609 4th Ave NE, Garrison, ND 58540 (opens Google Maps) · Mclean County · (701) 463-2226· 52 certified beds · avg 49 residents/day · certified since Jul 1, 1978 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: BENEDICTINE HEALTH SYSTEM (23 facilities, chain avg rating 2.8★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Actual harm, isolated · Jun 18, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 17, 2025 (Past Non-Compliance)
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 22, 2025 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Jul 22, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jun 18, 2025 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Jun 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint · F-0578 |
| Jul 24, 2024 | E · Potential for more than minimal harm, pattern | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · F-0600 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Sep 7, 2023 | E · Potential for more than minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint · F-0641 |
| Sep 7, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
| Sep 7, 2023 | D · Potential for more than minimal harm, isolated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint · F-0554 |
| Sep 7, 2023 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658 |
| Sep 7, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Sep 7, 2023 | D · Potential for more than minimal harm, isolated | The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. · from a complaint · F-0710 |
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | E |
| 2024 | 4 | 0 | E |
| 2025 | 4 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
1 fine totaling $8,278.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Jun 18, 2025 | Fine | $8,278 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | North Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.34 | 5.15 | 3.95 | bottom 1% in North Dakota; bottom 28% in the U.S. |
| Registered Nurse hours | 0.62 | 1.09 | 0.69 | bottom 3% in North Dakota; top 45% in the U.S. |
| Weekend total nurse staffing | 3.11 | 4.43 | 3.50 | bottom 1% in North Dakota; bottom 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.59 | 0.48 | bottom 11% in North Dakota; bottom 46% in the U.S. |
| Total nursing staff turnover (%) | 36.4 | 48.8 | 45.8 | top 23% in North Dakota; top 27% in the U.S. |
| RN turnover (%) | 55.6 | 40.3 | 42.9 | bottom 22% in North Dakota; bottom 28% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.18, RN 0.59, weekend 2.96.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.18 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Benedictine Living Center of Garrison. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Benedictine Health System | Organization | 5% or Greater Indirect Ownership Interest | 100% | 06/01/1989 |
| Benedictine Living Communities INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/01/1989 |
| Benedictine Health System | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/1989 |
| Benedictine Health System | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/1989 |
| Benedictine Living Communities INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/1989 |
| Benedictine Living Communities INC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/1989 |
| Bergien, Tricia | Individual | Corporate Officer | NOT APPLICABLE | 11/17/2016 |
| Carley, Gerald | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Carley, Gerald | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 02/05/2026 |
| Dornacker, Jon | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2006 |
| Dornacker, Jon | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2006 |
| Foss, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2001 |
| Foss, Scott | Individual | ADP of the SNF | NOT APPLICABLE | 12/02/2025 |
| Glynn, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 09/01/2024 |
| Graeber, Luanna | Individual | Corporate Director | NOT APPLICABLE | 05/18/2023 |
| Greff, Kevin | Individual | Corporate Director | NOT APPLICABLE | 09/01/2018 |
| Hack, Taylar | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Kadrmas, Beverly | Individual | Corporate Director | NOT APPLICABLE | 09/01/2020 |
| Lindemann, Gene | Individual | Corporate Director | NOT APPLICABLE | 04/02/2024 |
| Rymanowski, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 07/17/2000 |
Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Benedictine Health System — 23 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 22 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Garrison Mem Hosp Nsg Fac | 0.5 mi | Garrison, ND | ★★☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 355064.
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