The home failed to have enough qualified staff to properly provide food and nutrition services. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
Nursing home report
MCKENZIE COUNTY HEALTHCARE SYSTEMS LONG TERM CARE
WATFORD CITY, ND · Medicare-certified · 42 beds
In good standing
Non-profit
Data as of September 1, 2026
4 of 5 overall
4 of 5 stars overall for McKenzie County Healthcare Systems Long Term Care. Health inspection and staffing are both 4 stars, quality measures are 3 stars, reported nurse staffing is 4.27 hours per resident per day versus the 4.1-hour federal benchmark, and there were no fines in the last 24 months; recent citations involved staffing competencies in food and nutrition, infection prevention and control, and transfer/discharge notifications.
Facility ratings
Health inspections
Staffing
4.2678 hrs/resident/day
Quality measures
Last inspection: July 24, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2678.
Staffing detail
- Registered nurses
- 1.17
- Licensed practical nurses
- 0.41
- Nurse aides
- 2.69
- Weekend nursing
- 3.82
Hours per resident per day.
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
28%30.3%Worsening
Residents with a fall causing major injury
5.7%5.3%No change
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%2.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.9%17.1%Improving
Residents whose ability to walk got worse
3.9%7.5%Worsening
Long-stay residents on antianxiety or sleep medication
14.7%13.2%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27%17.1%Improving
Residents with depressive symptoms
3.2%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
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 July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: E
The home failed to tell residents or their representatives in writing how long their bed would be held after a hospital transfer or therapeutic leave. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 625 — 42 CFR §483.15 — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 38.2 residents on an average day (91% of 42 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 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.