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Nursing home report

CHI St. Alexius Health Garrison

Registered name: GARRISON MEM HOSP NSG FAC

GARRISON, ND · Medicare-certified · 26 beds

Needs attention
Special Focus candidateAbuse citationNon-profitChain member
Data as of September 1, 2026
1 of 5 overall

CHI St. Alexius Health Garrison in Garrison, ND has a 1-star overall rating, with a 1-star health inspection rating and special focus candidate status. Staffing is rated 4 stars and reported nurse staffing is 4.34 hours per resident per day, slightly above the federal benchmark of 4.1, but the facility has had $22,380 in fines in the last 24 months.

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Facility ratings

Health inspections

Staffing

4.3363 hrs/resident/day

Quality measures

Last inspection: July 7, 2026Penalties, last 24 months: $22,380special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3363.

Staffing detail

Registered nurses
2.42
Licensed practical nurses
0.06
Nurse aides
1.85
Weekend nursing
3.45

Hours per resident per day.

Total staff turnover: 67%
Registered nurse turnover: 69%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

—26.2%—

Residents with a fall causing major injury

—3.2%—

Residents with pressure ulcers (bedsores)

—2.9%—

Residents with a urinary tract infection

—0%—

Residents who lost too much weight

—8.2%—

Residents who were physically restrained

—0%—

Residents needing more help with daily activities

—13.3%—

Residents whose ability to walk got worse

—22.2%—

Long-stay residents on antianxiety or sleep medication

—26.2%—

Residents with a long-term catheter

—1.6%—

Residents with new or worsening incontinence

—26.7%—

Residents with depressive symptoms

—3.2%—

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the pneumonia vaccine

—95.2%—

Short-stay residents given the pneumonia vaccine

—88.9%—

What the inspectors found

The nursing home failed to protect residents from abuse and neglect by others. Cited July 2026 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2026 — limited pattern, immediate jeopardy to residents.

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F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The home failed to provide the appropriate treatment and services for a resident with dementia. Cited July 2026 — isolated incident, actual harm.

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F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: G

The home failed to provide needed social services to help each resident reach the best possible quality of life. Cited July 2026 — widespread issue, potential for harm.

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F-Tag 745 — 42 CFR §483.40 — S/S: F

The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited July 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 838 — 42 CFR §483.70 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. PENALTY

    A federal fine of $22,380 was recorded.

  3. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  4. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  5. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  6. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  7. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  8. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  9. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $22,380 in total fines.

  • Federal fine

    Jul 7, 2026

    $22,380

Operator & ownership

Ownership
Non profit - Church related
Chain
Part of COMMONSPIRIT HEALTH · 18 homes · 2.7 stars avg
Occupancy
19.8 residents on an average day (76% of 26 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years

Things at a nursing home change — inspections, staffing, ownership, news.

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Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.