Sheyenne Crossings Care Center/Tcu
125 13th Avenue West, West Fargo, ND 58078 · Cass County · 64 certified beds · avg 59 residents/day · certified since Mar 25, 2010
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 (8)
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 |
|---|---|---|
| Feb 25, 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. |
| Dec 18, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Dec 18, 2024 | E · Potential for harm, repeated | 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 |
| Dec 18, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint |
| Dec 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. · from a complaint |
| May 2, 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 |
| Nov 16, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 5 | 0 | E |
| 2026 | 1 | 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) | 5.42 | 5.15 | 3.95 | top 40% in North Dakota; top 8% in the U.S. |
| Registered Nurse hours | 0.93 | 1.09 | 0.69 | bottom 33% in North Dakota; top 19% in the U.S. |
| Weekend total nurse staffing | 5.01 | 4.43 | 3.50 | top 20% in North Dakota; top 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.59 | 0.48 | bottom 23% in North Dakota; top 44% in the U.S. |
| Total nursing staff turnover (%) | 33.0 | 48.8 | 45.8 | top 15% in North Dakota; top 20% in the U.S. |
| RN turnover (%) | 42.9 | 40.3 | 42.9 | bottom 42% in North Dakota; bottom 49% 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 4.72, RN 0.81, weekend 4.36. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Eventide | Organization | 5% or Greater Direct Ownership Interest | — | 11/18/2009 |
| Blue Stone Therapy INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2020 |
| Bock, Jodee | Individual | Corporate Director | NOT APPLICABLE | 08/03/2023 |
| Brandt, Terry | Individual | Corporate Director | NOT APPLICABLE | 08/03/2023 |
| Brasel, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/28/2018 |
| Bye, Robert | Individual | Corporate Officer | NOT APPLICABLE | 08/03/2023 |
| Dahl-Wagner, Maegan | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/10/2024 |
| Fischbach, Tyler | Individual | Corporate Director | NOT APPLICABLE | 08/03/2023 |
| Gulbranson, Patrick | Individual | Corporate Director | NOT APPLICABLE | 08/03/2023 |
| Heppner, Alexandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/25/2023 |
| Johnson, Vikki | Individual | Corporate Director | NOT APPLICABLE | 08/03/2023 |
| Johnson, Vikki | Individual | Corporate Officer | NOT APPLICABLE | 08/03/2023 |
| Johnsrud, Jackson | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/17/2024 |
| Johnsrud, Jackson | Individual | ADP of the SNF | NOT APPLICABLE | 03/21/2025 |
| Larson-Casselton, Cindy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Lee, Judith | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Lunak, Brandon | Individual | Corporate Director | NOT APPLICABLE | 08/03/2023 |
| Lunak, Brandon | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2026 |
| Ohe, Darin | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/07/2019 |
| Rahman, Cassidy | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/28/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "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?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "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)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Eventide Fargo | 1.5 mi | Fargo, ND | ★★★☆☆ | 3/5 | |
| The Meadows on University | 4.8 mi | Fargo, ND | ★☆☆☆☆ | 1/5 | |
| SMP Health - St Catherine South | 4.8 mi | Fargo, ND | ★★★★☆ | 5/5 | |
| Bethany on University | 4.9 mi | Fargo, ND | ★★★★★ | 4/5 | |
| Fargo Elim Health Care Center | 5.2 mi | Fargo, ND | ★★★☆☆ | 2/5 | |
| SMP Health - St Catherine North | 5.8 mi | Fargo, ND | ★★★★☆ | 3/5 | |
| Bethany on 42nd | 6.1 mi | Fargo, ND | ★★★★★ | 5/5 | |
| Eventide Lutheran Home | 6.2 mi | Moorhead, MN | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 355124.