Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mahnomen Health Center during CMS and state inspections, most recent first.
A resident with a high fall risk and functional impairments frequently self-transferred to the bathroom without using the call light, relying on a chair alarm that alerted staff too late. The care plan lacked adequate interventions for frequent toileting and increased supervision, despite the resident's use of diuretics and history of falls. Staff interviews revealed the ineffectiveness of the alarm system and the need for updated care plans and frequent checks.
Failure to Implement Effective Fall Prevention Strategies
Penalty
Summary
The facility failed to develop and implement effective interventions to reduce fall risks for a resident identified as a high fall risk. The resident, who had intact cognition but was socially isolated, had functional impairments and required assistance with various activities of daily living. Despite being identified as a fall risk with a history of falls, the resident's care plan lacked adequate interventions related to frequent toileting and increased supervision, even though the resident was on a diuretic, which commonly causes frequent urination. The resident's care plan and ADL worksheet were not updated to reflect the current level of care and assistance required. The resident frequently self-transferred to the bathroom without using the call light, relying instead on a chair alarm that only alerted staff after the resident had already stood up. Interviews with staff revealed that the resident often reached the bathroom before staff could respond to the alarm, indicating that the alarm system was ineffective in preventing falls. Staff were aware of the resident's impulsive behavior and shortness of breath during ambulation, yet the care plan did not include a toileting schedule or frequent checks to mitigate these risks. The facility's policies on bed and chair alarms and care planning were not adequately followed, as the resident's care plan was not updated in a timely manner to reflect changes in the resident's condition. The director of nursing acknowledged the resident's high fall risk and impulsive behavior but confirmed that the care plan lacked necessary interventions such as frequent checks and a toileting schedule. The failure to update the care plan and implement effective fall prevention strategies contributed to the resident's continued risk of falls.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mahnomen
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fair Meadow Nursing Home | 20.7 mi | — | 12 | 0 |
| Viking Manor Nursing Home | 20.7 mi | — | 0 | 0 |
| First Care Living Center | 21.1 mi | — | 0 | 0 |
| Mcintosh Senior Living | 23.2 mi | — | 5 | 0 |
| Benedictine Care Community | 26.1 mi | — | 7 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.