01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-06-03 | 3 | 2026-06-03 | 0 |
| Cycle 2 | 2025-03-12 | 6 | 2025-03-12 | 2 |
| Cycle 3 | 2024-02-05 | 6 | 2024-02-05 | 1 |
CMS CCN 3550342026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Tioga Medical Center Ltc
810 N Welo St · Tioga, ND 58852 · Williams County
Certified beds30CMS provider file
Recent citation rows18current CMS citation release
Penalty rows1current 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
18 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-03 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-06-302026-06-03 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-06-302026-06-03 · 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 · 2026-06-302025-03-12 · HEALTHF0641Severity E · pattern; 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 · 2025-04-112025-03-12 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-03-12 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-03-12 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-03-12 · 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 · 2025-04-112025-03-12 · FIREK0712Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-04-082025-03-12 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2025-04-012025-02-11 · HEALTHF0600Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-03-07 · complaint2024-02-05 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-03-112024-02-05 · 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 · 2024-03-112024-02-05 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2024-03-112024-02-05 · 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 · 2024-03-112024-02-05 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-03-112024-02-05 · 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 · 2024-03-112024-02-05 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-02-2803 / 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 |
|---|---|---|---|
| 2025-02-11 | Fine | $11,408 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BRYANT, HOLLYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/21/2023
- ERAAS, JAMIEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/27/2023
- BECKER, JEREMYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/18/2019
- BOOTH, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/20/2013
- GERMUNDSON, NATHANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/16/2020
- JOYCE, PATRICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/20/2023
- KUEHN, KRISTOPHERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/20/2023
- LENZEN, WENDYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/20/2023
- ODEGAARD, BRODIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/20/2017
- OLSON, LEEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/20/2017
- WISTHOFF, SETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/18/2019
- BRYANT, HOLLYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/21/2023
- ERAAS, JAMIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/27/2023
- TIOGA MEDICAL CENTEROrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/1978
- BRYANT, HOLLYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/21/2023
- ERAAS, JAMIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/27/2023
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 hours5.95per resident day
RN hours0.96per resident day
Weekend nurse hours5.27per resident day
Staff turnover65.5%CMS reported field
06 / LOCAL RECORDS
Open the North Dakota ledger →Other published facilities nearby
No second facility in the same city met the directory rule.