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Complaint Investigation

Baptist Health & Rehab

Inspection Date: January 2, 2025
Total Violations 1
Facility ID 355058
Location BISMARCK, ND
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Inspection Findings

F-Tag F689

Harm Level: Actual harm
Residents Affected: Few

F-F689 is considered past non-compliance. The facility implemented corrective actions as follows:

* Completed immediate education on gait belt use and transfer policy and procedure to staff working on the neighborhood where the resident resided.

* The provider and resident representative notified of the incident and the resident transferred to the emergency room .

* Placed CNA (#1) on administrative leave on 12/18/24 until further investigation and education provided.

* Completed written education through the facility notification system to all direct care staff regarding gait belt use, transfer safety, and referencing resident care plans for ordered transfer status on 12/20/24.

* Implemented required completion of skill competency for all direct care staff related to gait belt use and proper transfer technique in and out of wheelchairs.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 2 of 3 355058 Department of Health & Human Services Printed: 09/11/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 355058 B. Wing 01/02/2025

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

Baptist Health & Rehab 3400 Nebraska Drive Bismarck, ND 58503

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.

(X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0689 * Updated the orientation competency checklist to include gait belt use and proper transfer technique for new hire and travel direct care staff. Level of Harm - Actual harm * An in-depth root cause analysis completed on 12/19/24. Residents Affected - Few

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 3 of 3 355058

📋 Inspection Summary

BAPTIST HEALTH & REHAB in BISMARCK, ND 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 BISMARCK, 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 BAPTIST HEALTH & REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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