EVENTIDE JAMESTOWN

1300 2ND PL NE
JAMESTOWN, ND, 58401
7012525881
CCN: 355078
3
Overall
3
Health
3
Staffing
2
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
EVENTIDE5% OR GREATER DIRECT OWNERSHIP INTEREST100%
BYE, ROBERTCORPORATE DIRECTORNOT APPLICABLE
SELJEVOLD, PETERCORPORATE DIRECTORNOT APPLICABLE
JOHNSON, VIKKICORPORATE DIRECTORNOT APPLICABLE
HVIDSTON, LUKECORPORATE DIRECTORNOT APPLICABLE
GULBRANSON, PATRICKCORPORATE DIRECTORNOT APPLICABLE
RIEWER, JONCORPORATE OFFICERNOT APPLICABLE
HVIDSTON, LUKECORPORATE OFFICERNOT APPLICABLE
JOHNSON, VIKKICORPORATE OFFICERNOT APPLICABLE
WENTLAND, ASHLEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NEITZKE, BRIANNAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HETLETVEDT, KATRINAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GUTHMILLER, WAYNEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FITZGERALD, MATTHEWOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BRICKNER, DEREKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BLUE STONE THERAPY INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
OHE, DARINOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WASS, JERILYNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2023-03-22Fine$9K
Health Deficiencies (16)
2025-08-26 · Health
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2024-04-04 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2023-03-22 · Health
J
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
F678 · 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.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2021-11-03 · Health
D
F849 · Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F
F838 · Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
D
F758 · 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.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.29
3.68
RN Hrs/Resident/Day
0.60
0.54
LPN Hrs/Resident/Day
0.42
0.81
CNA Hrs/Resident/Day
3.27
2.33
PT Hrs/Resident/Day
0.07
0.12
Data as of 2026-03-01