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Rolette Community Care Center
804 State Street, Rolette, ND 58366
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Rolette Community Care Center is a Non-profit, corporation nursing home in Rolette, North Dakota, certified for 31 beds and caring for about 21 residents a day.
CMS gives it 1 of 5 stars overall, below the North Dakota median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.
Inspectors recorded 36 health deficiencies across the three most recent survey cycles (11, 9, 16 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 116.1 per 100 beds, more than the state median of 27.1.
CMS lists 3 penalties in the period covered: fines totalling $90K and 1 payment denial.
Reported nurse staffing is 3.9 hours per resident per day (0.9 RN), close to the North Dakota median of 4.4; nursing staff turnover is 53.6%.
CMS flags that the facility is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Rolette Co. median | North Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 36 | 36 | 13 | 28.7 |
| Citations per 100 beds | 116.1 | 116.1 | 27.1 | 26.8 |
| Total nurse hours per resident day | 3.9 | 5.5 | 4.4 | 3.9 |
| RN hours per resident day | 0.9 | 1.1 | 0.9 | 0.7 |
| Nursing staff turnover | 53.6% | 56.4% | 50.0% | 45.8% |
| Fines listed | $90,017 | $92,954 | $9,030 | — |
County and state figures are medians across facilities (2 in the county, 72 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Dec 2025, 19 Sep 2024.
Severity mix: K ×2 D ×25 E ×8 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 31 Dec 2025 |
| 4 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 31 Dec 2025 |
| 4 Dec 2025 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | E | Complaint investigation | 8 Jan 2026 |
| 4 Dec 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Complaint investigation | 31 Dec 2025 |
| 4 Dec 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 26 Jan 2026 |
| 4 Dec 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 31 Dec 2025 |
| 4 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 31 Dec 2025 |
| 4 Dec 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint investigation | 31 Dec 2025 |
| 4 Dec 2025 | F0761 | 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. | D | Complaint investigation | 31 Dec 2025 |
| 4 Dec 2025 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Complaint investigation | 31 Dec 2025 |
| 4 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 26 Jan 2026 |
| 19 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | K | Complaint investigation | 16 Oct 2024 |
| 19 Sep 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Complaint investigation | 16 Dec 2024 |
| 19 Sep 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 16 Dec 2024 |
| 19 Sep 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 22 Oct 2024 |
| 19 Sep 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 16 Oct 2024 |
| 19 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Dec 2024 |
| 19 Sep 2024 | F0758 | 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. | D | Complaint investigation | 16 Oct 2024 |
| 19 Sep 2024 | F0761 | 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. | D | Complaint investigation | 16 Oct 2024 |
| 23 Aug 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 27 Sep 2023 |
| 23 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 4 Dec 2025 | Payment denial | — | 4 days |
| 4 Dec 2025 | Fine | $58,375 | |
| 19 Sep 2024 | Fine | $31,642 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Dakota average. Turnover: nursing staff 53.6%, RNs 66.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.1% | 19.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 5.6% | 1.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.6% | 2.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 13.3% | 4.7% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.7% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.0% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 30.1% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Rolette Community Care Center Inc.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Rolette County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Dunseith Com Nursing Homeabuse icon | Dunseith | 30 | 2 | 1 | 5 | 31 | 103.3 | $93K | 23 Dec 2025 |
All 2 facilities in Rolette County
Questions and answers
How many deficiencies has Rolette Community Care Center been cited for?
36 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The North Dakota median is 13 per facility.
Has Rolette Community Care Center been fined?
Yes. CMS lists fines totalling $90K in the period covered, plus 1 payment denial.
How does staffing at Rolette Community Care Center compare?
Reported total nurse staffing is 3.9 hours per resident per day against a North Dakota median of 4.4 and a national average of 3.9.
Who operates Rolette Community Care Center?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Rolette Community Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 4 Dec 2025; the most recent standard health survey was 4 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.