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Health Inspection

St Vincent's - A Prospera Community

April 3, 2025 · Bismarck, ND · 1021 N 26th St
Citations 3
CMS Rating 1/5
Beds 97
Provider ID 355060
Healthcare Facility
St Vincent's - A Prospera Community
Bismarck, ND  ·  View full profile →
Inspection Summary

ST VINCENT'S - A PROSPERA COMMUNITY in BISMARCK, ND — inspection on April 3, 2025.

Found 3 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

FF689
Minimal harm or Some Based on observation, record review, review of facility policy, review of facility assessment, review of affected

Review of the facility policy titled Call Light occurred on 04/02/25.

This policy, revised 07/29/24, stated, When resident's call light is observed/heard, go to the resident's room promptly.

Review of the resident council meeting minutes, dated November 2024-February 2025, identified the following resident concerns:

* Call light was on for long periods of time.

* Call light was on for 30 minutes to a hour.

The Resident Council met on 03/31/25 at 1:20 p.m.

The residents voiced the following concerns during the meeting:

* Resident F stated he/she has waited 30 minutes for his/her call light to be answered. He/she also reported activities are often delayed and/or cut short due to a lack of staff.

* Resident G stated he/she has waited 30 minutes for his/her call light to be answered, especially at 8:00 a.m. , 2:00 p.m., or 10:00 p.m.

* Resident H stated he/she has waited over 30 minutes for his/her call light to be answered, and has experienced pain/discomfort waiting to go to the bathroom. He/she also reported the activities department was short staffed.

355060

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 355060 B.

Wing 04/03/2025

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

St Vincent's - A Prospera Community 1021 N 26th St Bismarck, ND 58501

F-F812 Store, Prepare, and Serve Food in Sanitary Manor

*

Review of the facility policy titled Perineal Care occurred on 04/03/25.

This policy, revised 07/29/24, stated, . using gentle downward strokes from the front to the back of the perineum .

- Review of Resident #78's medical record occurred on all days of survey.

The care plan stated, .

The resident requires Enhanced Barrier Precautions (EBP) R/T [related to]: foley catheter.

Instruct staff to wear disposable gloves and gown when performing high contact resident care activities .

Observation on 04/02/25 at 11:11 a.m. showed Resident #78's room with signage for EBP on the door and a supply cart located at the entrance of the room.

The certified nurse aide (CNA) (#4) entered the room to empty the resident's urinary drainage bag.

The CNA applied gloves, failed to apply a gown, cleaned the end of catheter tubing with an alcohol swab, emptied urine into a collection container, then emptied the urine into the toilet.

The CNA (#4) failed to apply a gown when providing high-contact care (emptying a urinary drainage bag) for Resident #78.

- Review of Resident #25's medical record occurred on all days of survey.

Diagnoses include acute cystitis without hematuria (bladder inflammation without blood in urine) and a history of urinary tract infections.

The quarterly Minimum Data Set (MDS), dated [DATE], identified occasionally incontinent of urine and a UTI within the last 30 days.

Review of Resident #25's laboratory values over the past six months showed positive urine cultures in November 2024, February 2025, and March 2025 (indicating UTIs).

The resident was hospitalized from February 14-18, 2025 related to a UTI requiring IV (intravenous) antibiotics.

The current care plan stated, . at risk for bladder infections R/T [related to] HX [history] of UTI .

Monitor/document for s/s [signs and symptoms] UTI . TOILET USE: .

Wears a liner in her own undergarments.

Peri [perineal] care assist of 1 .

355060

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 355060 B.

Wing 04/03/2025

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

St Vincent's - A Prospera Community 1021 N 26th St Bismarck, ND 58501

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 ST VINCENT'S - A PROSPERA COMMUNITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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