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Complaint Investigation

Dunseith Com Nursing Home

December 23, 2025 · Dunseith, ND · 15 1st St Ne
Citations 3
CMS Rating 2/5
Beds 30
Provider ID 355080
Healthcare Facility
Dunseith Com Nursing Home
Dunseith, ND  ·  View full profile →
Inspection Summary

DUNSEITH COM NURSING HOME in DUNSEITH, ND — inspection on December 23, 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

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Actual Harm

During the separation, [Resident #1] hit [Resident #2] on the right side of his face with his right fist closed. DON and CNA immediately separated residents.

Vital signs take [sic] on both residents.

Not sure how it initially started.The FRI, dated 12/22/25, stated, .

Resident [#1] was involved in resident-to-resident altercation.

Resident [#1] was sitting in the activity room with a few other residents watching television and socializing.

During this time, nurse was alerted by loud shouting in the activity room among the residents. CNA and nurse went to assess concerns, staff was [sic] informed by residents present in the activity room [Resident #3] was hit in her mouth by resident's [Resident #1] closed fist. [Resident #3] confirms this occurred.

She reports her mouth is sore.

Vital signs taken, skin and mouth assessed, there is no indication of broken skin or bruise at this time.

During an interview on 12/22/25 at 1:30 p.m., administrative staff members (#1 and #2) reported [Residents #1, #2 and #3] did not have any injuries following the incidents, care plans for all resident's involved were reviewed and updated, [Resident #1] is closely monitored by all staff, and staff education was completed.

The facility failed to protect Resident #2 and #3 from verbal and physical abuse.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Dunseith Com Nursing Home

15 1st St NE Dunseith, ND 58329

SUMMARY STATEMENT OF DEFICIENCIES

During attempts to move [Resident #6], she ended up naked on the bathroom floor.

Conflicting accounts were given about how she got to the floor, though several reported she refused to stand or get herself up. A gait belt was applied directly to her bare skin, and staff lifted her with it at least once.

Several CNAs mainly [two CNA's names] reported to have hollered at [Resident #6], pointing in her face, and insisted that she apologize. [CNA name] entered later, found [Resident #6] crying on the floor, and noted scratches on [Resident #6's] left arm. No staff could provide a clear explanation for the scratches. [CNA name] refused to leave [Resident #6] on the floor and ultimately calmed, cleaned, dressed, and brought her to supper.

Charge Nurse [name] reported she was only told that [Resident #6] had a behavior and that a gait belt was used.

She was not informed about yelling, the resident being on the floor naked, the number of staff involved, or any injuries.

Overall, staff consistently note yelling toward the resident, difficulty during the transfer, [Resident #6's] distress, and that the full details were not reported to the charge nurse at the time.

During an interview on 12/22/25 at 4:10 p.m. an administrative nurse (#1) stated facility staff failed to report the incident in a timely manner and it not acceptable for staff to holler at or threaten residents.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Dunseith Com Nursing Home

15 1st St NE Dunseith, ND 58329

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 12/22/25 at 1:30 p.m., two administrative staff members (#1 and #2) confirmed Resident #1's care plan required updates/revisions.

Facility ID:

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 DUNSEITH, 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 DUNSEITH COM NURSING HOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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