North Dakota Home Health Survey Prep Checklist

Your survey could come any day. This is exactly what North Dakota Department of Health (NDDOH) surveyors pull from your files — and how to walk in already audit-ready. Free, no signup required.

75 hrs

Initial Training

12 hrs

Annual Training

Every 60 days

Supervision

Required

Fingerprints

What Surveyors Pull From Every Employee File

Have these ready, current, and signed for every staff member before your survey:

  • Signed job description matching the role and assigned duties
  • Completed application and verified employment history / references
  • I-9 employment eligibility verification with supporting documents
  • W-4 and signed payroll / direct-deposit authorization
  • Government-issued photo ID and Social Security / ITIN record
  • Current professional license or certification copy (RN, LPN, CNA, HHA, etc.)
  • Signed HIPAA, employee handbook, and policy acknowledgments
  • Documented orientation and annual in-service / competency evaluation

See the full breakdown in our guide: What Surveyors Check in Personnel Files.

North Dakota Background & Exclusion Screening

Required checks for every staff member (N.D.C.C. § 12-60-24):

  • ND Bureau of Criminal Investigation CheckRequired
  • FBI National Criminal CheckRequired
  • North Dakota Nurse Aide RegistryRequired
  • OIG Exclusion ListRequired

Don't forget monthly OIG/SAM screening. Medicare/Medicaid agencies must re-check all staff against the federal exclusion lists every month — surveyors ask for the dated screening logs.

Fingerprinting required: BCI Fingerprint.

Abuse registry: Check the ND Nurse Aide Registry for all staff.

Training, Competency & Supervision Records

  • 75 hours of documented initial training per staff member (N.D.A.C. § 33-03-24.1).
  • 12 hours of annual continuing education, with dated completion records.
  • Supervisory visit notes documented every 60 days (N.D.A.C. § 33-03-24.1).
  • Signed competency evaluations for each aide/attendant role.

North Dakota Survey Prep FAQ

What do surveyors check in North Dakota home health personnel files?

Surveyors review each employee file for identifying information, a signed job description, verified employment history, license and certification copies, background-check and exclusion-screening results, training and competency documentation, and signed policy acknowledgments. Missing or expired items are among the most common citations.

How often do I need to re-screen staff against the OIG exclusion list in North Dakota?

Medicare/Medicaid-participating agencies should screen all staff against the OIG LEIE and SAM.gov exclusion lists monthly, per OIG Special Advisory Bulletin guidance. North Dakota also requires ND Bureau of Criminal Investigation Check, FBI National Criminal Check, North Dakota Nurse Aide Registry, OIG Exclusion List.

How many training hours does North Dakota require?

North Dakota requires 75 initial training hours and 12 annual continuing-education hours (N.D.A.C. § 33-03-24.1). Supervisory visits are required every 60 days.

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