Eventide Heartland
620 14th Ave NE, Devils Lake, ND 58301 · Ramsey County · 78 certified beds · avg 72 residents/day · certified since Jul 1, 1978
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
5.27
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (23)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 20, 2026 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| May 20, 2026 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| May 20, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 20, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 20, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 20, 2026 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| May 20, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| May 20, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 9, 2026 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 9, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Apr 30, 2025 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 30, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 30, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 30, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 30, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 30, 2025 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Dec 4, 2024 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint |
| Dec 4, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 4, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 0 | D |
| 2025 | 6 | 0 | E |
| 2026 | 10 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.27 | 5.15 | 3.95 | top 43% in North Dakota; top 10% in the U.S. |
| Registered Nurse hours | 0.90 | 1.09 | 0.69 | bottom 30% in North Dakota; top 21% in the U.S. |
| Weekend total nurse staffing | 4.77 | 4.43 | 3.50 | top 30% in North Dakota; top 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.59 | 0.48 | bottom 21% in North Dakota; top 45% in the U.S. |
| Total nursing staff turnover (%) | 52.9 | 48.8 | 45.8 | bottom 37% in North Dakota; bottom 30% in the U.S. |
| RN turnover (%) | 37.5 | 40.3 | 42.9 | bottom 47% in North Dakota; top 42% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.28, RN 0.73, weekend 3.87. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Eventide | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2014 |
| Blue Stone Therapy INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2020 |
| Blue Stone Therapy INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/17/2025 |
| Brandt, Terry | Individual | Corporate Director | NOT APPLICABLE | 03/01/2026 |
| Bye, Robert | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
| Close, Michelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/11/2022 |
| Close, Michelle | Individual | ADP of the SNF | NOT APPLICABLE | 12/11/2022 |
| Eckes, Linda | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2020 |
| Eckes, Linda | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2020 |
| Gulbranson, Patrick | Individual | Corporate Director | NOT APPLICABLE | 08/03/2023 |
| Johnson, Vikki | Individual | Corporate Director | NOT APPLICABLE | 08/03/2023 |
| Johnson, Vikki | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Leigh Degenstein, Heather | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/25/2022 |
| Leigh Degenstein, Heather | Individual | ADP of the SNF | NOT APPLICABLE | 09/25/2022 |
| Lunak, Brandon | Individual | Corporate Director | NOT APPLICABLE | 03/01/2026 |
| Lunak, Brandon | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2026 |
| Ohe, Darin | Individual | Corporate Officer | NOT APPLICABLE | 01/07/2019 |
| Ohe, Darin | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/07/2019 |
| Ohe, Darin | Individual | ADP of the SNF | NOT APPLICABLE | 01/07/2019 |
| Riewer, Jon | Individual | Corporate Officer | NOT APPLICABLE | 07/25/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you explain health changes and treatment options to residents and their families?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
No other Medicare-certified nursing homes within 20 miles in the current records.
All facilities in Devils Lake →
Facility data as of CMS processing date 2026-08-01. CCN 355069.