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Special Focus Facility candidate

Medicare lists this nursing home as a candidate for its Special Focus Facility program, for nursing homes with a history of serious quality problems.

Nursing home

Rolette Community Care Center

Rolette, North Dakota · Rolette County

  • 804 State Street, Rolette, ND 58366 · Directions
  • (701) 246‑3786
  • Medicare overall rating: 1 of 5 starsMedicare overall rating
  • Ownership: Non-profit – corporation
  • 36 health citations in its last 3 inspection cycles (most serious: level K), $44,902 in fines. See the inspection record

Summary

Rolette Community Care Center is a Medicare-certified nursing home in Rolette, North Dakota, with 31 certified beds. Medicare overall rating: 1 of 5 stars. Most recent standard health inspection: 2025-12-04, with 11 health deficiencies. Medicare lists 2 fines. Ownership: non-profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 1 of 5 starsMedicare overall rating
31Certified beds
Health inspections: 1 of 5 starsHealth inspections

Quick answers

Where is Rolette Community Care Center?
804 State Street, Rolette, ND 58366, in Rolette County, North Dakota.
What is the phone number of Rolette Community Care Center?
(701) 246-3786, as listed by Medicare (CMS).
What is the Medicare star rating of Rolette Community Care Center?
Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
Has Rolette Community Care Center been fined?
Medicare lists 2 fines totaling $44,902 and 1 payment denial.
What did inspectors find at Rolette Community Care Center?
In its last three inspection cycles (August 23, 2023 to December 4, 2025), Medicare lists 36 health citations; the most serious was level K. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 1 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 1 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 1 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 1 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Not rated
Quality rating for people who stay a short time, usually to recover after a hospital stay. Medicare (CMS) does not show this rating for this provider. This happens, for example, when a provider is new or has too few patients or survey answers.
Long-stay residents
Long-stay residents: 1 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (August 23, 2023 to December 4, 2025), Rolette Community Care Center had 36 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $44,902 in total (2 fines, the latest on December 4, 2025) and had 1 Medicare payment denial. Nurse staffing is 4.18 hours per resident per day; the North Dakota average is 4.47 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: December 4, 2025 — 11 health citations

Inspections in this cycle: December 4, 2025 (complaint investigation); December 4, 2025 (standard health inspection).

  • F0689 Level K December 4, 2025 · from a complaint · corrected December 31, 2025

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

    immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies

Show 10 less serious citations (levels A to F)
  • F0812 Level E December 4, 2025 · from a complaint · corrected December 31, 2025

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

  • F0837 Level E December 4, 2025 · from a complaint · corrected January 8, 2026

    “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.”

  • F0868 Level E December 4, 2025 · from a complaint · corrected December 31, 2025

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

  • F0554 Level D December 4, 2025 · corrected January 26, 2026

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

  • F0583 Level D December 4, 2025 · from a complaint · corrected December 31, 2025

    “Keep residents' personal and medical records private and confidential.”

  • F0658 Level D December 4, 2025 · from a complaint · corrected December 31, 2025

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

  • F0688 Level D December 4, 2025 · from a complaint · corrected December 31, 2025

    “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.”

  • F0761 Level D December 4, 2025 · from a complaint · corrected December 31, 2025

    “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.”

  • F0808 Level D December 4, 2025 · from a complaint · corrected December 31, 2025

    “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.”

  • F0880 Level D December 4, 2025 · from a complaint · corrected January 26, 2026

    “Provide and implement an infection prevention and control program.”

Previous cycle: September 19, 2024 — 9 health citations

Inspections in this cycle: September 19, 2024 (standard health inspection).

  • F0880 Level K September 19, 2024 · from a complaint · corrected October 16, 2024

    “Provide and implement an infection prevention and control program.”

    immediate jeopardy to resident health or safety; pattern (some residents) · Infection Control Deficiencies

Show 8 less serious citations (levels A to F)
  • F0801 Level F September 19, 2024 · from a complaint · corrected October 23, 2024

    “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.”

  • F0640 Level E September 19, 2024 · from a complaint · corrected December 16, 2024

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

  • F0641 Level E September 19, 2024 · from a complaint · corrected December 16, 2024

    “Ensure each resident receives an accurate assessment.”

  • F0657 Level E September 19, 2024 · from a complaint · corrected October 22, 2024

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

  • F0623 Level D September 19, 2024 · from a complaint · corrected October 16, 2024

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

  • F0658 Level D September 19, 2024 · from a complaint · corrected December 16, 2024

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

  • F0758 Level D September 19, 2024 · from a complaint · corrected October 16, 2024

    “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.”

  • F0761 Level D September 19, 2024 · from a complaint · corrected October 16, 2024

    “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.”

Earlier cycle: August 23, 2023 — 16 health citations

Inspections in this cycle: August 23, 2023 (standard health inspection); September 19, 2024 (complaint investigation).

Show 16 citations (levels A to F, no actual harm)
  • F0657 Level E August 23, 2023 · corrected September 27, 2023

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

  • F0812 Level E August 23, 2023 · corrected September 27, 2023

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

  • F0550 Level D August 23, 2023 · corrected September 27, 2023

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

  • F0578 Level D August 23, 2023 · corrected September 27, 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.”

  • F0623 Level D August 23, 2023 · corrected September 27, 2023

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

  • F0641 Level D August 23, 2023 · corrected September 27, 2023

    “Ensure each resident receives an accurate assessment.”

  • F0644 Level D August 23, 2023 · corrected September 27, 2023

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

  • F0656 Level D August 23, 2023 · corrected September 27, 2023

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

  • F0676 Level D August 23, 2023 · corrected September 27, 2023

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

  • F0679 Level D August 23, 2023 · corrected September 27, 2023

    “Provide activities to meet all resident's needs.”

  • F0684 Level D August 23, 2023 · corrected September 27, 2023

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

  • F0686 Level D August 23, 2023 · corrected September 27, 2023

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

  • F0689 Level D August 23, 2023 · corrected September 27, 2023

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

  • F0698 Level D August 23, 2023 · corrected September 27, 2023

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

  • F0757 Level D August 23, 2023 · corrected September 27, 2023

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

  • F0880 Level D August 23, 2023 · corrected September 27, 2023

    “Provide and implement an infection prevention and control program.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fines and payment denials

Total fines over about the last three years: $44,902 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
December 4, 2025Fine$13,260
December 4, 2025Payment denialfrom January 22, 2026, 4 days
September 19, 2024Fine$31,642

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeNorth DakotaNational
Registered nurse (RN) hours per resident per day0.750.930.69
Licensed practical nurse (LPN) hours per resident per day0.870.500.86
Nurse aide hours per resident per day2.563.042.35
Total nurse staff hours per resident per day4.184.473.90
Total nurse staff hours per resident per day on the weekend3.623.803.43
RN hours per resident per day on the weekend0.530.600.48
Nursing staff turnover (per year)55.6%47.5%45.3%
RN turnover (per year)71.4%38.7%42.5%
Administrators who left in the last year0.00.20.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds31
Average residents per day19.2
Takes part inMedicare and Medicaid
OwnershipNon-profit – corporation
Legal business nameRolette Community Care Center Inc
First approved by Medicare/Medicaid1978-10-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address804 State Street, Rolette, ND 58366
CountyRolette County
StateNorth Dakota
Phone(701) 246‑3786
CMS Certification Number355081
Name in Medicare recordsROLETTE COMMUNITY CARE CENTER
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13