Garrison Mem Hosp Nsg Fac

Name: Garrison Mem Hosp Nsg Fac
Address: 407 3RD AVE SE, Garrison, ND, 58540, US
Telephone: 7014632275

407 3rd Ave SE, Garrison, ND 58540 · Mclean County · 26 certified beds · avg 20 residents/day · certified since Jan 1, 1992

Part of chain: COMMONSPIRIT HEALTH (18 facilities, chain avg rating 2.7★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.07

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 self-reported quality measures.

All citations in the current public record (24)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 8, 2026	E · Potential for harm, repeated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Apr 8, 2026	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 8, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 8, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Apr 8, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Apr 8, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 8, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 8, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 8, 2026	D · Potential for harm, one-off	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.
Feb 27, 2025	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Feb 27, 2025	E · Potential for harm, repeated	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint
Feb 27, 2025	D · Potential for harm, one-off	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
Feb 27, 2025	D · Potential for harm, one-off	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
Feb 27, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Feb 27, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Feb 27, 2025	D · Potential for harm, one-off	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
Dec 20, 2023	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint
Dec 20, 2023	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Dec 20, 2023	D · Potential for harm, one-off	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.
Dec 20, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Dec 20, 2023	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Dec 20, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Dec 20, 2023	D · Potential for harm, one-off	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.
Dec 20, 2023	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 9).

Year	Citations	Worst severity that year
2023	8	F
2025	7	E
2026	9	E

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.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	North Dakota avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.07	5.15	3.95	bottom 44% in North Dakota; top 12% in the U.S.
Registered Nurse hours	2.83	1.09	0.69	top 1% in North Dakota; top 1% in the U.S.
Weekend total nurse staffing	4.03	4.43	3.50	bottom 29% in North Dakota; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	2.08	0.59	0.48	top 1% in North Dakota; top 1% in the U.S.
Total nursing staff turnover (%)	66.7	48.8	45.8	bottom 8% in North Dakota; bottom 8% in the U.S.
RN turnover (%)	68.8	40.3	42.9	bottom 11% in North Dakota; bottom 12% in the U.S.

Hours are per resident per day, 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 4.34, RN 2.42, weekend 3.45. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

Non profit - Church related

Owner / manager	Type	Role	Stake	Since
Commonspirit Health	Organization	5% or Greater Direct Ownership Interest	100%	02/01/2019
Garrison Memorial Hospital	Organization	5% or Greater Direct Ownership Interest	—	06/22/1998
St Alexius Medical Center	Organization	5% or Greater Direct Ownership Interest	—	06/22/1998
Bopp, Timothy	Individual	Corporate Director	NOT APPLICABLE	07/01/2018
Dahmen, Kevin	Individual	Corporate Director	NOT APPLICABLE	07/01/2018
Giese, John	Individual	Corporate Director	NOT APPLICABLE	12/01/2007
Hyder, Syed Shiraz	Individual	Corporate Director	NOT APPLICABLE	07/01/2019
Kuiper, Evert	Individual	Corporate Director	NOT APPLICABLE	01/17/2022
Kunze, Nicole	Individual	Corporate Director	NOT APPLICABLE	08/01/2020
Lefor, Michael	Individual	Corporate Officer	NOT APPLICABLE	04/20/2016
Miller, Nancy	Individual	Corporate Director	NOT APPLICABLE	05/01/2008
Mongeon, John	Individual	Corporate Director	NOT APPLICABLE	10/01/2018
Preszler, Todd	Individual	Corporate Director	NOT APPLICABLE	10/26/2016
Reyman, Reed	Individual	Corporate Officer	NOT APPLICABLE	12/19/2022
Reyman, Reed	Individual	Operational/Managerial Control	NOT APPLICABLE	12/19/2022
Weisbeck, Mike	Individual	Corporate Director	NOT APPLICABLE	07/01/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you explain health changes and treatment options to residents and their families?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Benedictine Living Center of Garrison	0.5 mi	Garrison, ND	★★★☆☆	3/5

Compare this facility with the 1 closest →

All facilities in Garrison →

Facility data as of CMS processing date 2026-08-01. CCN 355115.

The Care File

Visit checklist — Garrison Mem Hosp Nsg Fac

407 3rd Ave SE, Garrison, ND 58540 · 7014632275

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 355115 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)