Rolette Community Care Center

804 State Street · Rolette, ND · 58366 · 7012463786

31 certified beds Non profit - Corporation

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $90,017 in fines in the last 24 months.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

$90,017 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 20
Serious harm & abuse 20% 64
Staffing 20% 70
Federal penalties 15% 30
Trend 10% 55
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.523.48 min · 4.1 strong
RN hours / resident-day0.750.55–0.75
Weekend hours / resident-day3.08≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)2 · $90,017

Inspection citations (36 in the current record)

  • Immediate jeopardy · K December 4, 2025 · found via complaint

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

    Corrected December 31, 2025 · Quality of Life and Care

  • Potential for harm · D December 4, 2025

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

    Corrected January 26, 2026 · Resident Rights

  • Potential for harm · D December 4, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected December 31, 2025 · Resident Rights

  • Potential for harm · D December 4, 2025 · found via complaint

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

    Corrected December 31, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 4, 2025 · found via complaint

    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.

    Corrected December 31, 2025 · Quality of Life and Care

  • Potential for harm · D December 4, 2025 · found via complaint

    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.

    Corrected December 31, 2025 · Pharmacy Service

  • Potential for harm · D December 4, 2025 · found via complaint

    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.

    Corrected December 31, 2025 · Nutrition and Dietary

  • Potential for harm · E December 4, 2025 · found via complaint

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

    Corrected December 31, 2025 · Nutrition and Dietary

  • Potential for harm · E December 4, 2025 · found via complaint

    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.

    Corrected January 8, 2026 · Administration

  • Potential for harm · E December 4, 2025 · found via complaint

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

    Corrected December 31, 2025 · Administration

  • Potential for harm · D December 4, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 26, 2026 · Infection Control

  • Immediate jeopardy · K September 19, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected October 16, 2024 · Infection Control

  • Potential for harm · D September 19, 2024 · found via complaint

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

    Corrected October 16, 2024 · Resident Rights

  • Potential for harm · E September 19, 2024 · found via complaint

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

    Corrected December 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E September 19, 2024 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected December 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E September 19, 2024 · found via complaint

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

    Corrected October 22, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 19, 2024 · found via complaint

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

    Corrected December 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 19, 2024 · found via complaint

    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.

    Corrected October 16, 2024 · Pharmacy Service

  • Potential for harm · D September 19, 2024 · found via complaint

    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.

    Corrected October 16, 2024 · Pharmacy Service

  • Potential for harm · F September 19, 2024 · found via complaint

    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.

    Corrected October 23, 2024 · Nutrition and Dietary

  • Potential for harm · D August 23, 2023

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

    Corrected September 27, 2023 · Resident Rights

  • Potential for harm · D August 23, 2023

    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.

    Corrected September 27, 2023 · Resident Rights

  • Potential for harm · D August 23, 2023

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

    Corrected September 27, 2023 · Resident Rights

  • Potential for harm · D August 23, 2023

    Ensure each resident receives an accurate assessment.

    Corrected September 27, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 23, 2023

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

    Corrected September 27, 2023 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 4, 2025Fine$58,375
December 4, 2025Payment Denial4 days
September 19, 2024Fine$31,642

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 355081 · certified since October 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.