Tioga Medical Center LTC
810 N Welo St, Tioga, ND 58852 · Williams County · 30 certified beds · avg 25 residents/day · certified since Mar 1, 1978
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Feb 11, 2025 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 7, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (15)
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 |
|---|---|---|
| Jun 3, 2026 | D · Potential for harm, one-off | 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. |
| Jun 3, 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. |
| Jun 3, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 12, 2025 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 12, 2025 | 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. |
| Mar 12, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Mar 12, 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. |
| Mar 12, 2025 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Feb 11, 2025 | ▲ G · Actual harm, one-off | 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. · from a complaint |
| Feb 5, 2024 | D · Potential for harm, one-off | 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. |
| Feb 5, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 5, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Feb 5, 2024 | 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. |
| Feb 5, 2024 | 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. |
| Feb 5, 2024 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 6 | 0 | D |
| 2025 | 6 | 1 | G ▲ |
| 2026 | 3 | 0 | D |
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)
1 fine totaling $11,408.
| Date | Type | Amount / length |
|---|---|---|
| Feb 11, 2025 | Fine | $11,408 |
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) | 6.96 | 5.15 | 3.95 | top 4% in North Dakota; top 2% in the U.S. |
| Registered Nurse hours | 1.12 | 1.09 | 0.69 | top 34% in North Dakota; top 11% in the U.S. |
| Weekend total nurse staffing | 6.17 | 4.43 | 3.50 | top 3% in North Dakota; top 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.73 | 0.59 | 0.48 | top 21% in North Dakota; top 14% in the U.S. |
| Total nursing staff turnover (%) | 65.5 | 48.8 | 45.8 | bottom 9% in North Dakota; bottom 9% in the U.S. |
| RN turnover (%) | 71.4 | 40.3 | 42.9 | bottom 9% in North Dakota; bottom 11% 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 5.95, RN 0.96, weekend 5.27. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Becker, Jeremy | Individual | Corporate Director | NOT APPLICABLE | 03/18/2019 |
| Booth, James | Individual | Corporate Director | NOT APPLICABLE | 03/20/2013 |
| Bryant, Holly | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/21/2023 |
| Bryant, Holly | Individual | Corporate Officer | NOT APPLICABLE | 02/21/2023 |
| Bryant, Holly | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/21/2023 |
| Eraas, Jamie | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/27/2023 |
| Eraas, Jamie | Individual | Corporate Officer | NOT APPLICABLE | 01/27/2023 |
| Eraas, Jamie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/27/2023 |
| Germundson, Nathan | Individual | Corporate Director | NOT APPLICABLE | 03/16/2020 |
| Joyce, Patrick | Individual | Corporate Director | NOT APPLICABLE | 03/20/2023 |
| Kuehn, Kristopher | Individual | Corporate Director | NOT APPLICABLE | 03/20/2023 |
| Lenzen, Wendy | Individual | Corporate Director | NOT APPLICABLE | 03/20/2023 |
| Odegaard, Brodie | Individual | Corporate Director | NOT APPLICABLE | 03/20/2017 |
| Olson, Lee | Individual | Corporate Director | NOT APPLICABLE | 03/20/2017 |
| Tioga Medical Center | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/1978 |
| Wisthoff, Seth | Individual | Corporate Director | NOT APPLICABLE | 03/18/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "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 |
|---|---|---|---|---|---|
| Mountrail Bethel Home | 26.0 mi | Stanley, ND | ★★★☆☆ | 3/5 | |
| Bethel Lutheran Nursing & Rehabilitation Center | 36.3 mi | Williston, ND | ★★☆☆☆ | 2/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 355034.