ST VINCENT'S - A PROSPERA COMMUNITY

BISMARCK, ND · 97 beds · Non profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 1-star health inspection rating (lowest possible)
  • 20 deficiencies — 3.8x the state average
  • 3 citation(s) where residents suffered actual harm
  • $54,356 in fines

Green Flags

  • 4-star staffing rating

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
20
3.8x state avg
Deficiencies
$54,356
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

April 2, 2025

20 deficiencyies
F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0550 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0553 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow resident to participate in the development and implementation of his or her person-centered plan of care.

F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0605 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0637 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Assess the resident when there is a significant change in condition

F0657 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0725 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F0732 No Harm Scope/Severity: C

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0804 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0865 Potential Harm Scope/Severity: F

Administration Deficiencies

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Have a plan that describes the process for conducting QAPI and QAA activities.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

See full violation history →

Staffing

0.79
RN hrs/res/day
0.45
LPN hrs/res/day
3.49
CNA hrs/res/day
4.06
Weekend hrs/res/day
47%
Total nurse turnover
50%
RN turnover

A nurse checks on each resident roughly every 5.1 hours on average.

Fines & Penalties

  • Fine Apr 2, 2025
    $23,920
  • Fine Feb 28, 2024
    $20,686
  • Fine Mar 1, 2023
    $9,750
Total $54,356

Ownership

Non profit - Corporation Chain: GOOD SAMARITAN SOCIETY
  • SANFORD

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/2019

    100% Organization
  • THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2019

    100% Organization
  • SANFORD

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2019

    Organization
  • THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2019

    Organization
  • AL RABADI, ISSA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/01/2021

    Individual
  • KITELINGER, KAYLENE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/30/2022

    Individual
  • MORRISON, TONY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2019

    Individual
  • SANDGREN, DEEANDRA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/16/2023

    Individual
  • BROWN, GEORGE

    CORPORATE DIRECTOR

    Since since 01/01/2025

    Individual
  • DYKHOUSE, DANA

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • ENGBRECHT, WESLEY

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • GASSEN, WILLIAM

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • GULSVIG, NEIL

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • HERSETH SANDLIN, STEPHANIE

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • LUNDEEN, MARK

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • MCCAUSLAND, MAUREEN

    CORPORATE DIRECTOR

    Since since 01/01/2025

    Individual
  • MOLBERT, LAURIS

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • NORTH, ANDREW

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • SCHIEFFER, KEVIN

    CORPORATE DIRECTOR

    Since since 01/01/2025

    Individual
  • SHULKIN, DAVID

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • TEIKEN, BRENT

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • VENTLING-HERRMANN, MARNIE

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • WENZEL, THOMAS

    CORPORATE DIRECTOR

    Since since 01/01/2025

    Individual
  • FLUIT, JOEL

    CORPORATE OFFICER

    Since since 10/01/2022

    Individual
  • GASSEN, WILLIAM

    CORPORATE OFFICER

    Since since 05/30/2024

    Individual
  • MIDDLETON, AIMEE

    CORPORATE OFFICER

    Since since 01/27/2022

    Individual
  • OLSON, NICHOLAS

    CORPORATE OFFICER

    Since since 04/08/2024

    Individual
  • SCHEMA, NATHAN

    CORPORATE OFFICER

    Since since 01/01/2022

    Individual

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