Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
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 Rolette Community Care Center during CMS and state inspections, most recent first.
A long-term care facility failed to follow infection control standards, leading to potential infection spread. A CNA did not properly doff an N95 mask after leaving a COVID-positive resident's room and entered rooms of COVID-negative residents. Staff also neglected enhanced barrier precautions for a resident with a feeding tube, and a nurse failed to disinfect a wound care container before returning it to the treatment cart. These actions violated infection control protocols and risked spreading infections.
The facility did not ensure that the dietary manager had the necessary qualifications to serve as the director of food and nutrition services. An administrative manager confirmed that the dietary manager lacked the required training and certification for the position, which could potentially lead to foodborne illness among residents, staff, and visitors.
The facility failed to submit MDS assessments on time for several residents, as required by the Long-Term Care Facility RAI User's Manual. A quarterly MDS for a resident was completed 30 days late, another resident's MDS was transmitted 44 days late, and a third resident had multiple late submissions, including a discharge return anticipated MDS completed 51 days late. Additionally, a resident's quarterly MDSs were not submitted within the required timeframe. A facility nurse confirmed the delay in submissions.
The facility failed to accurately code the MDS for several residents, affecting the reflection of their current status and needs. A resident's feeding tube was not identified, and another's weight was inaccurately recorded. Additionally, the MDS did not reflect the administration of various medications for multiple residents, as confirmed by an administrative staff member.
The facility did not update comprehensive care plans for several residents, affecting communication and care continuity. A resident's care plan lacked enhanced barrier precautions for a feeding tube, while another's did not include a new fall intervention. Two residents' care plans missed enhanced barrier precautions despite isolation signage. A resident with renal disease had a vague care plan not addressing dialysis-related nutrition, and another's plan did not reflect precautions for an indwelling catheter.
A facility failed to provide a resident or their representative with a written notice of transfer to the hospital, as required for informed decision-making. This deficiency was identified during a review of the resident's medical records, which lacked evidence of the notice. An administrative staff member confirmed the oversight.
The facility failed to follow professional standards and physician's orders for two residents. A nurse did not prime an insulin pen correctly, risking inaccurate dosing. One resident did not receive prescribed ROM exercises, and their oxygen equipment was not changed as ordered. Another resident's abnormal blood glucose levels were not reported to the physician. These deficiencies were confirmed through staff interviews and record reviews.
The facility failed to ensure proper documentation and evaluation of psychotropic medication use for two residents. One resident received alprazolam without a valid order, and the need for continued use was not evaluated after 14 days. Another resident on Seroquel did not receive a timely tardive dyskinesia assessment, as required. These deficiencies were confirmed by an administrative nurse during the survey.
The facility did not ensure the secure storage of medications, as two unlocked and unattended carts were observed. Facility policy requires medications to be stored in locked compartments and carts not to be left unattended if open. An administrative nurse confirmed the expectation for staff to lock medication carts and secure medications when not in use.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to adhere to infection control standards for several residents, leading to a deficiency in infection prevention and control. During the survey, it was observed that a certified nurse aide (CNA) did not properly doff an N95 mask after exiting the room of a COVID-positive resident and before entering the rooms of COVID-negative residents. This action had the potential to spread infection throughout the facility. Additionally, the CNA was seen carrying a trash bag from a COVID-positive resident's room without removing the gown, N95 mask, and face shield, which violated the facility's policy on droplet/contact precautions. Further observations revealed that staff did not follow enhanced barrier precautions (EBP) for residents requiring such measures. For instance, a resident with a feeding tube did not have appropriate signage indicating the need for EBP, and staff failed to don gowns or gloves when transferring the resident from a wheelchair to a bed. This oversight in implementing EBP could contribute to the transmission of multi-drug resistant organisms (MDROs) within the facility. Another incident involved a nurse who did not clean a plastic container used for wound care before removing it from a resident's room and placing it back in the treatment cart. This failure to disinfect supplies before exiting a resident's room with EBP further exemplifies the facility's lapses in maintaining proper infection control practices. These deficiencies highlight the need for strict adherence to infection control protocols to prevent the spread of infections among residents, staff, and visitors.
Removal Plan
- Review Infection Control, Isolation and personal protective equipment (PPE) policies.
- Post signs demonstrating proper donning and doffing of PPE on all doors of COVID positive resident rooms.
- Educate all staff on proper application of gowns, masks (including N95), gloves, when to perform hand hygiene, and PPE guidelines for donning and doffing for COVID positive residents and residents in isolation.
Dietary Manager Lacks Required Qualifications
Penalty
Summary
The facility failed to ensure that the dietary manager possessed the necessary qualifications to serve as the director of food and nutrition services. During an interview, an administrative manager confirmed that the dietary manager lacked the required training for the position. Specifically, the dietary manager had not completed the education necessary for certification as a dietary manager, certified food service manager, or obtained national certification for food service management and safety from a recognized certifying body. This deficiency has the potential to result in foodborne illness affecting residents, staff, and visitors.
Failure to Timely Submit MDS Assessments
Penalty
Summary
The facility failed to ensure timely electronic data submission of required Minimum Data Set (MDS) assessments for several residents, as identified during a survey. Specifically, the facility did not meet the regulatory requirements for timely submission of MDS assessments for three sampled residents and one supplemental resident. The Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual specifies that MDS data must be transmitted electronically no later than 14 calendar days after the MDS completion date. However, the facility did not adhere to these guidelines, resulting in late submissions. For Resident #4, a quarterly MDS was completed 30 days late. Resident #5's quarterly MDS was transmitted 44 days late. Resident #20 had multiple late submissions, including a discharge return anticipated MDS completed 51 days late, an entry tracking MDS transmitted 61 days late, and a quarterly MDS completed 31 days late. Additionally, Resident #75's quarterly MDSs were not submitted within the required timeframe. A facility nurse confirmed the failure to submit MDSs in a timely manner during a phone interview.
