The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
MCKENZIE COUNTY HEALTHCARE SYSTEMS LONG TERM CARE
WATFORD CITY, ND · Medicare-certified · 42 beds
In good standing
Non-profit
2 of 5 overall
2 out of 5 stars overall. Health inspections and quality measures are both 3 stars, staffing is 1 star, and there were no fines in the last 24 months; recent inspection issues included accident hazards/supervision, staffing for food and nutrition services, and infection prevention and control.
Facility ratings
Health inspections
Staffing
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 not reported.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
30.3%Worsening
Residents with a fall causing major injury
3.6%Steady
Residents with pressure ulcers (bedsores)
0%Steady
Residents with a urinary tract infection
2.2%Steady
Residents who lost too much weight
2.2%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.2%Improving
Residents whose ability to walk got worse
10.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
12.3%Worsening
Residents with a long-term catheter
0.8%Worsening
Residents with new or worsening incontinence
21.4%Improving
Residents with depressive symptoms
1.6%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited July 2023 — widespread issue, potential for harm.
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F-Tag 801 — 42 CFR §483.60 — S/S: F
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.
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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.
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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.
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F-Tag 625 — 42 CFR §483.15 — S/S: E
Recent history
- INSPECTION
Health inspection found 4 health deficiencies.
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- INSPECTION
Health inspection found 3 health deficiencies.
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- INSPECTION
Health inspection found 1 health deficiency.
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Penalties & enforcement
On record with Medicare: 1 fine · $6,300 in total fines.
- $6,300
Federal fine
Jul 19, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 37.8 residents on an average day (90% of 42 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.