Ne
Citations 2
CMS Rating 3/5
Beds 86
Provider ID 355053
Healthcare Facility
Knife River Care Center
Beulah, ND  ·  View full profile →
Inspection Summary

KNIFE RIVER CARE CENTER in BEULAH, ND — inspection on August 14, 2024.

Found 2 citations. 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.

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Inspection Findings

FF600
Actual harm Few affected

Review of the facility policy titled Abuse Prohibition Policy occurred on 08/14/24.

This policy, revised November 2023, stated, .

Residents must not be subject to abuse by anyone, including, but not limited to, facility staff, other residents, consultants or volunteers, staff of other agencies serving the individual, family members or legal guardians, friends, or other individuals.

Abuse shall be defined as follows: . 'Physical abuse' shall include hitting, slapping, pinching, and kicking.

Any alleged violation(s) should be recorded and reported immediately to the facility Administrator and/or designee.

The Administrator or his/her designee will report to other officials through established procedures and in accordance with State law (including to the State survey and certification agency) as warranted.

The Administrator or his designee shall report the allegation to the State survey and certification agency within a 24-hour time period unless the event resulted in serious bodily injury then it needs to be within 2 hours.

Review of Resident #1's medical record occurred on 08/14/24. An admission Minimum Data Set (MDS), dated [DATE], identified severely impaired cognition. A nurse's note, dated 08/10/24 at 2:06 p.m., stated, Activities director, [name of staff member], reported res [resident] daughter was in res room slapping her in the face.

This nurse, [name of staff member], LPN [licensed practical nurse] went to the room and asked daughter to leave facility and tell daughter abuse is not tolerated at this facility.

During an interview the afternoon of 08/14/24, an administrative staff member (#1) reported he/she received a phone call from the charge nurse on 08/10/24, regarding the incident, and that the charge nurse had instructed the daughter to leave the facility.

The administrative staff member (#1) reported on 08/12/24, he/she began an investigation and notified the SSA.

During an interview the afternoon of 08/14/24, an administrative staff member (#2) confirmed the facility did not report the incident to the SSA within the required 2 to 24-hour time period.

Based on the following information, non-compliance at

F-F609 is considered past non-compliance.

The facility implemented corrective actions as follows:

* The interdepartmental team met to problem solve and implement changes.

355053

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 355053 B.

Wing 08/14/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Knife River Care Center 118 22nd St NE Beulah, ND 58523

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 BEULAH, ND, (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 KNIFE RIVER CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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