Garrison Mem Hosp Nsg Fac, Garrison, North Dakota
- 34
- Citations from health inspectionsNorth Dakota average: 17 a home
- 3
- Residents harmed or put in dangerNorth Dakota average: 1.5 a home
- $22,380
- Fines from the federal governmentNorth Dakota average: $27,629 a home
- 1 out of 5
- Overall rating in starsNorth Dakota average: 3.2
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Four inspection visits produced 34 citations. Residents were in immediate danger in two findings. Residents were found hurt in one case. Federal fines came to $22,380 (one fine).
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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Call 1-833-892-8135Calls go to a law firm that advertises on Nursing Home Violations.Quick Look at the Record
- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 4 out of 5
- Rating for quality of care
- 3 out of 5
- Nurse time for each resident
- 4.34 hours each dayThe North Dakota average is 4.42 hours
- Time from registered nurses
- 2.42 hours each dayThe North Dakota average is 0.93 hours
- Nursing staff who left during one year
- 66.7%against the North Dakota average of 48.8%
- Beds that are certified
- 26
- Ownership
- Church related (non profit)
- Chain
- Commonspirit Health, with 18 homes
- Street address
- 407 3rd Ave Se, Garrison, North Dakota 58540
- County
- McLean
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
10 citations dated July 7, 2026
- F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F745 Medically Related Social Services: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F744 Proper Dementia Treatment and Services: residents were harmed, one or a few residents, found on a complaint visit.
- F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread, found on a complaint visit.
- F712 Face to Face Doctor Visits: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Nine citations dated April 8, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
- F605 Avoid Unnecessary Sedating or Psychiatric Drugs: risk of harm, no one found hurt, one or a few residents.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, a pattern, several residents.
Seven citations dated Feb. 27, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F865 Written Quality Improvement Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Eight citations dated Dec. 20, 2023
- F849 Arrange Hospice Care When Needed: risk of harm, no one found hurt, one or a few residents.
- F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, widespread.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
- F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, one or a few residents.
- F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| July 7, 2026 | Fine | $22,380 |
Ownership and Management of the Home
- The direct 100% owner is Commonspirit Health.
- The direct owner is Garrison Memorial Hospital.
- The direct owner is St Alexius Medical Center.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 355115. Other homes in North Dakota.