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Complaint Investigation

Lutheran Sunset Home

February 26, 2026 · Grafton, ND · 333 Eastern Ave
Citations 7
CMS Rating 3/5
Beds 87
Provider ID 355084
Healthcare Facility
Lutheran Sunset Home
Grafton, ND  ·  View full profile →
Inspection Summary

LUTHERAN SUNSET HOME in GRAFTON, ND — inspection on February 26, 2026.

Found 7 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

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN SUNSET HOME in GRAFTON, ND for a deficiency under regulatory tag F-F0550 during a complaint investigation conducted on 2026-02-26.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of LUTHERAN SUNSET HOME.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-31.

Federal health inspectors cited LUTHERAN SUNSET HOME in GRAFTON, ND for a deficiency under regulatory tag F-F0584 during a complaint investigation conducted on 2026-02-26.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of LUTHERAN SUNSET HOME.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-31.

Federal health inspectors cited LUTHERAN SUNSET HOME in GRAFTON, ND for a deficiency under regulatory tag F-F0600 during a complaint investigation conducted on 2026-02-26.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of LUTHERAN SUNSET HOME.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-31.

Federal health inspectors cited LUTHERAN SUNSET HOME in GRAFTON, ND for a deficiency under regulatory tag F-F0609 during a complaint investigation conducted on 2026-02-26.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of LUTHERAN SUNSET HOME.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-31.

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Federal health inspectors cited LUTHERAN SUNSET HOME in GRAFTON, ND for a deficiency under regulatory tag F-F0812 during a complaint investigation conducted on 2026-02-26.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of LUTHERAN SUNSET HOME.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-31.

Federal health inspectors cited LUTHERAN SUNSET HOME in GRAFTON, ND for a deficiency under regulatory tag F-F0849 during a complaint investigation conducted on 2026-02-26.

Category: Administration Deficiencies

The facility was found deficient in the following area: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of LUTHERAN SUNSET HOME.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-31.

Federal health inspectors cited LUTHERAN SUNSET HOME in GRAFTON, ND for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2026-02-26.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of LUTHERAN SUNSET HOME.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-31.

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 GRAFTON, 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 LUTHERAN SUNSET HOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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