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Complaint Investigation

Baptist Health & Rehab

January 23, 2025 · Bismarck, ND · 3400 Nebraska Drive
Citations 1
CMS Rating 4/5
Beds 140
Provider ID 355058
Healthcare Facility
Baptist Health & Rehab
Bismarck, ND  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)  ·  4 pages
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

BAPTIST HEALTH & REHAB in BISMARCK, ND — inspection on January 23, 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

FF609
Minimal harm or *Additionally, the facility directors and team leads were required to print off the email sent on 11/05/24, along Few affected

Finding include:

Review of the facility policy titled Floor based, Full Body Sling Lift use occurred on 01/23/25.

This policy, dated 10/27/21, stated, .

Transfer resident from chair to bed .

Push the UP button on the hand control for the lift until there is slight tension on the sling loops. PERFORM SAFETY CHECK i.

Once there is tension on the loops, double check each loop to be sure each is securely in the hook. ii.

Double-check the position and stability of all straps and other equipment. v.

Lift the resident about 2 inches off the surface and verify that weight is evenly spread between the straps of the sling. vi.

Verify the resident will not slide out of the sling or tip backward or forward.

Review of the facility reported incident, stated, . At approximately 1815 [6:15 p.m.] on 1/4/25, a resident, [Resident #1], was involved in a witnessed fall during a transfer with a full body lift.

The nurse on duty was promptly notified and called to the resident's room.

The CNAs [certified nurse aides] involved in the incident [CNA names], explained that they were transferring the resident from a broda wheelchair to the bed using a full body lift per the residents [sic] care plan.

During the transfer, the residents [sic] sling became caught on part of the wheelchair. In an attempt to free the sling, the CNA moved the resident's wheelchair, causing the lift to become unbalanced. As a result, the lift struck the CNA in the head, and a portion of the lift subsequently made contact with the residents [sic] face.

This impact caused a skin tear above the resident's right eye and on the bridge of his nose.

The lift then tipped over on its left side and fell on to the floor causing the resident to fall from a height of about 3 feet onto his bottom while still in the sling.

The resident reported no pain, aside from discomfort related to the skin tear. A raised area potentially a hematoma was noted to residents [sic] back.

Resident #1's nursing progress notes stated the following:

* 01/04/25 at 8:10 p.m.

After further assessment this nurse found a lump on the resident's

right lower back, upon palpation resident said bump was painful. No redness or bruising was found at this time and bump was blanchable.

Family was called and updated and consented to sending in.

This nurse called on call to get order to send resident in for further assessment.

Metro ambulance arrived about 2100 [9:00 p.m.] .

* 01/05/25 at 3:15 p.m.

This nurse spoke with resident's wife, [name].

Per [wife's name], the sutures above resident's right eye are dissolvable.

355058

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 355058 B.

Wing 01/23/2025

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

Baptist Health & Rehab 3400 Nebraska Drive Bismarck, ND 58503

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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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.