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CMS Nursing Home Compare · March 2026

Mckenzie County Healthcare Systems Long Term Care

709 4th Avenue NE, Watford City, ND 58854

Mckenzie County Healthcare Systems Long Term Care, a 42-bed non profit - corporation nursing facility in Watford City, ND, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7014442331

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4 / 5
Above average · CMS overall · nat'l 3.0
4.69
Well above average · nurse hrs/day · nat'l 3.89
12
Inspection findings · 1 serious
$6K
Federal penalties (1)

Health Inspection

3/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
355072
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
42
Residents
36
In Hospital
No
County
Mckenzie
Last Inspection
Jul 24, 2025

Staffing Data

How the 4.69 total nursing hours per resident-day are staffed:

RN Hours
1.02 (nat'l avg: 0.68)
LPN Hours
0.67
CNA Hours
3.00
Total Nursing Hours
4.69 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
41.5%
RN Turnover
11.1%

What the CMS Record Reveals About Mckenzie County Healthcare Systems Long Term Care

Mckenzie County Healthcare Systems Long Term Care operates 42 certified beds in Watford City, ND with approximately 36 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (5★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 12 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $6K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.69 total nursing hours per resident day (national average 3.89), with RN coverage at 1.02 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Mckenzie County Healthcare Systems Long Term Care falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 41.5%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (12 most recent)

E - Pattern - Minimal harm Jul 24, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 5, 2025

D - Isolated - Minimal harm Jul 24, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 5, 2025

D - Isolated - Minimal harm Jul 24, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 5, 2025

D - Isolated - Minimal harm Jul 24, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Sep 5, 2025

D - Isolated - Minimal harm Jun 20, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 25, 2024

E - Pattern - Minimal harm Jun 20, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Jul 25, 2024

E - Pattern - Minimal harm Jun 20, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Jul 25, 2024

G - Isolated - Actual harm Aug 23, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 30, 2023

E - Pattern - Minimal harm Jul 19, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 23, 2023

F - Widespread - Minimal harm Jul 19, 2023 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 23, 2023

E - Pattern - Minimal harm Jul 19, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 23, 2023

D - Isolated - Minimal harm Jul 19, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 23, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 17.3% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.5% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.3% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 27.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.6% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 1 penalties totaling $6K

Date Type Amount
Jul 19, 2023 Fine $6K

Frequently Asked Questions

What is the overall CMS rating for Mckenzie County Healthcare Systems Long Term Care?
Mckenzie County Healthcare Systems Long Term Care has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at Mckenzie County Healthcare Systems Long Term Care?
Mckenzie County Healthcare Systems Long Term Care reports 4.69 total nursing hours per resident day (national average: 3.89). RN hours are 1.02 per resident day (national average: 0.68). Nursing staff turnover is 41.5%.
How many beds does Mckenzie County Healthcare Systems Long Term Care have?
Mckenzie County Healthcare Systems Long Term Care has 42 certified beds with approximately 36 residents. The facility is located at 709 4th Avenue NE, Watford City, ND 58854.
Does Mckenzie County Healthcare Systems Long Term Care have any deficiencies on record?
Yes, Mckenzie County Healthcare Systems Long Term Care has 12 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Mckenzie County Healthcare Systems Long Term Care received any fines or penalties?
Yes, Mckenzie County Healthcare Systems Long Term Care has received 1 penalties totaling $6K.
Who owns Mckenzie County Healthcare Systems Long Term Care?
Mckenzie County Healthcare Systems Long Term Care is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Mckenzie County Healthcare Systems Long Term Care last inspected?
The most recent health inspection for Mckenzie County Healthcare Systems Long Term Care was on Jul 24, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Mckenzie County Healthcare Systems Long Term Care?
Mckenzie County Healthcare Systems Long Term Care is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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