Nursing home
Rolette Community Care Center
804 State Street, Rolette, ND 58366 · Map
Non profit - Corporation · 31 certified beds
Rolette Community Care Center is a Medicare-certified nursing home in Rolette, North Dakota. CMS rates it 1 out of 5 stars overall (4/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.81 hours per resident per day, below the North Dakota average of 4.41. Its most recent inspection on Dec 4, 2025 cited 11 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 2 fines totaling $42,817In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Rolette Community Care Center compares
This facility vs. the North Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.81 | 4.41 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 1.07 | 0.93 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.05 | 2.99 | 2.34 | below avg |
| Nursing staff turnover | 38.1% | 49.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 11.0 | 5.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the December 4, 2025 inspection was corrected by January 26, 2026
Penalties in CMS records: 2 fines totaling $42,817, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Rolette Community Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
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.
Administration Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 4, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Nutrition and Dietary Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Dec 4, 2025 · Full report (PDF) - Immediate jeopardy
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 19, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 804 State Street
Rolette, ND 58366 - CMS certification #
- 355081
- Ownership
- Non profit - Corporation
- Certified beds
- 31
- Avg residents/day
- 21.3
- Provider type
- Medicare and Medicaid
- First certified
- 1978-10-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Rolette Community Care Center using Google Maps.
Other public records
- Website says Transportation, 3 meals a day
Full public records, with dates and sources
Care and services
From the community’s website
What Rolette Community Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
These services can include friendly visiting, home-delivered meals, personal home care services, senior centers, transportation, financial counseling programs, etc.
(page, checked Oct 12, 2026) - 3 meals a day.
Three meals per day served in main dining or rehabilitative dining areas
(page, checked Oct 12, 2026) - Smoking only in designated areas.
There are designated smoking areas in the outdoor areas.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- P H S Indian Hosp At Belcourt-Quentin N Burdick, Belcourt. 12.4 miles away, straight line. CMS overall hospital rating: 3 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Dunseith Com Nursing Home, Dunseith. 14.1 miles away, straight line.
- Nearest home health agency office
- Tri Care Home Health, Inc., Rolla. 15.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Thrifty White Drug. 73.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 58366 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 58366.
Heart Of America Hospice, office in Rugby, 22.2 miles away, straight line - Nearest geriatric medicine practice
- Chess Medicine PLLC, Fargo. 186.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Rolette, ND, risk to homes is greater than 98% of communities in North Dakota and 88% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively low, wildfire relatively high, tornado relatively moderate, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Rolette Community Care Center a good nursing home?
CMS gives Rolette Community Care Center an overall rating of 1 out of 5 stars, including 4/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Rolette Community Care Center staffed?
Rolette Community Care Center reports 3.81 total nurse hours per resident per day, compared with the North Dakota average of 4.41.
Has Rolette Community Care Center had inspection problems?
Its most recent CMS inspection cited 11 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Rolette Community Care Center have?
Rolette Community Care Center is certified for 31 beds.