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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D13 | E4 | F1 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 8, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 8, 2026 | Health | Health Standard | 0 | No citations | — | Open → |
| Jun 24, 2026 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Nov 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 25, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 25, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Apr 30, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Apr 2, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 12, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Dec 10, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 10, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Apr 10, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 30, 2025 | Civil money penalty (fine) | $14,508 | — | 245461|Fine|53931 |
| Mar 12, 2025 | Civil money penalty (fine) | $9,620 | — | 245461|Fine|53913 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D13 | E4 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 8, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 9, 2026 | |
| Jun 24, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 10, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 3 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Blue Stone Therapy Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2020 |
| Kelsey Anderson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 10, 2021 |
| Brittni Berg | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 25, 2022 |
| Jim Hager | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2022 |
| Kaley Harms | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 28, 2018 |
| Kayla Kelly | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 26, 2023 |
| Emily Kollar | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 14, 2019 |
| Kara Oakes | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 17, 2024 |
| Darin Ohe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 18, 2018 |
| Michael Sand | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Jodee Bock | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 15, 2022 |
| Terry Brandt | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 15, 2022 |
| Robert Bye | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 15, 2022 |
| Tyler Fischbach | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 15, 2022 |
| Patrick Gulbranson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 15, 2022 |
| Vikki Johnson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 15, 2022 |
| Cindy Larson-Casselton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 15, 2022 |
| Judith Lee | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 15, 2022 |
| Brandon Lunak | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 15, 2022 |
| Eric Schafer | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 10, 2024 |
| Peter Seljevold | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2009 |
| Karla Swenson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 15, 2022 |
| Robert Bye | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 15, 2022 |
| Vikki Johnson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2023 |
| Brandon Lunak | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2026 |
| Jon Riewer | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 31, 2003 |
| Blue Stone Therapy Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 29, 2025 |
| Emily Kollar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 21, 2025 |
| Michael Sand | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 21, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Gracewell, an Eventide Community 114 South 20th Street, Denison, IA 51442 CCN 165532 | 84 | Aug 28, 2025 | 20 | — | |
| Sheyenne Crossings Care Center/Tcu 125 13th Avenue West, West Fargo, ND 58078 CCN 355124 | 64 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Meadows on University 1315 S University Dr, Fargo, ND 58103 CCN 355024 | 2.2 km | 95 | Jun 10, 2026 | 351 harm | $41k | |
| Smp Health - St Catherine South 3102 S University Dr, Fargo, ND 58103 CCN 355079 | 2.4 km | 98 | Aug 27, 2026 | 111 open | — | |
| Bethany on University 201 S University Dr, Fargo, ND 58103 CCN 355086 | 2.6 km | 172 | Feb 12, 2026 | 101 harm | — | |
| Smp Health - St Catherine North 1351 N Broadway, Fargo, ND 58102 CCN 355047 | 4.2 km | 125 | Feb 11, 2026 | 151 harm | $6,168 | |
| Fargo Elim Health Care Center 3534 University Drive S, Fargo, ND 58104 CCN 355129 | 4.6 km | 88 | Apr 1, 2026 | 151 harm | — | |
| Bethany on 42nd 4255 30th Ave S, Fargo, ND 58104 CCN 355123 | 6.6 km | 116 | Jul 23, 2026 | 3 | — | |
| Eventide Fargo 3225 51st St S, Fargo, ND 58104 CCN 355127 | 7.8 km | 98 | Sep 18, 2025 | 131 harm | $9,030 | |
| Sheyenne Crossings Care Center/Tcu 125 13th Avenue West, West Fargo, ND 58078 CCN 355124 | 10 km | 64 | Feb 25, 2026 | 13 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 245461 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 245461 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jun 24, 2026 |
| F-0609 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect |
| D · Potential harm Isolated |
| Corrected Jul 10, 2026 |
| Complaint |
| Nov 13, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 19, 2025 | Complaint |
| Jun 25, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 24, 2025 |
| Jun 25, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 18, 2025 |
| Jun 25, 2025 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 18, 2025 |
| Jun 25, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 18, 2025 |
| Jun 25, 2025 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 18, 2025 |
| Jun 25, 2025 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 18, 2025 |
| Jun 25, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 18, 2025 |
| Apr 30, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Apr 22, 2025 | Complaint |
| Apr 2, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 24, 2025 | Complaint |
| Mar 12, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance Feb 20, 2025 | Complaint |
| Dec 10, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance Dec 1, 2024 | Complaint |
| Apr 10, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 31, 2024 |
| Apr 10, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 31, 2024 |
| Apr 10, 2024 | K-0901 | Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Electrical Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 31, 2024 |
| Apr 10, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 31, 2024 |
| Apr 10, 2024 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 6, 2024 |
| Apr 10, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 6, 2024 |
| Apr 10, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 6, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.76 (case-mix index 1.23).
| Feb 25, 2026 |
13 |
| — |