01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-21 | 8 | 2025-05-21 | 0 |
| Cycle 2 | 2024-04-04 | 2 | 2024-04-04 | 0 |
| Cycle 3 | 2023-03-22 | 6 | 2023-03-22 | 1 |
CMS CCN 3550782026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Eventide Jamestown
1300 2Nd Pl Ne · Jamestown, ND 58401 · Stutsman County
Certified beds79CMS provider file
Recent citation rows17current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
17 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-26 · HEALTHF0558Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-09-25 · complaint2025-08-26 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-09-25 · complaint2025-05-21 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-05-21 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-05-21 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-05-21 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-05-21 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-05-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-06-202024-04-04 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-05-032024-04-04 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-05-012023-03-22 · FIREE0009Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Correction field: Deficient, Provider has date of correction · 2023-04-262023-03-22 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2023-04-192023-03-22 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2023-04-192023-03-22 · HEALTHF0678Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Past Non-Compliance · 2023-02-232023-03-22 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-04-192023-03-22 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Past Non-Compliance · 2023-02-012023-03-22 · HEALTHF0880Severity J · isolated immediate jeopardy
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-04-1903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- EVENTIDEOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 05/28/2010
- BRANDT, TERRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2026
- BYE, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
- GULBRANSON, PATRICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2022
- JOHNSON, VIKKIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2022
- LUNAK, BRANDONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2026
- SELJEVOLD, PETERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/28/2010
- JOHNSON, VIKKIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2022
- LUNAK, BRANDONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2026
- RIEWER, JONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/28/2010
- BLUE STONE THERAPY INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2020
- BATY, TIFFANYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2026
- BRICKNER, DEREKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2024
- FITZGERALD, MATTHEWIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2024
- HILTNER, MARIAHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2026
- MILLER, KARENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/17/2026
- OHE, DARINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/18/2018
- SHAW, MIAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2026
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.16per resident day
RN hours0.60per resident day
Weekend nurse hours3.84per resident day
Staff turnover52.6%CMS reported field
06 / LOCAL RECORDS
Open the Jamestown ledger →