GARRISON MEM HOSP NSG FAC Inspection Report, Violations & Safety Grade (GARRISON, North Dakota)

407 3RD AVE SE, GARRISON, North Dakota 58540

Phone: 7014632275

CMS Overall:1/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

Ownership

Non profit - Church related

Provider Type

Medicare and Medicaid

County

Mclean

Sprinkler Systems

Yes

Special Focus

SFF Candidate

Abuse Icon

Yes

CMS Star Ratings

Overall1/5

Health1/5

Staffing4/5

Quality3/5

Nurse Staffing Check

Metric	This Facility	North Dakota Avg	Difference
RN Hours per Resident per Day	2.11	0.93	+1.18
Total Nurse Hours per Resident per Day	5.77	4.47	+1.30
CMS Staffing Rating	4/5	4.3/5	-
Nursing Staff Turnover	55.6%	47.5%	-

Health Citation History

34 health citations on record

Date	Category	Description	Severity
2026-07-07	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	K – Immediate Jeopardy
2026-07-07	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	K – Immediate Jeopardy
2026-07-07	Quality of Life and Care Deficiencies	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.	G – Actual Harm
2026-07-07	Quality of Life and Care Deficiencies	Provide medically-related social services to help each resident achieve the highest possible quality of life.	F – Moderate Harm Potential
2026-07-07	Administration Deficiencies	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	F – Moderate Harm Potential
2026-07-07	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	E – Moderate Harm Potential
2026-07-07	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	E – Moderate Harm Potential
2026-07-07	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E – Moderate Harm Potential
2026-07-07	Nursing and Physician Services Deficiencies	Ensure that the resident and his/her doctor meet face-to-face at all required visits.	D – Moderate Harm Potential
2026-07-07	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C – Minimal Harm Potential
2026-04-08	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	E – Moderate Harm Potential
2026-04-08	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E – Moderate Harm Potential
2026-04-08	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2026-04-08	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D – Moderate Harm Potential
2026-04-08	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D – Moderate Harm Potential
2026-04-08	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2026-04-08	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D – Moderate Harm Potential
2026-04-08	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2026-04-08	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2025-02-27	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E – Moderate Harm Potential
2025-02-27	Administration Deficiencies	Have a plan that describes the process for conducting QAPI and QAA activities.	E – Moderate Harm Potential
2025-02-27	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2025-02-27	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2025-02-27	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D – Moderate Harm Potential
2025-02-27	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2025-02-27	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2023-12-20	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F – Moderate Harm Potential
2023-12-20	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	F – Moderate Harm Potential
2023-12-20	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D – Moderate Harm Potential
2023-12-20	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D – Moderate Harm Potential
2023-12-20	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D – Moderate Harm Potential
2023-12-20	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2023-12-20	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D – Moderate Harm Potential
2023-12-20	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D – Moderate Harm Potential

Fire Safety Citation History

0 fire safety citations on record

No fire safety citations on record.

Total Penalties & Fines

$22,380

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2026-07-07	Fine	$22,380	-

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Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the GARRISON area at no cost.

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(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.