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.
View the original federal record
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
Data as of July 1, 2026
3 of 5 overall
3 of 5 stars overall. Staffing is above the federal benchmark at 4.27 hours per resident per day versus 4.1, with 0 fines in the last 24 months; health inspection and quality measures are both 3 of 5 stars.
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 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
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
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
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
- 38.2 residents on an average day (91% 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.