North Dakota ›Garrison

Garrison Mem Hosp Nsg Fac

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407 3rd Ave SE, Garrison, ND 58540 (opens Google Maps) · Mclean County · (701) 463-2275· 26 certified beds · avg 20 residents/day · certified since Jan 1, 1992 · 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: COMMONSPIRIT HEALTH (18 facilities, chain avg rating 2.7★)

2/5
Health inspection rating (on-site)
inspected Apr 8, 2026
0
Serious findings on record
$0
Fines, last 3 years
5.07
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

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

Inspection findings in the public record

Showing the latest 3 of 24 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. F-0552

  2. E · Potential for more than minimal harm, pattern

    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. F-0657

  3. E · Potential for more than minimal harm, pattern

    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. F-0812

View all 24 inspection findingsShow only the latest 3 findings

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.

DateSeverityWhat the facility was cited for
Apr 8, 2026E · Potential for more than minimal harm, patternThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
Apr 8, 2026E · Potential for more than minimal harm, patternThe 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. · F-0657
Apr 8, 2026E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Apr 8, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0580
Apr 8, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0605
Apr 8, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Apr 8, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0690
Apr 8, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0695
Apr 8, 2026D · Potential for more than minimal harm, isolatedThe 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
Feb 27, 2025E · Potential for more than minimal harm, patternThe 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 · F-0657
Feb 27, 2025E · Potential for more than minimal harm, patternThe 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 · F-0865
Feb 27, 2025D · Potential for more than minimal harm, isolatedThe 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
Feb 27, 2025D · Potential for more than minimal harm, isolatedThe 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
Feb 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692
Feb 27, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0761
Feb 27, 2025D · Potential for more than minimal harm, isolatedThe 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
Dec 20, 2023F · Potential for more than minimal harm, widespreadThe 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 · F-0727
Dec 20, 2023F · Potential for more than minimal harm, widespreadThe facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801
Dec 20, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0554
Dec 20, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583
Dec 20, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0625
Dec 20, 2023D · Potential for more than minimal harm, isolatedThe 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
Dec 20, 2023D · Potential for more than minimal harm, isolatedThe 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
Dec 20, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0849

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 8
Serious citations (G–L): 0
2025
All citations: 7
Serious citations (G–L): 0
2026
All citations: 9
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202380F
202570E
202690E

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNorth Dakota averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.07
North Dakota average: 5.15
U.S. average: 3.95
Registered Nurse hours
This facility: 2.83
North Dakota average: 1.09
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.03
North Dakota average: 4.43
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNorth Dakota avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)5.075.153.95bottom 44% in North Dakota; top 12% in the U.S.
Registered Nurse hours2.831.090.69top 1% in North Dakota; top 1% in the U.S.
Weekend total nurse staffing4.034.433.50bottom 29% in North Dakota; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)2.080.590.48top 1% in North Dakota; top 1% in the U.S.
Total nursing staff turnover (%)66.748.845.8bottom 8% in North Dakota; bottom 8% in the U.S.
RN turnover (%)68.840.342.9bottom 11% in North Dakota; bottom 12% 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 4.34, RN 2.42, weekend 3.45.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.34 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Garrison Mem Hosp Nsg Fac. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

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 / managerTypeRoleStakeSince
Commonspirit HealthOrganization5% or Greater Direct Ownership Interest100%02/01/2019
Garrison Memorial HospitalOrganization5% or Greater Direct Ownership Interest—06/22/1998
St Alexius Medical CenterOrganization5% or Greater Direct Ownership Interest—06/22/1998
Bopp, TimothyIndividualCorporate DirectorNOT APPLICABLE07/01/2018
Dahmen, KevinIndividualCorporate DirectorNOT APPLICABLE07/01/2018
Giese, JohnIndividualCorporate DirectorNOT APPLICABLE12/01/2007
Hyder, Syed ShirazIndividualCorporate DirectorNOT APPLICABLE07/01/2019
Kuiper, EvertIndividualCorporate DirectorNOT APPLICABLE01/17/2022
Kunze, NicoleIndividualCorporate DirectorNOT APPLICABLE08/01/2020
Lefor, MichaelIndividualCorporate OfficerNOT APPLICABLE04/20/2016
Miller, NancyIndividualCorporate DirectorNOT APPLICABLE05/01/2008
Mongeon, JohnIndividualCorporate DirectorNOT APPLICABLE10/01/2018
Preszler, ToddIndividualCorporate DirectorNOT APPLICABLE10/26/2016
Reyman, ReedIndividualCorporate OfficerNOT APPLICABLE12/19/2022
Reyman, ReedIndividualOperational/Managerial ControlNOT APPLICABLE12/19/2022
Weisbeck, MikeIndividualCorporate DirectorNOT APPLICABLE07/01/2019

All 16 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Commonspirit Health — 18 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 17 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the North Dakota midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 67% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 16 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Benedictine Living Center of Garrison0.5 miGarrison, 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.

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