The Meadows On University
Inspection Findings
F-Tag F0655
F 0655 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Based on record review, review of facility policy, and staff interview, the facility failed to develop a baseline care plan to reflect the needs for 1 of 1 sampled resident (Resident #1) identified as a new admission.
Failure to develop and implement a baseline care plan may result in inconsistent and unsafe care for all newly admitted residents. Findings include:Review of the facility policy titled Baseline Care Plan occurred
on 12/30/25. This policy, dated 05/05/25, stated, . The baseline care plan will . be developed within 48 hours of a resident's admission. Include the minimum healthcare information necessary to properly care for a resident .Review of Resident #1's medical record occurred on all days of survey and identified an admission date of 12/10/25. The comprehensive assessment, dated 12/12/25, stated, . Transfer - assist x1 (assist of one) . Eating - independently . Toileting - assist x1 .The resident's base line care plan, dated 12/10/25, identified no interventions for specific needs such as transfers, eating, and toilet use. During an
interview on 12/31/25 at 10:35 a.m., an administrative staff member (#1) confirmed staff failed to develop a baseline care plan for Resident #1.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
THE MEADOWS ON UNIVERSITY in FARGO, ND inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 FARGO, 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 THE MEADOWS ON UNIVERSITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.