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Complaint Investigation

Western Horizons Care Center

Inspection Date: June 19, 2024
Total Violations 1
Facility ID 355042
Location HETTINGER, ND
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Inspection Findings

F-Tag F689

Harm Level: Minimal harm or
Residents Affected: Few * Determining the CNA failed to follow safety practice during a resident bath.

F-F689 is considered past non-compliance. The facility implemented corrective actions for the resident affected by the deficient practice by: Level of Harm - Minimal harm or potential for actual harm * Completing an investigation following the incident, and

Residents Affected - Few * Determining the CNA failed to follow safety practice during a resident bath.

The facility implemented measures to ensure the deficient practice does not recur by:

* Educating/re-educating bath aides starting on 06/10/24 regarding tub/shower safety,

* Revising the facility policy titled, Bath/Shower Tub to include the wording of, Electronic devices are not to be near bathtub or shower while resident is bathing, in or near standing water.

* Continued CNA education on Bath/Shower Tub policy,

* Adding an audit tool to monitor use of hair dryer as a quality assurance measure.

This surveyor determined a deficient practice existed on 06/07/24. The facility implemented corrective actions by 06/11/24 and continues with staff education and safety monitoring.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 2 of 2 355042

📋 Inspection Summary

WESTERN HORIZONS CARE CENTER in HETTINGER, ND inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 HETTINGER, 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 WESTERN HORIZONS CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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