Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wishek Living Center during CMS and state inspections, most recent first.
Unqualified Dietary Manager: The facility failed to ensure the dietary manager serving as the director of food and nutrition services had the required credentials. The dietary manager stated she had not completed the certified dietary manager course, and staff confirmed she was hired before being enrolled in the required coursework.
Kitchen Food Storage, Labeling, and Sanitation Deficiencies: Surveyors observed multiple food handling and sanitation issues, including unlabeled squeeze bottles, unreadable or missing labels on food items, expired parmesan cheese, an opened unsealed bag of chicken strips, and spills and debris in storage areas. In the dining room, fans had visible dust buildup, and a dietary aide served a peeled banana to a resident using bare hands.
Failure to provide written bed-hold notice: The facility did not show that residents or their representatives received the required bed-hold information or gave a bed-hold decision for multiple residents with hospital transfers. Record review found missing evidence of written notice and decision documentation, while an administrative nurse stated the facility contacts the representative by phone and mails the notice of transfer form and bed hold policy.
A resident with a known fish allergy was served fish during lunch, resulting in an anaphylactic reaction and hospitalization. Despite the allergy being documented in the care plan and diet card, kitchen staff failed to read and follow the allergy information, leading to the incident.
Unqualified Dietary Manager
Penalty
Summary
The facility failed to ensure that the dietary manager hired to serve as the director of food and nutrition services had the required qualifications. During an interview, the dietary manager stated that she had not completed the certified dietary manager course. An administrative staff member confirmed that the facility hired the dietary manager on 12/01/25 and did not enroll her in the certified dietary manager courses until 06/02/26. The report states that the facility failed to ensure the dietary manager completed the required education for a certified dietary manager, certified food service manager, or a national certification for food service management and safety from a national certifying body.
Kitchen Food Storage, Labeling, and Sanitation Deficiencies
Penalty
Summary
The facility failed to ensure proper storage, labeling, and service of food items in the kitchen. Review of the facility policy and the FDA Food Code showed requirements for protecting food from contamination, identifying food removed from original packages, dating refrigerated ready-to-eat time/temperature control for safety food, and keeping physical facilities clean. During observation of the kitchen, surveyors found dried spills and splatters on the floor, food debris and crumbs in the dry storage area, eight unlabeled squeeze bottles containing an unidentified liquid in the walk-in cooler, four clear squeeze bottle dispensers, a labeled thousand island dressing container dated 4/14/26, and a clear plastic bag of lettuce and a bag of shredded cheese with an unreadable label. The walk-in freezer contained an opened, unsealed bag of chicken strips and a large brown splattered substance on the floor. Additional observations showed two 16-ounce containers of dry grated parmesan cheese in the walk-in cooler with a use-by date of 12/20/25. In the residents' dining room, a table fan had clumps of dust on the grates and a pedestal fan had a thick dark coating of dust and dirt along the edges of the blades. A dietary aide peeled a banana, removed it from the peeling with bare hands, placed it on the plate, and served it to a resident. A dietary staff member stated she expected staff to label and date all food items, wear gloves per food handling standards, discard items by the use-by date, and maintain a clean, sanitary kitchen.
Failure to Provide Written Bed-Hold Notice
Penalty
Summary
The facility failed to show that residents or their representatives received a written bed-hold notice and provided a bed-hold decision for 4 of 4 sampled residents and 1 closed record reviewed for hospital transfers. Review of the facility’s Bed Hold Policy and Procedure showed that two copies of the bed-hold policy were to be presented to the resident and/or resident representative, one at admission and another each time the resident was admitted to a hospital, and that the resident or representative was to immediately notify the facility of the bed-hold decision. Record review showed that Resident #1 had hospital transfers on 02/06/26, 02/08/26, and 04/06/26; Resident #2 had a hospital transfer on 05/17/26; Resident #3 had hospitalizations on 03/25/26, 04/10/26, 04/17/26, and 05/24/26; Resident #23 had a hospital transfer on 03/30/26; and Resident #37 had a hospitalization on 03/29/26. For each of these residents, the medical record lacked evidence that the facility provided a written bed-hold notice and obtained the resident’s or representative’s decision. During interview, an administrative nurse stated the facility contacts the resident’s representative by phone, writes the representative’s name and date on the notice of transfer form, and places it and the bed hold policy in the mail.
Failure to Accommodate Resident Allergy Leads to Hospitalization
Penalty
Summary
The facility failed to ensure that food served to a resident accommodated their known allergies, resulting in the resident being hospitalized for an allergic reaction. The resident, who had a documented allergy to fish, was served fish during lunch, leading to an anaphylactic reaction. The resident's medical record indicated a diagnosis of dementia and an allergy to fish upon admission, with the care plan and diet card both noting the fish allergy. Despite these precautions, the kitchen staff did not read or follow the allergy information on the diet card, which led to the resident consuming fish. On the day of the incident, a nurse found the resident in the dining room with symptoms of an allergic reaction, including pale/grey skin color, slow response, and low blood pressure. The resident's condition worsened, leading to loss of consciousness and the need for emergency medical intervention. The resident was transferred to the hospital and treated for an anaphylactic reaction. The facility's investigation confirmed that the kitchen staff failed to read and adhere to the allergy information on the diet card, which was the cause of the incident.
Removal Plan
- The facility completed an investigation with interviews of staff that determined the cause of the incident. Kitchen staff failed to read and follow allergy noted on diet card. Resident #1 was served fish during lunch.
- Provided immediate dietary staff education regarding importance of reading diet cards every time. You must be reviewing these for every meal. When serving, the person reading cards must announce the resident, the diet, and any allergies or dislike pertaining to that day's meal. Additional dietary staff education completed regarding changing the format of the diet cards and placing the allergies in red lettering.
- Implemented the use of newly formatted resident diet cards with allergies noted in red lettering.
- Provided education via written information e-mailed to all staff regarding newly formatted resident diet cards with allergies noted in red lettering. The education included the process for breakfast, lunch, supper, and room tray delivery.
- Dietary staff educated and received hard copy of newly formatted resident diet card and process for serving food.
- Random audits completed by dietary supervisor to ensure the new process is followed.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Wishek
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ashley Medical Center Nursing Home | 17.4 mi | ★★★★★ | 0 | 0 |
| Wentz Living Center | 19.5 mi | ★★★★★ | 1 | 0 |
| Strasburg Nursing Home | 29.8 mi | ★★★★★ | 6 | 0 |
| Avera Eureka Health Care Center | 33.8 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.