Valley Senior Living On Columbia
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on -review of a facility reported incident (FRI), record review, review of facility policy, and resident and staff interviews, the facility failed to ensure residents remained free from abuse for 1 of 1 sampled resident (Resident #2) who experienced unwanted sexual contact from another resident (Resident #1). Failure to protect residents from sexual abuse places all residents at risk for psychosocial harm and mental and emotional distress. Findings include:The surveyors determined a deficient practice existed on 08/19/25. the facility implemented and completed corrective action on 08/19/25.Review of the facility policy titled Valley Senior Living Personnel Policy and Procedure 207.7 occurred on 11/26/25. This policy, dated October 2024, stated, . Every resident has the right to be free from abuse .Review of the FRI identified on 08/19/25 at 8;30 a.m., . Residents [#1 and #2] were self mobilizing their wheelchairs after breakfast down the hallway. [Resident #1] wheeled next to [Resident #2], reached out and cupped her breast, then blew kisses at her. - Review of Resident #1's medical record occurred on 11/26/25 and identified a diagnosis of dementia with other behavioral disturbance. The quarterly Minimum Data Set (MDS), dated [DATE REDACTED], identified severe cognitive impairment and physical behaviors towards others. The care plan stated, . I have sexually inappropriate behaviors such as sexually explicit comments and inappropriate touching due to dementia . Be observant of my interactions with other residents, such as in communal room.
Explain/reinforce why my behavior is inappropriate and/or unacceptable. Intervene as necessary to protect
the rights and safety of others. Approach/Speak in a calm manner. Divert attention. Remove from situation and take to alternate location as needed. - Review of Resident #2's medical record occurred on 11/26/25.
The quarterly MDS, dated [DATE REDACTED], identified intact cognition.A progress note dated 08/19/25 at 11:14 a.m. stated, . SW (social worker) interviewed [Resident #2], charge nurse . present. She has some expressive aphasia so was prompted on what occurred. [Resident #2] stated that [Resident #1] touched her and when asked where, stated ‘breast.' When asked if he said anything, she nodded yes but could not verbalize what was said. When asked if she was afraid, she said ‘no'. When asked if she felt safe, she said ‘yes.' .During an
interview on 11/26/25 at 2:40 p.m., Resident #2 stated she could not recall the incident very clearly. When asked if she was afraid of [Resident #2] she nodded no. When asked if she was afraid of anyone else, she said, No. Based on the following information, non-compliance at F-F600 is considered past non-compliance.
The facility implemented the corrective action for the deficient practice by: *Completing an investigation with interviews of residents and staff. *Placed Resident #1 on 72-hour monitoring *Completed an interdisciplinary team meeting immediately after the incident. *Referred Resident #1 to their primary care provider regarding his behavior and reviewing/adjusting medications. *Updated Resident #1's plan of care to include 1:1 supervision when out of his room. *Provided education to all nursing staff on supervision requirements, behavior interventions, and reporting on 08/19/25.
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:
VALLEY SENIOR LIVING ON COLUMBIA in GRAND FORKS, 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 GRAND FORKS, 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 VALLEY SENIOR LIVING ON COLUMBIA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.