Inaccurate MDS Coding for Residents
Penalty
Summary
The facility failed to ensure accurate coding of the Minimum Data Set (MDS) for five residents, which affected the reflection of their current status and needs. For Resident #1, the MDS was incorrectly coded by not identifying the presence of a feeding tube, despite a physician's order for Jevity 1.5 cal via PEG tube. Resident #18's MDS inaccurately recorded their weight as 155 pounds instead of the actual 167 pounds. These inaccuracies in the MDS could potentially impact the development of a comprehensive care plan for these residents. Additionally, the facility failed to accurately document medication administration in the MDS for several residents. Resident #13's MDS did not reflect the administration of clindamycin, tramadol, aspirin, and insulin, all of which were recorded in the medication administration record (MAR). Similarly, Resident #16's MDS failed to document the administration of azithromycin, and Resident #18's MDS did not include the administration of bumetanide. Resident #20's MDS omitted the administration of quetiapine and amoxicillin. These omissions were confirmed by an administrative staff member during the survey.
Failure to Update Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to review and revise the comprehensive care plans for seven out of twelve sampled residents, which limited staff's ability to communicate needs and ensure continuity of care. For Resident #1, the care plan did not include enhanced barrier precautions despite the resident having a feeding tube, as observed when a medication aide donned a gown and gloves for these precautions. Resident #5's care plan was not updated to include a new fall intervention, even though a progress note indicated fall precautions were in place. Similarly, Resident #7's care plan lacked documentation of the use of a pommel cushion, which was observed during the survey. Additionally, the care plans for Residents #9 and #10 did not reflect the need for enhanced barrier precautions, as indicated by the presence of isolation carts and signage outside their rooms. Resident #18's care plan was vague and did not address dialysis-related nutrition, despite the resident's high nutrition risk due to end-stage renal disease and type 2 diabetes. Lastly, Resident #20's care plan failed to include enhanced barrier precautions, even though the resident required an indwelling urinary catheter. An administrative staff member confirmed the expectation for these precautions to be documented in the care plans.
Failure to Provide Written Transfer Notice
Penalty
Summary
The facility failed to provide a written notice of transfer to a resident or their representative, which is a requirement for ensuring informed decision-making regarding transfer rights. This deficiency was identified during a review of the medical records of a resident who was transferred to the hospital. The review, conducted over several days, revealed that the medical record did not contain evidence of a written transfer notice for the hospital transfer that occurred on June 28, 2024. An administrative staff member confirmed during an interview that the facility did not complete the required Notice of Transfer for the hospitalization of the resident.
Failure to Follow Professional Standards and Physician's Orders
Penalty
Summary
The facility failed to adhere to professional standards of practice in the administration of insulin for a resident. During an observation, a nurse did not follow the manufacturer's guidelines for priming an insulin pen, which required holding the pen with the needle pointing up. Instead, the nurse primed the pen in a horizontal position, potentially leading to an inaccurate insulin dose. This was confirmed by an administrative nurse during an interview. Additionally, the facility did not follow physician's orders for two residents. One resident, who had cerebral palsy and was dependent on supplemental oxygen, did not receive prescribed range of motion exercises regularly, and their oxygen and nebulizer tubing were not changed as ordered. Furthermore, a tardive dyskinesia assessment was not completed as required. Another resident with Type 2 Diabetes Mellitus had several instances of blood glucose levels outside the specified parameters, yet the facility failed to notify the physician as ordered. These deficiencies were confirmed through staff interviews and record reviews.
Failure to Monitor and Document Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure residents remained free from unnecessary psychotropic medications, specifically for two residents reviewed for psychotropic medication use. For one resident, the facility did not properly document or evaluate the need for continued use of alprazolam, a medication for anxiety. The resident received alprazolam without a valid order, as the medication was discontinued previously, and no new order was documented. Additionally, the facility did not have the physician or prescriber evaluate the resident's need to extend the medication beyond the initial 14 days, as required by the facility's policy. Another resident was prescribed Seroquel, an antipsychotic medication, with a requirement for a tardive dyskinesia (TD) assessment every six months. The facility failed to complete the TD assessment as scheduled, leaving it incomplete and not conducting another assessment within the required timeframe. This oversight was confirmed by an administrative nurse during the survey, indicating a lapse in monitoring and documentation for residents on psychotropic medications.
Failure to Securely Store Medications
Penalty
Summary
The facility failed to ensure the safe and secure storage of medications, as evidenced by two unlocked and unattended carts observed during a survey. The facility's policy on medication labeling and storage mandates that all medications be stored in locked compartments and that carts used to transport medications should not be left unattended if open or accessible to others. However, during an observation, a medication cart with medications on top and a treatment cart were found unlocked and unattended in the 200-hallway. An administrative nurse confirmed that staff are expected to lock the medication cart and keep all medications secured when not in use or when the nurse or medication aide is not within sight or accessing them.
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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 Rolette
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dunseith Com Nursing Home | 14.1 mi | — | 3 | 0 |
| Heart Of America Care Center | 22.2 mi | — | 0 | 0 |
| Good Samaritan Society - Bottineau | 28.9 mi | — | 15 | 0 |
| Towner County Living Ctr | 31.3 mi | — | 8 | 0 |
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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.