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Nursing HomeMedicaid Investigative

Rolette Community Care Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

804 State Street, Rolette, ND 5836631 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Rolette Community Care Center Nursing Home in Rolette, ND — Street View
Street View

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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (11 vs median 4.0)
  • High RN turnover (57%)

Bottom 25% in ND · Meets national RN staffing standard · $42,817 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. The facility has 11 deficiencies, which is above the state average. This facility is on Medicare Special Focus status, indicating a pattern of serious quality issues. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.07hrs
OK
Registered nurses for medical care
Total Nursing
3.81hrs
93%
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 14 measures

Medicare Rating
1/ 5
Better Than Avg

5

measures

Worse Than Avg

8

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility31.0%
Worse than Avg
Here
31.0%
US
15.4%
ND
22.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility27.6%
Worse than Avg
Here
27.6%
US
14.4%
ND
20.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
US
12.1%
ND
4.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility16.9%
Better than Avg
Here
16.9%
US
19.4%
ND
25.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility92.8%
Worse than Avg
Here
92.8%
US
93.4%
ND
98.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.5%
Worse than Avg
Here
20.5%
US
15.3%
ND
18.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
3penalties
Well above state avg (5.4)
19 complaint-triggered
$42,817 in fines

This facility has faced significant concerns with 19 of 36 deficiencies stemming from family complaints across three surveys. Recurring problems include care planning and resident assessments, medication management, and food safety and nutrition services. While the facility has corrected all cited issues, the pattern of repeated deficiencies in core care areas and the high volume of complaint-driven investigations suggest ongoing quality challenges that warrant careful consideration.

Dec 4, 2025Complaint
10
0689SevereCorrected

Quality of Life and Care Deficiencies

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

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0837ModerateCorrected

Administration Deficiencies

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.

0868ModerateCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0688MinorCorrected

Quality of Life and Care Deficiencies

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.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0808MinorCorrected

Nutrition and Dietary Deficiencies

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 4, 2025Routine
1
0554MinorCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

Sep 19, 2024Complaint
9
0880SevereCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0801ModerateCorrected

Nutrition and Dietary Deficiencies

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.

0640ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657ModerateCorrected

Resident Assessment and Care Planning Deficiencies

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

0623MinorCorrected

Resident Rights Deficiencies

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

0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0758MinorCorrected

Pharmacy Service Deficiencies

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.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

Aug 23, 2023Routine
16
0657ModerateCorrected

Resident Assessment and Care Planning Deficiencies

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

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0550MinorCorrected

Resident Rights Deficiencies

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

0578MinorCorrected

Resident Rights Deficiencies

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.

0623MinorCorrected

Resident Rights Deficiencies

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

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0676MinorCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0679MinorCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689MinorCorrected

Quality of Life and Care Deficiencies

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

0698MinorCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0757MinorCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Dec 4, 2025

$58,375

Payment Denial

Dec 4, 2025

4-day denial

Fine

Sep 19, 2024

$31,642

Ownership & Operations

Who Operates This Facility

Owner / Operator

Rolette Community Care Center

Organization Type

nonprofit

Ownership & Management

Key personnel

Morrow, KathyW-2 Managing EmployeeHill, GaryOfficer / DirectorMattson, CliffOfficer / DirectorMorrow, KathyOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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