Mclean County, North Dakota · Nursing home
Garrison Mem Hosp Nsg Fac
1 of 5 overall from CMS
407 3rd Ave SE, Garrison, ND 58540
At a glance
- Overall rating 1 of 5 Below the state average of 3.2
- Nurse time per resident, per day 4.34 hours Below the state average of 4.42
- Nursing staff who left in a year 66.7% Above the state average of 48.8%
- Health citations, last 3 inspection cycles 34 3 at the harm level or above
- Fines in 3 years $22,380 1 fine
- Certified beds in use 76.2% of 26 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Garrison Mem Hosp Nsg Fac is a 26-bed nursing home in Garrison, North Dakota (Mclean County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 4.34 nurse staffing hours per resident per day, below the North Dakota average of 4.42. CMS lists 1 fine totaling $22,380 in the past three years.
- Certified beds
- 26
- Residents per day (average)
- 19.8
- Certified since
- 1992 (34 yrs)
Non profit - Church related Participates in Medicare and MedicaidPart of Commonspirit Health (18 homes)Located in a hospitalCMS Special Focus: SFF CandidateCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Garrison Mem Hosp Nsg Fac
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 1 fine totaling $22,380 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 19 health deficiencies in the latest inspection cycle (the standard inspection on Apr 8, 2026 plus complaint and infection-control inspections); the North Dakota average is 5.6. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 North Dakota average 3.2
- Health inspections 1 of 5 North Dakota average 2.8
- Staffing 4 of 5 North Dakota average 4.2
- Quality measures 3 of 5 North Dakota average 2.7
The vertical line marks the North Dakota average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.34 h North Dakota average 4.42
- Nurse aides 1.85 h North Dakota average 2.97
- Licensed practical nurses 0.06 h North Dakota average 0.52
- Registered nurses 2.42 h North Dakota average 0.93
- All staff, weekends 3.45 h North Dakota average 3.80
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the North Dakota average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover66.7%
- North Dakota average48.8%
- Registered nurse turnover68.8%
- North Dakota average40.3%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the North Dakota and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | North Dakota | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 13.3% | 19.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 8.2% | 5.8% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% | 1.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 2.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.2% | 4.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% | 5.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% | 98.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 22.2% | 17.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.2% | 17.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 98.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.9% | 4.9% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.7% | 24.9% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 26.2% | 22.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.49 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.86 | 1.78 |
Short-stay residents
| Measure | This home | North Dakota | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.9% | 92.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 88.3% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 19.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 11.4% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 34 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 19 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 7, 2026: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 8, 2026 | 19 | 0 |
| Feb 27, 2025 | 7 | 0 |
| Dec 20, 2023 | 8 | 0 |
North Dakota homes averaged 5.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (34)
-
KImmediate jeopardy, pattern
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has plan of correction (Jul 29, 2026)
-
KImmediate jeopardy, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 29, 2026)
-
GActual harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 29, 2026)
-
FPotential for more than minimal harm, widespread
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Complaint investigation · Quality of Life and Care · Deficient, Provider has plan of correction (Jul 29, 2026)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jul 28, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 29, 2026)
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 29, 2026)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 29, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jul 28, 2026)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jul 28, 2026)
-
EPotential for more than minimal harm, pattern
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (May 5, 2026)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 5, 2026)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (May 5, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (May 5, 2026)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 5, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (May 5, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (May 5, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (May 5, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 5, 2026)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 28, 2025)
-
EPotential for more than minimal harm, pattern
Have a plan that describes the process for conducting QAPI and QAA activities.
Complaint investigation · Administration · Deficient, Provider has date of correction (Mar 28, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 28, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 28, 2025)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 28, 2025)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Mar 28, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Mar 28, 2025)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jan 29, 2024)
-
FPotential for more than minimal harm, widespread
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Jan 29, 2024)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Jan 29, 2024)
-
DPotential for more than minimal harm, isolated
Keep residents' personal and medical records private and confidential.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jan 29, 2024)
Showing the 30 most recent of 34.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jul 7, 2026 | Fine | $22,380 |
North Dakota homes averaged 1.1 fines and $27,629 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within North Dakota
- Size70 of 72 by certified beds
- North Dakota average residents per day63.3
- ChainCommonspirit Health
- Chain average overall rating2.7 of 5
- Resident or family councilResident
- Homes in Mclean County2
Common questions
What is the CMS star rating for Garrison Mem Hosp Nsg Fac?
Garrison Mem Hosp Nsg Fac has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 3.
How many beds does Garrison Mem Hosp Nsg Fac have?
Garrison Mem Hosp Nsg Fac has 26 certified beds. It averages 19.8 residents per day, about 76.2% of its certified beds.
How much nursing care do residents get at Garrison Mem Hosp Nsg Fac?
The home reports 4.34 hours of nurse staffing per resident per day, including 2.42 hours from registered nurses. The North Dakota average is 4.42 hours and 0.93 hours from registered nurses.
Has Garrison Mem Hosp Nsg Fac been fined?
Yes. CMS lists 1 fine totaling $22,380 in the past three years.
Does Garrison Mem Hosp Nsg Fac accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Benedictine Living Center of Garrison 52beds 94.0%in use 3.18nurse hours a day
- 3 of 5 Knife River Care Center 86beds 96.5%in use 4.91nurse hours a day
- 1 of 5 Souris Valley Care Center 46beds 87.6%in use 3.42nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Mclean County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 355115. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.