C78

GARRISON MEM HOSP NSG FAC

Grade C 78/100 composite score

Non profit - Church related

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
3/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

26

Ownership

Non profit - Church related

Total Fines

None

Last Survey

N/A

407 3RD AVE SE, GARRISON, ND 58540
7014632275

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
2.40h
LPN
0.27h
CNA
3.52h
Total
6.20h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

COMMONSPIRIT HEALTH

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2019

100%

GARRISON MEMORIAL HOSPITAL

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 1998

ST ALEXIUS MEDICAL CENTER

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 1998

REYMAN, REED

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2022

BOPP, TIMOTHY

IndividualCORPORATE DIRECTORSince Jul 2018

DAHMEN, KEVIN

IndividualCORPORATE DIRECTORSince Jul 2018

GIESE, JOHN

IndividualCORPORATE DIRECTORSince Dec 2007

HYDER, SYED SHIRAZ

IndividualCORPORATE DIRECTORSince Jul 2019

KUIPER, EVERT

IndividualCORPORATE DIRECTORSince Jan 2022

KUNZE, NICOLE

IndividualCORPORATE DIRECTORSince Aug 2020

MILLER, NANCY

IndividualCORPORATE DIRECTORSince May 2008

MONGEON, JOHN

IndividualCORPORATE DIRECTORSince Oct 2018

PRESZLER, TODD

IndividualCORPORATE DIRECTORSince Oct 2016

WEISBECK, MIKE

IndividualCORPORATE DIRECTORSince Jul 2019

LEFOR, MICHAEL

IndividualCORPORATE OFFICERSince Apr 2016

REYMAN, REED

IndividualCORPORATE OFFICERSince Dec 2022

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (23)

February 27, 2025Health7 deficiencies
0657EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Mar 28, 2025
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 28, 2025
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 28, 2025
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Mar 28, 2025
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Mar 28, 2025
0865EMinimal harm, Pattern

Have a plan that describes the process for conducting QAPI and QAA activities.

Administration Deficiencies

Corrected Mar 28, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 28, 2025
December 20, 2023Health8 deficiencies
0554DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jan 29, 2024
0625DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Jan 29, 2024
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 29, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jan 29, 2024
0801FMinimal harm, Widespread

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.

Nutrition and Dietary Deficiencies

Corrected Jan 29, 2024
0849DMinimal harm, Isolated

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Administration Deficiencies

Corrected Jan 29, 2024
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Jan 29, 2024
0727FMinimal harm, Widespread

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies

Corrected Jan 29, 2024
November 30, 2022Health8 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Jan 4, 2023
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 4, 2023
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jan 4, 2023
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jan 4, 2023
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 4, 2023
0726DMinimal harm, Isolated

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Jan 4, 2023
0732DMinimal harm, Isolated

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Jan 4, 2023
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Jan 4, 2023

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Frequently Asked Questions

What is the CareGrader rating for GARRISON MEM HOSP NSG FAC?

GARRISON MEM HOSP NSG FAC in GARRISON, North Dakota has a CareGrader grade of C (Average), with a composite score of 77.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for GARRISON MEM HOSP NSG FAC?

GARRISON MEM HOSP NSG FAC has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does GARRISON MEM HOSP NSG FAC have?

GARRISON MEM HOSP NSG FAC has 23 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does GARRISON MEM HOSP NSG FAC have?

GARRISON MEM HOSP NSG FAC has 26 certified beds with approximately 17 current residents (65% occupancy). The facility is located at 407 3RD AVE SE, GARRISON, North Dakota 58540. It is a non profit - church related facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.