The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
BENEDICTINE LIVING CENTER OF GARRISON
GARRISON, ND · Medicare-certified · 52 beds
Needs attention
Non-profitChain member
3 of 5 overall
Benedictine Living Center of Garrison has a 3-star overall rating, with 2-star staffing and quality measures, and reported nurse staffing below the federal benchmark (3.09 vs 4.1 hours/resident/day). It also has a recent federal penalty and $8,278 in fines over the last 24 months; recent inspection issues included accident hazards, abuse prevention, and infection control.
Facility ratings
Health inspections
Staffing
3.0947 hrs/resident/day
Quality measures
Last inspection: July 22, 2025Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0947.
Staffing detail
- Registered nurses
- 0.64
- Licensed practical nurses
- 0.37
- Nurse aides
- 2.09
- Weekend nursing
- 2.79
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
21.6%Worsening
Residents with a fall causing major injury
6.5%Steady
Residents with pressure ulcers (bedsores)
7.3%Worsening
Residents with a urinary tract infection
3.3%Improving
Residents who lost too much weight
5.7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.9%Improving
Residents whose ability to walk got worse
15.5%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
15.7%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
27.9%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.5%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2023 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited September 2023 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,278 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,278 in total fines.
- $8,278
Federal fine
Jun 18, 2025
Operator & ownership
- Ownership
- Non profit - Church related
- Chain
- Part of BENEDICTINE HEALTH SYSTEM · 23 homes · 3.1 stars avg
- Occupancy
- 50.8 residents on an average day (98% of 52 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.